Herb & supplement monograph

Saccharomyces Boulardii Drug Interactions, Uses, Effectiveness, Safety & More

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Saccharomyces Boulardii Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Saccharomyces Boulardii drug interaction appears low for most people. Every interaction on record is rated minor, with none rated moderate or major.

Interactions deserving the most attention

The only concern that stands out involves antifungal medications. Because Saccharomyces boulardii is itself a live yeast, taking an antifungal at the same time could kill many of the probiotic organisms and weaken its benefit. This is a theoretical concern, not one proven in people, and importantly the risk runs toward the supplement losing effect rather than the medication causing harm. Nothing in this profile points to problems with closely monitored medicines like blood thinners or diabetes drugs.

What the rest of the list means

Although a few dozen medications appear on the interaction list, they all fall under this single antifungal concern, and none of them are expected to become more dangerous or less effective because of the probiotic. In short, the long list reflects one theoretical issue applied to many drugs, not many separate risks.

Check your medications against Saccharomyces Boulardii

Based on HelloPharmacist’s Saccharomyces Boulardii interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Saccharomyces Boulardii

40 medications have a known interaction with Saccharomyces Boulardii, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
Amphotericin BAbelcet, AmBisome, Amphocil, Amphocin, Fungizone IV
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Amphotericin B interaction
AnidulafunginEraxis
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Anidulafungin interaction
Benzalkonium ChlorideZephiran
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Benzalkonium Chloride interaction
Boric AcidBoric Acid, Boric acid ointment
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Boric Acid interaction
ButenafineMentax
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Butenafine interaction Butenafine drug page: uses, dosage & side effects
ButoconazoleGynazole
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Butoconazole interaction
Carbol-fuchsinCastellani Paint Modified
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Carbol-fuchsin interaction
CaspofunginCancidas
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Caspofungin interaction Caspofungin drug page: uses, dosage & side effects
ChlorhexidineBactoShield 2
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Chlorhexidine interaction
ChloroxineCapitrol
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Chloroxine interaction
CiclopiroxLoprox
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Ciclopirox interaction
ClioquinolVioform
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Clioquinol interaction
ClotrimazoleGyne Lotrimin, Mycelex G Vaginal
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Clotrimazole interaction
EconazoleSpectazole
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Econazole interaction Econazole drug page: uses, dosage & side effects
FluconazoleDiflucan, Diflucan Injection
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Fluconazole interaction Fluconazole drug page: uses, dosage & side effects
FlucytosineAncobon, Ancotil
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Flucytosine interaction
Gentian Violet (otc Drug)Gentian Violet
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Gentian Violet (otc Drug) interaction
GriseofulvinFulvicin PG, Fulvicin-U/F, Grisactin, Grisactin Ultra
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Griseofulvin interaction Griseofulvin drug page: uses, dosage & side effects
HaloproginHalotex
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Haloprogin interaction
Iodine (prescription Drug)Iodine Tincture
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Iodine (prescription Drug) interaction
Iodine (topical)Iodine Tincture
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Iodine (topical) interaction
IodoquinolYodoxin
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Iodoquinol interaction
ItraconazoleSporanox, Sporanox Injection, Tolsura
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Itraconazole interaction Itraconazole drug page: uses, dosage & side effects
KetoconazoleNizoral
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Ketoconazole interaction Ketoconazole drug page: uses, dosage & side effects
MicafunginMycamine
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Micafungin interaction
MiconazoleAcorvio, Daktarin, Micatin, Monistat, Zeasorb-AF
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Miconazole interaction
Miconazole, Zinc Oxide, PetrolatumVusion
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Miconazole, Zinc Oxide, Petrolatum interaction
NaftifineNaftin
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Naftifine interaction Naftifine drug page: uses, dosage & side effects
NatamycinNatacyn
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Natamycin interaction
NystatinMycostatin, Nilstat
Minor Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.

