Streptococcus Thermophilus Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Streptococcus Thermophilus interacts with medications. The heart of this page is the interaction list — every drug Streptococcus Thermophilus is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Streptococcus Thermophilus is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Streptococcus Thermophilus against your medication
Add one medicationDrugs that interact with Streptococcus Thermophilus
0 medications have a known interaction with Streptococcus Thermophilus, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Streptococcus Thermophilus. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
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 Streptococcus Thermophilus combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Streptococcus Thermophilus: Uses, Safety & Side Effects
Streptococcus thermophilus is a friendly bacterium used as a probiotic, often combined with other strains in yogurt and supplements. It is generally well tolerated in healthy people and may help with digestion and lactose breakdown, but solid evidence for most specific health claims is still limited. Talk with your pharmacist or doctor before starting it, especially if your immune system is weak.
- Scientific name
- Streptococcus thermophilus
- Family
- Streptococcaceae
- Part used
- Live bacterial cells (probiotic culture)
- Common forms
- Capsules, powders, probiotic blends, yogurt, fermented dairy products
- Digestive health
- Lactose intolerance
- Diarrhea prevention and support
- Gut microbiome balance
- Immune support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated in healthy people, but people with weakened immune systems should be careful.
When used orally and appropriately, short-term. A combination of Streptococcus thermophilus, Lactobacillus acidophilus, Bifidobacterium animalis, and...
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Streptococcus thermophilus is a type of beneficial ("friendly") bacteria used as a probiotic. Despite having "Streptococcus" in its name, it is not related to the bacteria that cause strep throat or other infections. It is considered safe for use in food and is widely used to make yogurt, cheese, and other fermented dairy products.
This bacterium gets its name because it grows well at warm temperatures, which makes it useful in food production. In supplements, it is often combined with other probiotic strains, such as Lactobacillus and Bifidobacterium species.
People take Streptococcus thermophilus hoping to support digestion, help balance the bacteria in the gut, and improve overall gut health.
How it works
Streptococcus thermophilus is thought to work by adding to the population of helpful bacteria in the digestive tract. A balanced gut microbiome may support digestion and help limit the growth of harmful bacteria.
This bacterium produces an enzyme called lactase (beta-galactosidase), which breaks down lactose, the sugar in milk. This may explain why fermented dairy products like yogurt are often easier to tolerate for people who are sensitive to lactose.
Probiotics may also produce substances that lower the pH in the gut and help the gut lining stay healthy. Many of these proposed mechanisms come from laboratory or animal studies, so how strongly they apply to people is not fully proven.
Does Streptococcus Thermophilus work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Streptococcus Thermophilus, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 33 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acute kidney injury (AKI)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
Although there has been interest in using oral Streptococcus thermophilus for allergic rhinitis, there is insufficient reliable information about the clinical effects of S. thermophilus for this condition.
Insufficient Reliable Evidence To Rate Antibiotic-associated diarrhea
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Asthma
Although there has been interest in using oral Streptococcus thermophilus for asthma, there is insufficient reliable information about the clinical effects of S. thermophilus for this condition.
Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Bacterial vaginosis
Intravaginal Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Bronchiolitis
Although there has been interest in using oral Streptococcus thermophilus for bronchiolitis, there is insufficient reliable information about the clinical effects of S. thermophilus for this condition.
Insufficient Reliable Evidence To Rate Child growth
It is unclear if oral Streptococcus thermophilus is beneficial for improving child growth.
Insufficient Reliable Evidence To Rate Cirrhosis
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Clostridioides difficile infection
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Colic
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Constipation
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Coronavirus disease 2019 (COVID-19)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Diabetes
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Diabetic nephropathy
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Exercise-induced muscle soreness
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Helicobacter pylori
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate HIV/AIDS
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Necrotizing enterocolitis (NEC)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear. Also, it is unclear if oral S. thermophilus is safe for use in preterm infants.
Insufficient Reliable Evidence To Rate Nonalcoholic fatty liver disease (NAFLD)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Nonalcoholic steatohepatitis (NASH)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Nonallergic rhinitis
Although there has been interest in using oral Streptococcus thermophilus for nonallergic rhinitis, there is insufficient reliable information about the clinical effects of S. thermophilus for this condition.
