Herb & supplement monograph

Limosilactobacillus Fermentum Drug Interactions, Uses, Effectiveness, Safety & More

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Limosilactobacillus Fermentum Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated August 2026

Based on the available evidence, the overall risk of a clinically significant Limosilactobacillus Fermentum drug interaction is low for most people, because the main concern is that certain medications can weaken the probiotic rather than the other way around. No interactions are rated major, and the long list of moderate ratings traces back to a single, consistent concern rather than many separate problems.

Interactions deserving the most attention

The interaction that matters most involves antibiotics. Because Limosilactobacillus fermentum products contain live bacteria, taking an antibiotic at the same time can kill many of those organisms, so the probiotic may simply not work as well. This is reasonably well supported and applies broadly across antibiotic types, which is why so many individual medications appear in the profile. Importantly, this does not make the antibiotic less effective or more dangerous.

What the rest of the list means

A long interaction list can look alarming, but here it reflects one shared mechanism repeated across many antibiotic products. The concern is a reduced benefit from the probiotic itself, not harm to you or interference with how your other medications work.

Check your medications against Limosilactobacillus Fermentum

Based on HelloPharmacist’s Limosilactobacillus Fermentum interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Limosilactobacillus Fermentum

182 medications have a known interaction with Limosilactobacillus Fermentum, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AmikacinAmikin, Arikayce› AmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more› Amoxicillin VeterinaryBiomox› Amoxicillin, Clavulanate PotassiumAugmentin, Augmentin '125/31 SF', Augmentin '250/62 SF', Augmentin XR, Augmentin-Duo 400/57, Clavulin› Amoxicillin, Omeprazole Magnesium, RifabutinTalicia› Amphotericin, TetracyclineMysteclin-F› AmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin› Ampicillin, SulbactamUnasyn› Avibactam Sodium, CeftazidimeAvycaz› AzithromycinAzasite, Zithromax, Zmax› AztreonamAzactam› BacampicillinPenglobe› BacitracinBaci-IM, Baciguent, Bacitracin Ointment› BenznidazoleBenznidazole› Bismuth Subsalicylate, Metronidazole, TetracyclineHelidac› CapreomycinCapastat› Carbenicillin Indanyl SodiumGeocillin› CefaclorCeclor, Ceclor CD› CefadroxilCef-Tab, Duricef, Ultracef› CefamandoleMandol› CefazolinAncef› CefdinirOmnicef› Cefditoren PivoxilSpectracef› CefepimeMaxipime› Cefiderocol Sulfate TosylateFetroja› CefiximeSuprax› CefmetazoleZefazone› CefonicidMonocid› CefoperazoneCefobid› CefotaximeClaforan›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Limosilactobacillus Fermentum combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Limosilactobacillus Fermentum affects

Every type of medication (drug category) Limosilactobacillus Fermentum is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Limosilactobacillus Fermentum interacts with
Antibiotic Drugs
Antibiotic Drugs

Theoretically, taking Limosilactobacillus fermentum with antibiotic drugs might decrease the effectiveness of L. fermentum.
Limosilactobacillus fermentum preparations usually contain live and active organisms. Therefore, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and L. fermentum preparations by at least two hours.

Likelihood Probable Evidence D
Monograph

Limosilactobacillus Fermentum: Uses, Safety & Side Effects

The bottom line

Limosilactobacillus fermentum (formerly Lactobacillus fermentum) is a probiotic bacterium found in fermented foods and the human body, used to support gut, immune, and women's health. Early research is promising for some uses but most evidence is preliminary, and effects can differ by strain. It is generally well tolerated in healthy people, but talk to your pharmacist or doctor before starting, especially if your immune system is weak.

Scientific name
Limosilactobacillus fermentum
Family
Lactobacillaceae
Part used
Whole live bacteria (probiotic strain)
Common forms
Capsules, tablets, powders, fermented foods, and combination probiotic products
People commonly use it for
  • Digestive health
  • Immune support
  • Vaginal and urinary health
  • Cholesterol support
  • Oral health

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally well tolerated in healthy people, but evidence and quality vary by product and strain.

PregnancyUse caution

Some strains have been studied in pregnancy, but safety is not firmly established, so check with your doctor first.

BreastfeedingPossibly Safe

When used orally and appropriately. Limosilactobacillus fermentum CECT5716 has been used with apparent safety when breastfeeding for up to 16 weeks.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Jump to a section

Overview

Limosilactobacillus fermentum is a type of friendly bacteria, called a probiotic. It was once known as Lactobacillus fermentum but was reclassified and renamed in 2020. It belongs to a group of lactic acid bacteria, which means it makes lactic acid as it grows.

