Digestive Advantage Daily Probiotic Ingredients & Drug Interactions
by Schiff
What is this page for?
First and foremost: checking Digestive Advantage Daily Probiotic against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Digestive Advantage Daily Probiotic is a dietary supplement by Schiff with 2 active ingredients. Its ingredients are commonly taken for bone health and osteoporosis prevention, dietary calcium deficiency, heartburn relief (calcium carbonate antacids).Based on those ingredients, 314 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are BC30 Bacillus coagulans GBI-30, 6086, Calcium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Digestive Advantage Daily Probiotic by Schiff
Ask about any prescription or over-the-counter medication and we check it for interactions with Digestive Advantage Daily Probiotic by Schiff — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Digestive Advantage Daily Probiotic by Schiff
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Partial disclosure
This product contains two active ingredients. Calcium is a mineral essential for bone strength, kidney function, and managing abnormal potassium levels.
BC30 Bacillus coagulans GBI-30, 6086 is a probiotic—a beneficial live bacterium that may help with constipation and irritable bowel syndrome. The product also contains several inactive ingredients: maltodextrin, hypromellose, magnesium stearate, titanium dioxide, microcrystalline cellulose, and silicon dioxide.
Does it work?
Strong evidence
Calcium in this product is effective for preventing low calcium levels (hypocalcemia), managing high potassium (hyperkalemia), and preventing bone loss (osteoporosis). It's also effective for kidney failure and indigestion (dyspepsia).
BC30 Bacillus coagulans is possibly effective for constipation and irritable bowel syndrome (IBS). The evidence for BC30 is not well established in our data for antibiotic-related diarrhea, athletic performance, cancer prevention, or fatty liver disease.
How safe is it?
Well-documented data
Calcium is generally well tolerated at recommended doses, though high amounts can cause problems. Common side effects from oral calcium include belching, constipation, diarrhea, bloating, and stomach upset.
Rarely, very high doses have been linked to kidney stones and concerns about calciphylaxis. Some research suggests that calcium intake above 1500–2000 mg per day may be associated with increased prostate cancer risk and possibly higher cardiovascular disease risk, though this evidence has been criticized.
BC30 Bacillus coagulans is generally well tolerated in healthy adults, but evidence and product quality vary. Since probiotics contain live organisms, there's some concern they might cause infection in people who are severely immunocompromised or have central venous catheters, though reports in relatively healthy people are rare.
Safety data for BC30 in pregnancy and breastfeeding is limited—talk with your doctor or pharmacist before using if you're pregnant or nursing.
Meds to double-check
Major interaction found
Before taking this product, double-check with your doctor or pharmacist if you take any HIV integrase inhibitors like dolutegravir (Tivicay) or elvitegravir (Vitekta); the intravenous antibiotic ceftriaxone (Rocephin); levothyroxine (Synthroid) for thyroid disease; sotalol (Betapace) for heart rhythm; raltegravir (Isentress) for HIV; calcipotriene (Dovonex) for psoriasis; diltiazem (Cardizem) for blood pressure; or any antibiotic. Calcium can reduce the effectiveness of several of these, and antibiotics can reduce the benefit of the probiotic.
The bottom line
Scorecard at a glancePartially disclosed formula with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This product may help with constipation, IBS, bone health, and calcium replacement if you're deficient. However, if you take HIV medications, thyroid medication, antibiotics, heart drugs, or other prescription medications, check with your own doctor or pharmacist before starting—calcium's interactions are numerous and can significantly affect how some drugs work.
Generally well tolerated at recommended doses, though high amounts carry risks worth discussing with your provider.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 28, 2019.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Digestive Advantage Daily Probiotic, straight from the product label.
| Brand | Schiff |
|---|---|
| Barcode (UPC) | 020525181671 |
| Net contents | 50 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | May 28, 2019 |
| DSLD ID | 202209 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Digestive Advantage Daily Probiotic by Schiff, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calcium | 140 mg | 11% |
| BC30 Bacillus coagulans GBI-30, 6086 | 0 NP | -- |
Other ingredients: Maltodextrin, Hypromellose, Magnesium Stearate, Titanium Dioxide, Microcrystalline Cellulose, Silicon Dioxide
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
General Statements
Since 1936
Probiotic Survives Stomach Acid 100X Better
Why daily probiotic? Probiotics are good bacteria that promote digestive health and help reduce minor abdominal discomfort, bloating and occasional diarrhea. With continued use, Digestive Advantage Daily Probiotic capsules are ideal for long-term digestive support.