Read the full Saccharomyces Boulardii + Nystatin interaction Nystatin drug page: uses, dosage & side effects
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 Saccharomyces Boulardii 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 Saccharomyces Boulardii affects

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

All 1 drug category Saccharomyces Boulardii interacts with
Antifungals
Antifungals

Theoretically, taking antifungals with Saccharomyces boulardii might decrease the effectiveness of Saccharomyces boulardii.
S. boulardii is a live yeast. Therefore, simultaneously taking antifungals might kill a significant number of the organisms.

Likelihood Possible Evidence D
Monograph

Saccharomyces Boulardii: Uses, Safety & Side Effects

The bottom line

Saccharomyces boulardii is a beneficial yeast used as a probiotic, with the strongest evidence for preventing and treating certain types of diarrhea, including antibiotic-associated diarrhea. It is generally well tolerated in healthy people, but those who are seriously ill or have weakened immune systems should avoid it because of rare but serious bloodstream infections. Talk with your pharmacist or doctor before starting it.

Saccharomyces Boulardii
Scientific name
Saccharomyces cerevisiae var. boulardii
Family
Saccharomycetaceae
Part used
Whole yeast cells (probiotic microorganism)
Common forms
Capsules, tablets, powders (often sold as lyophilized/freeze-dried yeast)
People commonly use it for
  • Acute diarrhea
  • Antibiotic-associated diarrhea
  • Traveler's diarrhea
  • Preventing C. difficile recurrence
  • General gut health

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

Safety at a glance
OverallUse caution

Generally safe for healthy adults but should be avoided by people who are critically ill or immunocompromised.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

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.

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Overview

Saccharomyces boulardii is a type of yeast used as a probiotic. It is a strain closely related to Saccharomyces cerevisiae, the yeast used to make bread and beer, but it is considered non-pathogenic, meaning it does not normally cause illness in healthy people.

Unlike most probiotics, which are bacteria, S. boulardii is a yeast. This means it is not killed by antibiotics, which is one reason it is often used alongside antibiotic treatment. It is sold widely as capsules, tablets, and powders in pharmacies, health stores, and online.

People most commonly take it to help with digestive problems, especially different types of diarrhea.

How it works

S. boulardii is thought to work in several ways. It may help crowd out harmful microbes in the gut and interfere with their ability to attach to the intestinal lining. Laboratory studies suggest it can break down or neutralize certain toxins, such as those made by C. diff.

It may also support the gut barrier, help balance the immune response in the intestines, and encourage the production of helpful substances in the digestive tract. Because it is a yeast, it is naturally resistant to antibiotics, so it can stay active even while a person is taking them.

Many of these mechanisms come from laboratory and animal research, so the exact way it helps in people is not fully understood.

Effectiveness

Does Saccharomyces Boulardii work?

Evidence overview · 31 uses evaluated
6 Possibly effective 1 Leans ineffective 24 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.
Possibly Effective Antibiotic-associated diarrhea
Rating & evidence shown verbatim from Natural Medicines

Oral Saccharomyces boulardii seems to be beneficial for the prevention of antibiotic-associated diarrhea (AAD) in most patients.

Possibly Effective Clostridioides difficile infection
Rating & evidence shown verbatim from Natural Medicines

Oral Saccharomyces boulardii seems to be beneficial for preventing C. difficile infection. In combination with vancomycin or metronidazole, oral S. boulardii seems to be beneficial for preventing recurrence of C. difficile infection.

Possibly Effective Helicobacter pylori
Rating & evidence shown verbatim from Natural Medicines

Oral Saccharomyces boulardii seems to be beneficial for reducing adverse effects associated with standard therapy for H. pylori eradication. It is unclear if it is beneficial for increasing eradication rates.

Possibly Effective Necrotizing enterocolitis (NEC)
Rating & evidence shown verbatim from Natural Medicines

Oral Saccharomyces boulardii seems to reduce the risk of NEC in hospitalized preterm infants. However, guidance among regulatory agencies and clinical organizations varies.