This bacterium is found naturally in fermented foods such as sourdough, certain cheeses, fermented vegetables, and some fermented milk drinks. It also normally lives in the human gut, mouth, and vagina.

People take it as a dietary supplement, alone or combined with other probiotic strains, mainly to support digestion, immune function, and women's health.

How it works

Like other probiotics, L. fermentum is thought to work by helping balance the microbes in the gut and other parts of the body. By taking up space and nutrients, it may make it harder for harmful bacteria to grow.

It produces lactic acid and other substances that can lower pH and may slow unwanted bacteria. Some strains are also studied in the lab for antioxidant activity and for signaling that may interact with the immune system and the lining of the gut.

Much of this information comes from laboratory and animal research, so it does not always reflect what happens in the human body. The exact effects depend heavily on the specific strain used.

Effectiveness

Does Limosilactobacillus Fermentum work?

Evidence overview · 16 uses evaluated
16 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Limosilactobacillus Fermentum, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 16 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Androgenic alopecia
Rating & evidence shown verbatim from Natural Medicines

Topical heat-killed Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Antidepressant-induced sexual dysfunction
Rating & evidence shown verbatim from Natural Medicines

Oral Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Asthma
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Limosilactobacillus fermentum is beneficial for asthma.

Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Limosilactobacillus fermentum is beneficial for atopic dermatitis.

Insufficient Reliable Evidence To Rate Bacterial vaginosis
Rating & evidence shown verbatim from Natural Medicines

Oral Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Colic
Rating & evidence shown verbatim from Natural Medicines

Oral Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Depression
Rating & evidence shown verbatim from Natural Medicines

Oral Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Diarrhea
Rating & evidence shown verbatim from Natural Medicines

Oral Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Exercise-induced respiratory infections
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Limosilactobacillus fermentum is beneficial for preventing respiratory infections in athletes.

Insufficient Reliable Evidence To Rate Lower respiratory tract infections
Rating & evidence shown verbatim from Natural Medicines

Oral Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Mastalgia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Limosilactobacillus fermentum is beneficial for mastalgia.

Insufficient Reliable Evidence To Rate Mastitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Limosilactobacillus fermentum is beneficial for mastitis treatment or prevention.

Insufficient Reliable Evidence To Rate Obesity
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Limosilactobacillus fermentum is beneficial for obesity.

Insufficient Reliable Evidence To Rate Polycystic ovary syndrome (PCOS)
Rating & evidence shown verbatim from Natural Medicines

Oral Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Urinary tract infections (UTIs)
Rating & evidence shown verbatim from Natural Medicines

Vaginal Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Vaginal candidiasis
Rating & evidence shown verbatim from Natural Medicines

Vaginal Limosilactobacillus fermentum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

For most healthy people, L. fermentum is considered generally well tolerated. However, probiotic supplements are not tightly regulated, so quality and the actual amount of live bacteria can vary between products.

People with weakened immune systems, serious illness, central venous catheters, or who are critically ill should be cautious. In rare cases, probiotics have caused serious infections in such individuals. Premature infants should only use probiotics under medical supervision.

Pregnancy and breastfeeding: Some probiotic strains have been studied during pregnancy and breastfeeding without obvious harm, but safety is not firmly established for this specific bacterium. To be safe, pregnant or nursing people should talk with their doctor or pharmacist before using it.

Always choose products from reputable brands and check with a healthcare professional if you have any chronic health condition.

Side effects

Side effects are usually mild. The most common ones include:

  • Gas or bloating
  • Mild stomach upset or cramping
  • Changes in bowel habits

These effects often go away as your body adjusts. Rarely, probiotics can cause serious infections, especially in people who are very ill or have a weak immune system. Stop use and seek medical care if you develop fever, severe pain, or signs of an infection.

Limosilactobacillus Fermentum: Reported Adverse Effects

Documented safety reports on Limosilactobacillus Fermentum from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Reports by condition
Sepsis Immunologic

Since Limosilactobacillus fermentum preparations contain live and active microorganisms, there is some concern that they might cause pathogenic infection in some patients. Some lactobacilli species have been isolated in cases of bacteremia, sepsis, splenic abscess, endocarditis, necrotizing fasciitis, pancreatic necrosis, and meningoencephalitis. These cases are thought to be due to the translocation of bacteria from other locations in the body in which they occur naturally, such as the oral cavity, or the gastrointestinal or urogenital tract, and not to dietary or supplemental intake. There are specific examples of L. fermentum infections, including endocarditis, brain abscess, surgical site (esophagus) abscess, peritonitis, and abdominal sepsis leading to emphysematous gastritis.