Why use Digestive Advantage? Many probiotics don't survive through the stomach's acid. Digestive Advantage does! It survives stomach acid 100x better; one serving a day delivers more live good bacteria to your digestive system than leading probiotics and yogurts to naturally support your digestive health.
Survives 100x Better vs. Leading Probiotics
A natural protein shell protects our probiotic allowing it to survive stomach acid so more live good bacteria can get to your digestive tract and reach the intestines, where you need them most. Probiotics in your intestines promote a healthy digestive and immune system.
Protected with a natural protein shell so it can deliver more live good bacteria to your digestive tract For overall digestive & immune health Helps lessen minor abdominal discomfort & occasional bloating
Survives Better Than 50 Billion
Studies reveal that the single strain of probiotic used in Digestive Advantage survives 100x better than leading probiotics and yogurts so it can deliver more good bacteria to your digestive tract.
Guaranteed for purity, freshness and labeled potency
Based on survivability testing vs. yogurts and leading probiotics including a high potency probiotic brand offering 50 billion live cultures.
vs products offering 50 billion live cultures
Suggested/Recommended/Usage/Directions
24hr One Daily
Directions: Adults 18 years and older, take one (1) capsule daily with water.
Formula
Why does Digestive Advantage survive ? Only Digestive Advantage uses BC30, a unique patented probiotic.
Contains Soy.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
General
100917 3044109
Brand IP Statement(s)
Powered by Digestive & Immune Health Ganede BC30 Probiotic
2017 RB
Seals/Symbols
Schiff Quality Guarantee
Gluten free
rb Health Hygiene Home
FDA Statement of Identity
Dietary Supplement
Precautions
Contains Soy.
If pregnant, breastfeeding, or on medication, consult your physician before using this product.
Keep out of reach of children.
Do not use if carton is damaged or if printed seal on blister is broken or missing.
Formulation
Gluten free
Storage
Store in a cool, dry place and avoid excessive heat.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Digestive Advantage Daily Probiotic by Schiff label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Digestive Advantage Daily Probiotic by Schiff
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Calcium
Interacts with168 drugs
Calcium is an essential mineral your body needs for strong bones, nerve signaling, and muscle function, and supplements can help fill gaps when diet f...
Calcium monograph & interactionsBC30 Bacillus coagulans GBI-30, 6086
Interacts with182 drugs
Bacillus coagulans is a spore-forming probiotic that survives stomach acid well and may help with some digestive problems such as IBS, constipation, a...
BC30 Bacillus coagulans GBI-30, 6086 monograph & interactionsOther (inactive) ingredients: Maltodextrin, Hypromellose, Magnesium Stearate, Titanium Dioxide, Microcrystalline Cellulose, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.
Digestive Advantage Daily Probiotic by Schiff Drug Interactions
HelloPharmacist Interaction Report
Digestive Advantage Daily Probiotic by Schiff contains two active ingredients—calcium and BC30 Bacillus coagulans—and both have documented interactions with medications.
The most serious concern comes from calcium's interaction with two HIV medications: dolutegravir (Tivicay) and elvitegravir (Vitekta). Calcium can cut the blood levels of these drugs by a significant amount, which may reduce their ability to control HIV.
You'll need to take these medications either 2 hours before or at least 6 hours after taking this product.
Read the full breakdown — every affected drug type, severity by severity
Calcium also interacts with ceftriaxone (Rocephin), an intravenous antibiotic, and with several other drugs: the HIV medication raltegravir (Isentress), the thyroid hormone levothyroxine (Synthroid), the heart medication sotalol (Betapace), the psoriasis drug calcipotriene (Dovonex), and the calcium channel blocker diltiazem (Cardizem). These interactions range from Moderate to Major severity and work through similar mechanisms—calcium either reduces how well your body absorbs these drugs or, in one case, increases the risk of high blood calcium (hypercalcemia).
Altogether, these interactions span 314 individual medications.