Insufficient Reliable Evidence To Rate Oral mucositis
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Otitis media
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Pneumonia
Although there has been interest in using oral Streptococcus thermophilus for pneumonia, there is insufficient reliable information about the clinical effects of S. thermophilus for this condition.
Insufficient Reliable Evidence To Rate Pouchitis
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Rotaviral diarrhea
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Sepsis
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Small intestinal bacterial overgrowth (SIBO)
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Tonsillopharyngitis
Although there has been interest in using oral Streptococcus thermophilus for tonsillopharyngitis, there is insufficient reliable information about the clinical effects of S. thermophilus for this condition.
Insufficient Reliable Evidence To Rate Ulcerative colitis
Oral Streptococcus thermophilus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Vaginal candidiasis
Intravaginal Streptococcus thermophilus 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, Streptococcus thermophilus is considered safe, especially as part of foods like yogurt. It has a long history of safe use in the food supply.
People with weakened immune systems (for example, from chemotherapy, HIV, organ transplant, or serious illness), those who are critically ill, and people with central venous catheters should be cautious. In rare cases, live probiotic bacteria can cause infections in vulnerable people. Talk with a doctor before using probiotic supplements in these situations.
For pregnancy and breastfeeding, probiotics from normal foods are generally considered acceptable, but there is limited safety data on concentrated supplements. To be cautious, pregnant and breastfeeding people should check with their doctor or pharmacist before starting a supplement.
Side effects
Side effects are usually mild. The most common ones are temporary digestive symptoms such as gas, bloating, or mild stomach discomfort, especially when first starting a probiotic. These often improve over a few days.
Serious side effects are rare. In very rare cases, mostly in people who are seriously ill or have weakened immune systems, probiotic bacteria have been linked to infections. If you develop a fever, severe stomach pain, or other concerning symptoms, stop the product and seek medical care.
Streptococcus Thermophilus: Reported Adverse Effects
Documented safety reports on Streptococcus Thermophilus from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionPrematurity Immunologic
Since many probiotic preparations contain live and active microorganisms, there is some concern that they might cause pathogenic infection in some patients. Bacteremia and sepsis have been reported in patients with indwelling or central venous catheters or patients who are severely ill and/or immunocompromised, including preterm infants, that were using probiotic products. However, reports of pathogenic colonization in relatively healthy patients with intact immune systems who do not have indwelling or central venous catheters are extremely rare.
- Saxelin M, Chuang NH, Chassy B, et al. Lactobacilli and bacteremia in southern Finland 1989-1992. Clin Infect Dis 1996;22:564-6.
- MacGregor G, Smith AJ, Thakker B, Kinsella J. Yoghurt biotherapy: contraindicated in immunosuppressed patients? Postgrad Med J 2002;78:366-7.
- Land MH, Rouster-Stevens K, Woods CR, et al. Lactobacillus sepsis associated with probiotic therapy. Pediatrics 2005;115:178-81.
- De Groote MA, Frank DN, Dowell E, et al. Lactobacillus rhamnosus GG bacteremia associated with probiotic use in a child with short gut syndrome. Pediatr Infect Dis J 2005;24:278-80.
- Vahabnezhad E, Mochon AB, Wozniak LJ, Ziring DA. Lactobacillus bacteremia associated with probiotic use in a pediatric patient with ulcerative colitis. J Clin Gastroenterol. 2013;47(5):437-9.
- Pruccoli G, Silvestro E, Pace Napoleone C, Aidala E, Garazzino S, Scolfaro C. Are probiotics safe? Bifidobacterium bacteremia in a child with severe heart failure. Infez Med. 2019;27(2):175-178.
- Sendil S, Shrimanker I, Mansoora Q, Goldman J, Nookala VK. Lactobacillus rhamnosus bacteremia in an immunocompromised renal transplant patient. Cureus. 2020;12(2):e6887.
- Albarillo FS, Shah U, Joyce C, Slade D. Lactobacillus rhamnosus Infection: A single-center 4-year descriptive analysis. J Glob Infect Dis. 2020;12(3):119-123.
- Agrawal S, Tuchman ES, Bruce MJ, Theodorou ME. Fatal Lactobacillus endocarditis in a patient with transcatheter aortic valve replacement. BMJ Case Rep. 2020;13(11):e236835.