  1. Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178.
  2. Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252.
  3. Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401.
  4. Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576.
  5. Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
  6. Achuthanandan S, Dhaliwal A, Lu T, Sharma K. Brain abscess due to Lactobacillus fermentum in an uncontrolled diabetic. Cureus 2022;14(6):e26360.
  7. Jiménez-Gutiérrez JM, Peláez-Luna M, Campos-Murguía A. A rare case of emphysematous gastritis caused by Lactobacillus fermentum in a patient with diabetes. Rev Esp Enferm Dig 2021;113(9):670-671.
  8. Greig JR, Eltringham IJ, Birthistle K. Primary peritonitis due to Lactobacillus fermentum. J Infect 1998;36(2):242-3.
  9. Woo PC, Lau SK, Lin AW, Curreem SO, Fung AM, Yuen KY. Surgical site abscess caused by Lactobacillus fermentum identified by 16S ribosomal RNA gene sequencing. Diagn Microbiol Infect Dis 2007;58(2):251-4.
  10. Gallemore GH, Mohon RT, Ferguson DA. Lactobacillus fermentum endocarditis involving a native mitral valve. J Tenn Med Assoc 1995;88(8):306-8.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no official standardized dose for Limosilactobacillus fermentum. Probiotic amounts are usually measured in colony-forming units (CFU), and the right amount depends on the strain and the product.

The best approach is to follow the directions on the product label. Do not assume more is better. If you are unsure how much to take or whether it is right for you, ask your pharmacist or doctor.

Store products as directed, since some need refrigeration to keep the bacteria alive.

Pregnancy & Breastfeeding

Limosilactobacillus Fermentum & Breastfeeding

Possibly Safe

When used orally and appropriately. Limosilactobacillus fermentum CECT5716 has been used with apparent safety when breastfeeding for up to 16 weeks.

  1. Pastor-Villaescusa B, Hurtado JA, Gil-Campos M, et al. Effects of Lactobacillus fermentum CECT5716 Lc40 on infant growth and health: a randomised clinical trial in nursing women. Benef Microbes 2020;11(3):235-244.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 12 references that drive our Limosilactobacillus Fermentum monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
  2. Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178. PubMed
  3. Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252. PubMed
  4. Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401. PubMed
  5. Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576. PubMed
  6. Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
  7. Achuthanandan S, Dhaliwal A, Lu T, Sharma K. Brain abscess due to Lactobacillus fermentum in an uncontrolled diabetic. Cureus 2022;14(6):e26360. PubMed
  8. Pastor-Villaescusa B, Hurtado JA, Gil-Campos M, et al. Effects of Lactobacillus fermentum CECT5716 Lc40 on infant growth and health: a randomised clinical trial in nursing women. Benef Microbes 2020;11(3):235-244. PubMed
  9. Jiménez-Gutiérrez JM, Peláez-Luna M, Campos-Murguía A. A rare case of emphysematous gastritis caused by Lactobacillus fermentum in a patient with diabetes. Rev Esp Enferm Dig 2021;113(9):670-671. PubMed
  10. Greig JR, Eltringham IJ, Birthistle K. Primary peritonitis due to Lactobacillus fermentum. J Infect 1998;36(2):242-3. PubMed
  11. Woo PC, Lau SK, Lin AW, Curreem SO, Fung AM, Yuen KY. Surgical site abscess caused by Lactobacillus fermentum identified by 16S ribosomal RNA gene sequencing. Diagn Microbiol Infect Dis 2007;58(2):251-4. PubMed
  12. Gallemore GH, Mohon RT, Ferguson DA. Lactobacillus fermentum endocarditis involving a native mitral valve. J Tenn Med Assoc 1995;88(8):306-8.
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Limosilactobacillus Fermentum: Common Questions

What is Limosilactobacillus Fermentum used for, and does it work?
People use Limosilactobacillus Fermentum for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Limosilactobacillus Fermentum interact with prescription medications?
Yes. We list 182 medications with a known interaction with Limosilactobacillus Fermentum. Use the checker above to see how Limosilactobacillus Fermentum interacts with a specific drug.
How are Limosilactobacillus Fermentum interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Limosilactobacillus Fermentum with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Limosilactobacillus Fermentum interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Limosilactobacillus Fermentum used for?
It is a probiotic bacterium used mainly to support digestion, immune health, and women's vaginal and urinary health. The evidence for most uses is still early, so it should not replace proven treatments.
Is Limosilactobacillus Fermentum the same as Lactobacillus fermentum?
Yes. It was renamed in 2020. Older products and studies may still call it Lactobacillus fermentum, but it is the same organism.
Is it safe to take every day?
Most healthy people tolerate daily probiotic use well, with at most mild gas or bloating. If you have a weakened immune system or a serious illness, check with your doctor first.
Can I get it from food instead of supplements?
Yes, it is found naturally in many fermented foods like sourdough, some cheeses, and fermented vegetables, though the exact strain and amount can vary.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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