Possibly Effective Rotaviral diarrhea
Rating & evidence shown verbatim from Natural Medicines

In children, oral Saccharomyces boulardii seems to reduce the duration of rotaviral diarrhea.

Possibly Effective Travelers' diarrhea
Rating & evidence shown verbatim from Natural Medicines

Most research suggests that oral Saccharomyces boulardii can help to reduce the risk of traveler's diarrhea.

Possibly Ineffective Sepsis
Rating & evidence shown verbatim from Natural Medicines

In preterm infants, oral Saccharomyces boulardii does not seem to be beneficial for sepsis prevention.

Also studied for 24 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acne
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Saccharomyces boulardii is beneficial for acne.

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

It is unclear if oral Saccharomyces boulardii is beneficial for cholera.

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

It is unclear if oral Saccharomyces boulardii is beneficial for cognitive function.

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

It is unclear if oral Saccharomyces boulardii is beneficial in children with constipation.

Insufficient Reliable Evidence To Rate Critical illness (trauma)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Saccharomyces boulardii is beneficial for reducing complications in critically ill, hospitalized patients.

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

It is unclear if oral Saccharomyces boulardii is beneficial for this condition.

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

It is unclear if oral Saccharomyces boulardii is beneficial for cystic fibrosis.

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

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

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

It is unclear if oral Saccharomyces boulardii is beneficial for heart failure.

Insufficient Reliable Evidence To Rate HIV/AIDS-related diarrhea
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Saccharomyces boulardii is beneficial for this condition.

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

It is unclear if oral Saccharomyces boulardii is beneficial for hypercholesterolemia.

Insufficient Reliable Evidence To Rate Intestinal parasite infection
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Saccharomyces boulardii is beneficial for intestinal parasite infection.

Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Saccharomyces boulardii is beneficial for IBS.

Insufficient Reliable Evidence To Rate Low birth weight
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Saccharomyces boulardii is beneficial for growth in low birth weight infants.

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

It is unclear if oral Saccharomyces boulardii is beneficial for neonatal jaundice prevention or treatment.

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

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

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

Although there has been interest in using oral Saccharomyces boulardii for periodontitis, there is insufficient reliable information about the clinical effects of S. boulardii for this condition.

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

It is unclear if oral Saccharomyces boulardii prevents postoperative infection.

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

It is unclear if oral Saccharomyces boulardii improves postoperative recovery.

Insufficient Reliable Evidence To Rate Small intestinal bacterial overgrowth (SIBO)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Saccharomyces boulardii is beneficial for SIBO.

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

It is unclear if oral Saccharomyces boulardii is beneficial for ulcerative colitis.

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

Although there has been interest in using oral Saccharomyces boulardii for UTIs, there is insufficient reliable information about the clinical effects of S. boulardii for this condition.

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

Although there has been interest in using oral Saccharomyces boulardii for vaginal candidiasis, there is insufficient reliable information about the clinical effects of S. boulardii for this condition.

Insufficient Reliable Evidence To Rate Ventilator-associated pneumonia (VAP)
Rating & evidence shown verbatim from Natural Medicines

Oral Saccharomyces boulardii 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 adults and children, S. boulardii is generally well tolerated. However, there are important exceptions. People who are critically ill, have weakened immune systems, or have central venous catheters (IV lines) should avoid it. In these groups, there have been rare but serious cases of the yeast entering the bloodstream and causing infection (funginemia).

People with yeast allergies should also avoid it. Use caution if you have a serious underlying illness.

For pregnancy and breastfeeding, there is not enough reliable safety information, so it is best to avoid it unless your doctor advises otherwise. Always check with a pharmacist or doctor before giving probiotics to infants, the elderly, or anyone who is seriously ill.

Side effects

Side effects are usually mild and may include gas, bloating, or mild stomach upset, especially when first starting. These often improve over time.