- Antoun M, Hattab Y, Akhrass FA, Hamilton LD. Uncommon pathogen, Lactobacillus, causing infective endocarditis: Case report and review. Case Rep Infect Dis. 2020;2020:8833948.
- Tynkkynen S, Singh KV, Varmanen P. Vancomycin resistance factor of Lactobacillus rhamnosus GG in relation to enterococcal vancomycin resistance (van) genes. Int J Food Microbiol 1998;41:195-204.
- Klein G, Zill E, Schindler R, et al. Peritonitis associated with vancomycin-resistant Lactobacillus rhamnosus in a continuous ambulatory peritoneal dialysis patient; organism identification, antibiotic therapy, and case report. J Clin Microbiol 1998;36:
- Kalima P, Masterton RG, Roddie PH, et al. Lactobacillus rhamnosus infection in a child following bone marrow transplant. J Infect 1996;32:165-7.
- Goldin BR. Health Benefits of probiotics. Br J Nutr 1998;80:S203-7.
- Rautio M, Jousimies-Somer H, Kauma H, et al. Liver abscess due to Lactobacillus rhamnosus strain indistinguishable from L. rhamnosus strain GG. Clin Infect Dis 1999;28:1159-60.
- Pasala S, Singer L, Arshad T, Roach K. Lactobacillus endocarditis in a healthy patient with probiotic use. IDCases. 2020;22:e00915.
- 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.
- Franko B, Vaillant M, Recule C, Vautrin E, et al. Lactobacillus paracasei endocarditis in a consumer of probiotics. Med Mal Infect. 2013;43(4):171-3.
- Campbell RE, Miller A, Afroze A. Native valve endocarditis secondary to Lactobacillus paracasei bacteremia. Consultant. 2020;60(9):27-8.
- Kato K, Funabashi N, Takaoka H, et al. Lactobacillus paracasei endocarditis in a consumer of probiotics with advanced and severe bicuspid aortic valve stenosis complicated with diffuse left ventricular mid-layer fibrosis. Int J Cardiol. 2016;224:157-161.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no single official or standardized dose for Streptococcus thermophilus. Probiotic products are usually measured in colony-forming units (CFU), and amounts vary widely between products.
The best approach is to follow the dosing directions on the product label, since formulas differ. Because quality and strain content can vary between brands, choosing a reputable, well-labeled product is important.
If you are unsure how much to take, or whether a probiotic is right for you, ask your pharmacist or doctor for guidance.
Streptococcus Thermophilus & Pregnancy
Streptococcus Thermophilus & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 21 references that drive our Streptococcus Thermophilus 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.
- Saxelin M, Chuang NH, Chassy B, et al. Lactobacilli and bacteremia in southern Finland 1989-1992. Clin Infect Dis 1996;22:564-6. PubMed
- Tynkkynen S, Singh KV, Varmanen P. Vancomycin resistance factor of Lactobacillus rhamnosus GG in relation to enterococcal vancomycin resistance (van) genes. Int J Food Microbiol 1998;41:195-204. PubMed
- Klein G, Zill E, Schindler R, et al. Peritonitis associated with vancomycin-resistant Lactobacillus rhamnosus in a continuous ambulatory peritoneal dialysis patient; organism identification, antibiotic therapy, and case report. J Clin Microbiol 1998;36:
- Kalima P, Masterton RG, Roddie PH, et al. Lactobacillus rhamnosus infection in a child following bone marrow transplant. J Infect 1996;32:165-7. PubMed
- Goldin BR. Health Benefits of probiotics. Br J Nutr 1998;80:S203-7. DOI
- Rautio M, Jousimies-Somer H, Kauma H, et al. Liver abscess due to Lactobacillus rhamnosus strain indistinguishable from L. rhamnosus strain GG. Clin Infect Dis 1999;28:1159-60.
- MacGregor G, Smith AJ, Thakker B, Kinsella J. Yoghurt biotherapy: contraindicated in immunosuppressed patients? Postgrad Med J 2002;78:366-7. PubMed
- Land MH, Rouster-Stevens K, Woods CR, et al. Lactobacillus sepsis associated with probiotic therapy. Pediatrics 2005;115:178-81.