BC30 Bacillus coagulans has one documented interaction: antibiotic drugs. Because this probiotic contains live organisms, antibiotics can kill a significant portion of them and reduce the probiotic's effectiveness.
Separate doses of antibiotics and this supplement by at least a few hours if you can.
Check your exact medications with the tool on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Digestive Advantage Daily Probiotic?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Digestive Advantage Daily Probiotic interact with 314 drugs. Click any drug to see the details.
2 of the 2 ingredients in Digestive Advantage Daily Probiotic interact with drugs. Each result below shows which ingredient is responsible. BC30 Bacillus coagulans GBI-30, 6086 Calcium
Cefditoren PivoxilSpectracef
How Cefditoren Pivoxil interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefditoren Pivoxil interactionCefepimeMaxipime
How Cefepime interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefepime interactionCefiderocol Sulfate TosylateFetroja
How Cefiderocol Sulfate Tosylate interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefiderocol Sulfate Tosylate interactionCefiximeSuprax
How Cefixime interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefixime interactionCefmetazoleZefazone
How Cefmetazole interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefmetazole interactionCefonicidMonocid
How Cefonicid interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefonicid interactionCefoperazoneCefobid
How Cefoperazone interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefoperazone interactionCefotaximeClaforan
How Cefotaxime interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefotaxime interactionCefotetanCefotan
How Cefotetan interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefotetan interactionCefoxitinMefoxin
How Cefoxitin interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefoxitin interactionCefpodoxime ProxetilVantin
How Cefpodoxime Proxetil interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefpodoxime Proxetil interactionCefprozilCefzil
How Cefprozil interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefprozil interactionCeftazidimeCeftazidime, Ceptaz, Fortaz, Tazicef, Tazidime
How Ceftazidime interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Ceftazidime interactionCeftibutenCedax
How Ceftibuten interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Ceftibuten interactionCeftizoximeCefizox
How Ceftizoxime interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Ceftizoxime interactionCeftolozane Sulfate, Tazobactam SodiumZerbaxa
How Ceftolozane Sulfate, Tazobactam Sodium interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Ceftolozane Sulfate, Tazobactam Sodium interactionCefuroximeCeftin, Kefurox, Zinacef
How Cefuroxime interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cefuroxime interactionCephalexinCephalex, Keflex, Keftab, Lexin
How Cephalexin interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cephalexin interactionCephapirinCefadyl
How Cephapirin interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cephapirin interactionCephradineAnspor, Velosef
How Cephradine interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cephradine interactionChloramphenicolChloromycetin, Chloromycetin Injection, Chloromycetin Ophthalmic
How Chloramphenicol interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Chloramphenicol interactionChlorothiazideDiuril
How Chlorothiazide interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
CalciumThiazide Diuretics Moderate
Interaction Summary
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Read the full Calcium + Chlorothiazide interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
CalciumThiazide Diuretics Moderate
Interaction Summary
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Read the full Calcium + Chlorothiazide, Methyldopa interactionChlorothiazide, ReserpineDiupres
How Chlorothiazide, Reserpine interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
CalciumThiazide Diuretics Moderate
Interaction Summary
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Read the full Calcium + Chlorothiazide, Reserpine interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with Digestive Advantage Daily Probiotic — through 2 ingredients. Tap an ingredient for the detail:
CalciumTetracycline Antibiotics Moderate
Interaction Summary
Calcium seems to reduce the absorption of tetracycline antibiotics.
Read the full Calcium + Chlortetracycline interactionBc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Chlortetracycline interactionChlorthalidoneHygroton, Thalitone
How Chlorthalidone interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
CalciumThiazide Diuretics Moderate
Interaction Summary
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Read the full Calcium + Chlorthalidone interactionChlorthalidone, ClonidineClorpres, Combipres
How Chlorthalidone, Clonidine interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
CalciumThiazide Diuretics Moderate
Interaction Summary
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Read the full Calcium + Chlorthalidone, Clonidine interactionCinoxacinCinobac
How Cinoxacin interacts with Digestive Advantage Daily Probiotic — through 2 ingredients. Tap an ingredient for the detail:
CalciumQuinolone Antibiotics Moderate
Interaction Summary
Calcium seems to reduce the absorption of quinolone antibiotics.