The most serious, though rare, risk is a bloodstream infection (fungemia), which has mostly been reported in people who are critically ill, immunocompromised, or who have IV catheters. Signs of infection such as fever should be checked by a doctor right away.

If you have an allergic reaction (rash, itching, trouble breathing), stop taking it and seek medical help.

Saccharomyces Boulardii: Reported Adverse Effects

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

Reports by condition
Crohn disease Immunologic

Rarely, oral use of Saccharomyces boulardii has been associated with fungemia in both immunocompromised and immunocompetent patients. Numerous cases of Saccharomyces fungemia have been reported in critically ill intensive care unit (ICU) patients, particularly those with indwelling or central venous catheters, those receiving enteral feeding, or those receiving broad-spectrum antibiotics. Most infections occurred when packets of Saccharomyces were used or when Saccharomyces capsules were opened at the bedside. Admission to the ICU and extended length of stay increase the risk of developing Saccharomyces fungemia. In a hospitalized 1-year-old patient with severe malnutrition and multiple invasive devices, Saccharomyces cerevisiae fungemia developed 2 days after receiving a probiotic containing S. boulardii 200 mg twice daily for 4 days. In addition, there are two case reports of S. cerevisiae fungemia in hospitalized and intubated older patients with COVID-19 who had been given S. boulardii for diarrhea.

The true incidence of fungemia is difficult to determine with S. boulardii. Most clinical laboratories are unable to differentiate between S. boulardii and S. cerevisiae, which might come from other sources. In two case reports of patients in the ICU, there was a 100% alignment of fungal ribosomal DNA ITS sequences between the strains found in the blood of the infected patients and the strains of S. boulardii that had been administered. In a large analysis of hospitalized patients, the incidence rate of Saccharomyces fungemia was 0.11% of those given S. boulardii and did not occur in patients not given this probiotic. Packets or capsules opened at a distance from the patient in the hospital were included in this analysis.

Positive Saccharomyces cultures have also been obtained rarely from other sites, such as the abdominal region and the oral or respiratory tract.

An elevated erythrocyte sedimentation rate may occur when S. boulardii is used to treat Crohn disease, but this effect may be a natural part of the disease process.