- De Groote MA, Frank DN, Dowell E, et al. Lactobacillus rhamnosus GG bacteremia associated with probiotic use in a child with short gut syndrome. Pediatr Infect Dis J 2005;24:278-80. PubMed
- Vahabnezhad E, Mochon AB, Wozniak LJ, Ziring DA. Lactobacillus bacteremia associated with probiotic use in a pediatric patient with ulcerative colitis. J Clin Gastroenterol. 2013;47(5):437-9. PubMed
- Dolatkhah N, Hajifaraji M, Abbasalizadeh F, Aghamohammadzadeh N, Mehrabi Y, Abbasi MM. Is there a value for probiotic supplements in gestational diabetes mellitus? A randomized clinical trial. J Health Popul Nutr. 2015;33:25. PubMed
- Pruccoli G, Silvestro E, Pace Napoleone C, Aidala E, Garazzino S, Scolfaro C. Are probiotics safe? Bifidobacterium bacteremia in a child with severe heart failure. Infez Med. 2019;27(2):175-178.
- Sendil S, Shrimanker I, Mansoora Q, Goldman J, Nookala VK. Lactobacillus rhamnosus bacteremia in an immunocompromised renal transplant patient. Cureus. 2020;12(2):e6887. PubMed
- Albarillo FS, Shah U, Joyce C, Slade D. Lactobacillus rhamnosus Infection: A single-center 4-year descriptive analysis. J Glob Infect Dis. 2020;12(3):119-123. PubMed
- Pasala S, Singer L, Arshad T, Roach K. Lactobacillus endocarditis in a healthy patient with probiotic use. IDCases. 2020;22:e00915. PubMed
- Agrawal S, Tuchman ES, Bruce MJ, Theodorou ME. Fatal Lactobacillus endocarditis in a patient with transcatheter aortic valve replacement. BMJ Case Rep. 2020;13(11):e236835.
- Antoun M, Hattab Y, Akhrass FA, Hamilton LD. Uncommon pathogen, Lactobacillus, causing infective endocarditis: Case report and review. Case Rep Infect Dis. 2020;2020:8833948. PubMed
- 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
- Franko B, Vaillant M, Recule C, Vautrin E, et al. Lactobacillus paracasei endocarditis in a consumer of probiotics. Med Mal Infect. 2013;43(4):171-3. PubMed
- Campbell RE, Miller A, Afroze A. Native valve endocarditis secondary to Lactobacillus paracasei bacteremia. Consultant. 2020;60(9):27-8. DOI
- Kato K, Funabashi N, Takaoka H, et al. Lactobacillus paracasei endocarditis in a consumer of probiotics with advanced and severe bicuspid aortic valve stenosis complicated with diffuse left ventricular mid-layer fibrosis. Int J Cardiol. 2016;224:157-161. PubMed
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
Brands that make products with Streptococcus Thermophilus
309 brands in our database make a supplement containing Streptococcus Thermophilus.
Supplement products with Streptococcus Thermophilus
1,474 products in our database contain Streptococcus Thermophilus. Open any to see its full ingredient list and every drug interaction we check.
Streptococcus Thermophilus: Common Questions
What is Streptococcus Thermophilus used for, and does it work?
Does Streptococcus Thermophilus interact with prescription medications?
How are Streptococcus Thermophilus interactions rated?
Is it safe to take Streptococcus Thermophilus with my medications?
Where does this Streptococcus Thermophilus interaction information come from?
Is Streptococcus Thermophilus the same as strep throat bacteria?
What is Streptococcus Thermophilus used for?
Can I get Streptococcus Thermophilus from food?
Is it safe to take during pregnancy or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Streptococcus Thermophilus
A rotating sample of real supplements in our database that list Streptococcus Thermophilus — open any to see its full ingredients and every drug interaction we check.
- ProBiota BactriX by Seeking Health
- Fortify Optima Daily Probiotic by Nature's Way
- Pro-Bio Gold by Kirkman
- Probiotic 500 mg by 360 Nutrition
- Micro Factor Probiotic by 1st Phorm
- ProBiota 12 by Seeking Health
- Gr8-Dophilus by NOW
- Friendly Force by HealthForce SuperFoods
- Flora Biotic Ultra by Nutritional Ecological Environmental Delivery System N.E.E.D.S NutriNeeds
- Probiotic G.I. by Pure Encapsulations
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