Read the full Calcium + Cinoxacin interactionBc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Digestive Advantage Daily Probiotic — through 2 ingredients. Tap an ingredient for the detail:
CalciumQuinolone Antibiotics Moderate
Interaction Summary
Calcium seems to reduce the absorption of quinolone antibiotics.
Read the full Calcium + Ciprofloxacin interactionBc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Ciprofloxacin interactionClarithromycinBiaxin, Biaxin XL
How Clarithromycin interacts with Digestive Advantage Daily Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Bc30 Bacillus Coagulans Gbi-30, 6086Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Bc30 Bacillus Coagulans Gbi-30, 6086 + Clarithromycin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Digestive Advantage Daily Probiotic with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
BC30 Bacillus coagulans GBI-30, 6086
Antibiotic Drugs
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B. coagulans.
B. coagulans 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 B. coagulans preparations by at least two hours.
Calcium
Ceftriaxone (Rocephin)
Co-administration of intravenous calcium and ceftriaxone can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys.
Avoid administering intravenous calcium in any form, such as parenteral nutrition or Lactated Ringers, within 48 hours of intravenous ceftriaxone. Case reports in neonates show that administering intravenous ceftriaxone and calcium can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys. In several cases, neonates have died as a result of this interaction. So far there are no reports in adults; however, there is still concern that this interaction might occur in adults.
Dolutegravir (Tivicay)
Calcium seems to reduce levels of dolutegravir.
Advise patients to take dolutegravir either 2 hours before or 6 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium carbonate 1200 mg concomitantly with dolutegravir 50 mg reduces plasma levels of dolutegravir by almost 40%. Calcium appears to decrease levels of dolutegravir through chelation.
Elvitegravir (Vitekta)
Calcium seems to reduce levels of elvitegravir.
Advise patients to take elvitegravir either 2 hours before or 2 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium along with elvitegravir can reduce blood levels of elvitegravir through chelation.
Aluminum
Calcium citrate might increase aluminum absorption and toxicity. Other types of calcium do not increase aluminum absorption.
Calcium citrate can increase the absorption of aluminum when taken with aluminum hydroxide. The increase in aluminum levels may become toxic, particularly in individuals with kidney disease. However, the effect of calcium citrate on aluminum absorption is due to the citrate anion rather than calcium cation. Calcium acetate does not appear to increase aluminum absorption.
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Calcium might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption when taken in a fasting state.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide and calcium can be taken together if taken with food. However, if taken on an empty stomach, bictegravir/emtricitabine/tenofovir alafenamide should not be taken with, or 2 hours after, calcium containing products.
Bisphosphonates
Calcium reduces the absorption of bisphosphonates.
Advise patients to take bisphosphonates at least 30 minutes before calcium, but preferably at a different time of day. Calcium supplements decrease absorption of bisphosphonates.
Calcipotriene (Dovonex)
Taking calcipotriene with calcium might increase the risk for hypercalcemia.
Calcipotriene is a vitamin D analog used topically for psoriasis. It can be absorbed in sufficient amounts to cause systemic effects, including hypercalcemia. Theoretically, combining calcipotriene with calcium supplements might increase the risk of hypercalcemia.
Digoxin (Lanoxin)
Using intravenous calcium with digoxin might increase the risk of fatal cardiac arrhythmias.
Hypercalcemia increases the risk of fatal cardiac arrhythmias with digoxin. However, one retrospective analysis of clinical data suggests that intravenous calcium does not increase the risk of dysrhythmias or mortality in patients receiving digoxin.
Diltiazem (Cardizem, Others)
Theoretically, calcium may reduce the therapeutic effects of diltiazem.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, calcium might increase this risk of hypercalcemia and reduce the effectiveness of diltiazem.
Levothyroxine (Synthroid, Others)
Calcium seems to reduce the absorption and effectiveness of levothyroxine.
Advise patients to take levothyroxine and calcium supplements at least 4 hours apart. Calcium reduces levothyroxine absorption, probably by forming insoluble complexes. Calcium carbonate supplements reduce effectiveness of levothyroxine in patients with hypothyroidism.