  1. Niault M, Thomas F, Prost J, et al. Fungemia due to Saccharomyces species in a patient treated with enteral Saccharomyces boulardii. Clin Infect Dis 1999;28:930.
  2. Pletinex M, Legein J, Vandenplas Y. Fungemia with Saccharomyces boulardii in a 1-year-old girl with protracted diarrhea. J Pediatr Gastroenterol Nutr 1995;21:113-5.
  3. Fredenucci I, Chomarat M, Boucaud C, et al. Saccharomyces boulardii fungemia in a patient receiving ultra-levure therapy. Clin Infect Dis 1998;27:222-3.
  4. Elmer GW, McFarland LV, Surawicz CM, et al. Behaviour of Saccharomyces boulardii in recurrent Clostridium difficile disease patients. Aliment Pharmacol Ther 1999;13:1663-8.
  5. Cesaro S, Chinello P, Rossi L, Zanesco L. Saccharomyces cerevisiae fungemia in a neutropenic patient treated with Saccharomyces boulardii. Support Care Cancer 2000;8:504-5.
  6. Munoz P, Bouza E, Cuenca-Estrella M, et al. Saccharomyces cerevisiae fungemia: an emerging infectious disease. Clin Infect Dis 2005;40:1625-34.
  7. Lherm, T., Monet, C., Nougiere, B., Soulier, M., Larbi, D., Le Gall, C., Caen, D., and Malbrunot, C. Seven cases of fungemia with Saccharomyces boulardii in critically ill patients. Intensive Care Med 2002;28(6):797-801.
  8. Riquelme, A. J., Calvo, M. A., Guzman, A. M., Depix, M. S., Garcia, P., Perez, C., Arrese, M., and Labarca, J. A. Saccharomyces cerevisiae fungemia after Saccharomyces boulardii treatment in immunocompromised patients. J Clin.Gastroenterol. 2003;36(1):41-
  9. Cherifi, S., Robberecht, J., and Miendje, Y. Saccharomyces cerevisiae fungemia in an elderly patient with Clostridium difficile colitis. Acta Clin Belg. 2004;59(4):223-224.
  10. Ellouze O, Berthoud V, Mervant M, Parthiot JP, Girard C. Septic shock due to Sacccaromyces boulardii. Med Mal Infect. 2016;46(2):104-105.
  11. Appel-da-Silva MC, Narvaez GA, Perez LRR, Drehmer L, Lewgoy J. Saccharomyces cerevisiae var. boulardii fungemia following probiotic treatment. Med Mycol Case Rep. 2017;18:15-7.
  12. Roy U, Jessani LG, Rudramurthy SM, et al. Seven cases of Saccharomyces fungaemia related to use of probiotics. Mycoses 2017;60(6):375-380.
  13. Romanio MR, Coraine LA, Maielo VP, Abramczyc ML, Souza RL, Oliveira NF. Saccharomyces cerevisiae fungemia in a pediatric patient after treatment with probiotics. Rev Paul Pediatr. 2017 Jul-Sep;35(3):361-364. doi: 10.1590/1984-0462/;2017;35;3;00014.
  14. Ventoulis I, Sarmourli T, Amoiridou P, et al. Bloodstream infection by Saccharomyces cerevisiae in two COVID-19 patients after receiving supplementation of Saccharomyces in the ICU. J Fungi (Basel). 2020;6(3):98.
  15. Wombwell E, Bransteitter B, Gillen LR. Incidence of Saccharomyces cerevisiae fungemia in hospitalised patients administered Saccharomyces boulardii probiotic. Mycoses 2021;64(12):1521-1526.
  16. Rannikko J, Holmberg V, Karppelin M, et al. Fungemia and Other Fungal Infections Associated with Use of Saccharomyces boulardii Probiotic Supplements. Emerg Infect Dis 2021;27(8):2090-6.
  17. Borriello SP, Hammes WP, Holzapfel W, et al. Safety of probiotics that contain lactobacilli or bifidobacteria. Clin Infect Dis 2003;36:775-80.
  18. Marteau P, Seksik P. Tolerance of probiotics and prebiotics. J Clin Gastroenterol 2004;38:S67-9.
  19. Atici S, Soysal A, Karadeniz Cerit K, et al. Catheter-related Saccharomyces cerevisiae Fungemia Following Saccharomyces boulardii Probiotic Treatment: In a child in intensive care unit and review of the literature. Med Mycol Case Rep. 2017;15:33-35.
  20. Martin IW, Tonner R, Trivedi J, et al. Saccharomyces boulardii probiotic-associated fungemia: questioning the safety of this preventive probiotic's use. Diagn Microbiol Infect Dis. 2017;87(3):286-8.
  21. Romanio MR, Coraine LA, Maielo VP, Abramczyc ML, Souza RL, Oliveira NF. Saccharomyces cerevisiae fungemia in a pediatric patient after treatment with probiotics. Rev Paul Pediatr 2017;35(3):361-4.
  22. Hennequin C, Thierry A, Richard GF, et al. Microsatellite typing as a new tool for identification of Saccharomyces cerevisiae strains. J Clin Microbiol 2001;39:551-9.
  23. Plein K, Hotz J. Therapeutic effects of Saccharomyces boulardii on mild residual symptoms in a stable phase of Crohn's disease with special respect to chronic diarrhea - a pilot study. Z Gastroenterol 1993;31:129-34.
Flatulence Gastrointestinal
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 single official standardized dose for S. boulardii. Products are often measured in milligrams of freeze-dried yeast or in colony-forming units (CFU), and amounts vary widely between brands.