Lithium
Theoretically, concomitant use of calcium and lithium may increase this risk of hypercalcemia.
Clinical research suggests that long-term use of lithium may cause hypercalcemia in 10% to 60% of patients. Theoretically, concomitant use of lithium and calcium supplements may further increase this risk.
Quinolone Antibiotics
Calcium seems to reduce the absorption of quinolone antibiotics.
Advise patients to take oral quinolones at least 2 hours before or 4-6 hours after calcium supplements or calcium-fortified foods. Taking calcium at the same time as oral quinolones can reduce quinolone absorption. Calcium binds to quinolones in the gut.
Raltegravir (Isentress)
Calcium may reduce levels of raltegravir.
Pharmacokinetic research shows that taking a single dose of calcium carbonate 3000 mg along with raltegravir 400 mg twice daily modestly decreases the mean area under the curve of raltegravir, but the decrease does not necessitate a dose adjustment of raltegravir. However, a case of elevated HIV-1 RNA levels and documented resistance to raltegravir has been reported for a patient taking calcium carbonate 1 gram three times daily plus vitamin D3 (cholecalciferol) 400 IU three times daily in combination with raltegravir 400 mg twice daily for 11 months. It is thought that calcium reduced raltegravir levels by chelation, leading to treatment failure.
Sotalol (Betapace)
Calcium seems to reduce the absorption of sotalol.
Advise patients to separate doses by at least 2 hours before or 4-6 hours after calcium. Calcium appears to reduce the absorption of sotalol, probably by forming insoluble complexes.
Tetracycline Antibiotics
Calcium seems to reduce the absorption of tetracycline antibiotics.
Advise patients to take oral tetracyclines at least 2 hours before, or 4-6 hours after calcium supplements. Taking calcium at the same time as oral tetracyclines can reduce tetracycline absorption. Calcium binds to tetracyclines in the gut.
Thiazide Diuretics
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Thiazides reduce calcium excretion by the kidneys. Using thiazides along with moderately large amounts of calcium carbonate increases the risk of milk-alkali syndrome (hypercalcemia, metabolic alkalosis, renal failure). Patients may need to have their serum calcium levels and/or parathyroid function monitored regularly.
Verapamil (Calan, Others)
Theoretically, calcium may reduce the therapeutic effects of verapamil.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, use of calcium supplements may increase this risk of hypercalcemia and reduce the effectiveness of verapamil.
Calcium Channel Blockers
Intravenous calcium may decrease the effects of calcium channel blockers; oral calcium is unlikely to have this effect.
Intravenous calcium is used to decrease the effects of calcium channel blockers in the management of overdose. Intravenous calcium gluconate has been used before intravenous verapamil (Isoptin) to prevent or reduce the hypotensive effects without affecting the antiarrhythmic effects. But there is no evidence that dietary or supplemental calcium when taken orally interacts with calcium channel blockers.
Brand information
Manufacturer and brand details for Digestive Advantage Daily Probiotic, from the product label.
Schiff
See all Schiff products- Name
- Reckitt Benckiser
- City
- Parsippany
- State
- NJ
- ZipCode
- 07054-0224
- Phone Number
- 1-800-526-6251
- Web Address
- www.digestiveadvantage.com
Digestive Advantage Daily Probiotic by Schiff: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Digestive Advantage Daily Probiotic’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Calcium
Interacts with 168 drugsCalcium is an essential mineral your body needs for strong bones, nerve signaling, and muscle function, and supplements can help fill gaps when diet falls short. Most people do best getting...
Read the full Calcium monograph → Herb & supplement monographBacillus Coagulans
Interacts with 182 drugsBacillus coagulans is a spore-forming probiotic that survives stomach acid well and may help with some digestive problems such as IBS, constipation, and certain types of diarrhea. The eviden...
Read the full Bacillus Coagulans monograph →Sources & How We Checked
Digestive Advantage Daily Probiotic's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 82 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Calcium 62 references
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- Murry JJ, Healy MD. Drug-mineral interactions: a new responsibility for the hospital dietician. J Am Diet Assoc 1991;91:66-73.
- Chan JM, Giovannucci E, Andersson SO, et al. Dairy products, calcium, phosphorous, vitamin D, and risk of prostate cancer. Cancer Causes Control 1998;9:559-66.