The best approach is to follow the directions on the product label and to choose a reputable brand. Doses used in studies have differed depending on the condition being treated.

Because the right dose and product can depend on your age, health, and reason for use, check with your pharmacist or doctor before starting, especially for children or older adults.

Pregnancy & Breastfeeding

Saccharomyces Boulardii & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Saccharomyces Boulardii & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

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 26 references that drive our Saccharomyces Boulardii 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. Niault M, Thomas F, Prost J, et al. Fungemia due to Saccharomyces species in a patient treated with enteral Saccharomyces boulardii. Clin Infect Dis 1999;28:930.
  2. Pletinex M, Legein J, Vandenplas Y. Fungemia with Saccharomyces boulardii in a 1-year-old girl with protracted diarrhea. J Pediatr Gastroenterol Nutr 1995;21:113-5. DOI
  3. Fredenucci I, Chomarat M, Boucaud C, et al. Saccharomyces boulardii fungemia in a patient receiving ultra-levure therapy. Clin Infect Dis 1998;27:222-3.
  4. Elmer GW, McFarland LV, Surawicz CM, et al. Behaviour of Saccharomyces boulardii in recurrent Clostridium difficile disease patients. Aliment Pharmacol Ther 1999;13:1663-8.
  5. Lewis SJ, Freedman AR. Review article: the use of biotherapeutic agents in the prevention and treatment of gastrointestinal disease. Aliment Pharmacol Ther 1998;12:807-22. PubMed
  6. Cesaro S, Chinello P, Rossi L, Zanesco L. Saccharomyces cerevisiae fungemia in a neutropenic patient treated with Saccharomyces boulardii. Support Care Cancer 2000;8:504-5. PubMed
  7. Hennequin C, Thierry A, Richard GF, et al. Microsatellite typing as a new tool for identification of Saccharomyces cerevisiae strains. J Clin Microbiol 2001;39:551-9.
  8. Plein K, Hotz J. Therapeutic effects of Saccharomyces boulardii on mild residual symptoms in a stable phase of Crohn's disease with special respect to chronic diarrhea - a pilot study. Z Gastroenterol 1993;31:129-34.
  9. Borriello SP, Hammes WP, Holzapfel W, et al. Safety of probiotics that contain lactobacilli or bifidobacteria. Clin Infect Dis 2003;36:775-80. PubMed
  10. Marteau P, Seksik P. Tolerance of probiotics and prebiotics. J Clin Gastroenterol 2004;38:S67-9. PubMed
  11. Munoz P, Bouza E, Cuenca-Estrella M, et al. Saccharomyces cerevisiae fungemia: an emerging infectious disease. Clin Infect Dis 2005;40:1625-34. PubMed
  12. Lherm, T., Monet, C., Nougiere, B., Soulier, M., Larbi, D., Le Gall, C., Caen, D., and Malbrunot, C. Seven cases of fungemia with Saccharomyces boulardii in critically ill patients. Intensive Care Med 2002;28(6):797-801. PubMed
  13. Riquelme, A. J., Calvo, M. A., Guzman, A. M., Depix, M. S., Garcia, P., Perez, C., Arrese, M., and Labarca, J. A. Saccharomyces cerevisiae fungemia after Saccharomyces boulardii treatment in immunocompromised patients. J Clin.Gastroenterol. 2003;36(1):41- PubMed
  14. Cherifi, S., Robberecht, J., and Miendje, Y. Saccharomyces cerevisiae fungemia in an elderly patient with Clostridium difficile colitis. Acta Clin Belg. 2004;59(4):223-224. PubMed
  15. Ellouze O, Berthoud V, Mervant M, Parthiot JP, Girard C. Septic shock due to Sacccaromyces boulardii. Med Mal Infect. 2016;46(2):104-105.
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

Product directory

Supplement products with Saccharomyces Boulardii

611 products in our database contain Saccharomyces Boulardii. Open any to see its full ingredient list and every drug interaction we check.

10 Billion Probiotic with Prebiotic Fiber Blend by Safrel Capsule 60 Capsule(s) View ingredients & interactions 3-Day Colon Cleanse by BIOHM Capsule 6 Capsule(s) View ingredients & interactions 65 Billion Probiotic by ImmuneBody Capsule 30 Capsule(s) View ingredients & interactions Abx Support by Klaire Labs Capsule 60 Vegetarian Capsule(s) View ingredients & interactions Abx Support by Klaire Labs Capsule 28 Vegetarian Capsule(s) View ingredients & interactions Abx Support by Klaire Labs Capsule 28 Vegetarian Capsule(s) View ingredients & interactions Advanced Biotic Complex by Inessa Capsule 30 Capsule(s) View ingredients & interactions Afternoon Pack 2 by Renew Life Capsule 14 Daily Strip Pack(s) View ingredients & interactions All-Flora Probiotic by New Chapter Capsule 60 100% Vegan Capsule(s) View ingredients & interactions All-Flora Probiotic by New Chapter Capsule 60 100% Vegan Capsule(s) View ingredients & interactions Allergenza by NuMedica Capsule 60 Vegetable Capsule(s) View ingredients & interactions Allergenza by NuMedica Capsule 60 Vegetable Capsule(s) View ingredients & interactions Alpha King Immortal by Force Factor Capsule 180 Capsule(s) View ingredients & interactions Ancient Probiotic Trinity by Ancient Nutrition Capsule 60 Capsule(s) View ingredients & interactions Ancient Probiotics Brain by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions Ancient Probiotics Brain by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions Ancient Probiotics Gut Restore by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions Ancient Probiotics Gut Restore by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions Ancient Probiotics Immune by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions Ancient Probiotics Immune by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions Ancient Probiotics Men's Once Daily by Ancient Nutrition Capsule 30 Capsule(s) View ingredients & interactions Ancient Probiotics Men's Once Daily by Ancient Nutrition Capsule 30 Capsule(s) View ingredients & interactions Ancient Probiotics Skin by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions Ancient Probiotics Skin by Ancient Nutrition Capsule 90 Capsule(s) View ingredients & interactions
Pharmacist Counseling Corner

Saccharomyces Boulardii: Common Questions

What is Saccharomyces Boulardii used for, and does it work?
People use Saccharomyces Boulardii for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Saccharomyces Boulardii for Antibiotic-associated diarrhea, Clostridioides difficile infection, Helicobacter pylori and Necrotizing enterocolitis (NEC). For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Saccharomyces Boulardii interact with prescription medications?
Yes. We list 40 medications with a known interaction with Saccharomyces Boulardii. Use the checker above to see how Saccharomyces Boulardii interacts with a specific drug.
How are Saccharomyces Boulardii 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 Saccharomyces Boulardii 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 Saccharomyces Boulardii 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 Saccharomyces Boulardii used for?
It is most commonly used as a probiotic to help prevent and treat certain types of diarrhea, including antibiotic-associated diarrhea and traveler's diarrhea. It is also taken for general gut health, though evidence for some uses is limited.
Is Saccharomyces Boulardii safe to take?
It is generally well tolerated in healthy people, but it should be avoided by anyone who is critically ill, has a weakened immune system, or has an IV catheter, because of a rare risk of bloodstream infection. Check with your pharmacist or doctor first.
Can I take it while on antibiotics?
Because it is a yeast rather than a bacterium, S. boulardii is not killed by antibiotics, which is one reason it is studied for preventing antibiotic-associated diarrhea. Still, talk to your pharmacist before combining any supplement with your medications.
Is it safe during pregnancy or breastfeeding?
There is not enough reliable safety data for pregnancy or breastfeeding, so it is best to avoid it unless your doctor specifically recommends it.

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

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