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- Kahela P, Anttila M, Tikkanen R, Sundquist H. Effect of food, food constituents and fluid volume on the bioavailability of sotalol. Acta Pharmacol Toxicol (Copenh) 1979;44:7-12.. PubMed
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- Decktor DL, Robinson M, Maton PN, et al. Effects of aluminum/magnesium hydroxide and calcium carbonate on esophageal and gastric pH in subjects with heartburn. Am J Ther 1995;2:546-52. PubMed
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- Gueguen L, Pointillart A. The bioavailability of dietary calcium. J Am Coll Nutr 2000;19:119s-136s. PubMed
- Vella A, Gerber TC, Hayes DL, Reeder GS. Digoxin, hypercalcaemia, and cardiac conduction. Postgrad Med J 1999;75:554-6. PubMed
- Bania TC, Blaufeux B, Hughes S, et al. Calcium and digoxin vs. calcium alone for severe verapamil toxicity. Acad Emerg Med 2000;7:1089-96. PubMed
- Tseng M, Breslow RA, Graubard BI, Ziegler RG. Dairy, calcium, and vitamin D intakes and prostate cancer risk in the National Health and Nutrition Examination Epidemiologic Follow-up Study cohort. Am J Clin Nutr 2005;81:1147-54. PubMed
- Weingarten MA, Zalmanovici A, Yaphe J. Dietary calcium supplementation for preventing colorectal cancer and adenomatous polyps. Cochrane Database Syst Rev 2004;(1):CD003548. PubMed
- Tavani A, Bertuccio P, Bosetti C, et al. Dietary intake of calcium, vitamin D, phosphorus and the risk of prostate cancer. Eur Urol 2005;48:27-33. PubMed
- Giovannucci E, Liu Y, Stampfer MJ, Willett WC. A prospective study of calcium intake and incident and fatal prostate cancer. Cancer Epidemiol Biomarkers Prev 2006;15:203-10. PubMed
- Rocephin (ceftriaxone) and calcium interaction. Pharmacist's Letter / Prescriber's Letter 2007;23(10):231005.
- Bolland MJ, Barber PA, Doughty RN, et al. Vascular events in healthy older women receiving calcium supplementation: randomised control trial. BMJ 2008;336:262-6.
- Bolland MJ, Avenell A, Baron JA, et al. Effect of calcium supplements on risk of myocardial infarction and cardiovascular events: meta-analysis. BMJ 2010;341:c3691. PubMed
- Calcium supplementation and vascular events. Pharmacist's Letter / Prescriber's Letter 2008;24(3):240306.
- Dietary reference intakes for calcium and vitamin D. Institute of Medicine, November 30, 2010. Available at: http://www.iom.edu/~/media/Files/Report%20Files/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D/Vitamin%20D%20and%20Calcium%202010%20Repo
- Coburn JW, Mischel MG, Goodman WG, et al. Calcium citrate markedly enhances aluminum absorption from aluminum hydroxide. Am J Kidney Dis. 1991;17(6):708-11. PubMed
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- Kays MB, Overholser BR, Mueller BA, et al. Effects of sevelamer hydrochloride and calcium acetate on the oral bioavailability of ciprofloxacin. Am J Kidney Dis. 2003;42(6):1253-9. PubMed
- Neuhofel, A. L., Wilton, J. H., Victory, J. M., Hejmanowsk, L. G., and Amsden, G. W. Lack of bioequivalence of ciprofloxacin when administered with calcium-fortified orange juice: a new twist on an old interaction. J Clin Pharmacol. 2002;42(4):461-466. DOI
- Dickinson, H. O., Nicolson, D. J., Cook, J. V., Campbell, F., Beyer, F. R., Ford, G. A., and Mason, J. Calcium supplementation for the management of primary hypertension in adults. Cochrane.Database.Syst.Rev. 2006;(2):CD004639. PubMed
- Jones, B. J. and Twomey, P. J. Requesting patterns for serum calcium concentration in patients on long-term lithium therapy. Int J Clin Pract. 2009;63(1):170-172. PubMed
- Levine, M., Nikkanen, H., and Pallin, D. J. The effects of intravenous calcium in patients with digoxin toxicity. J Emerg.Med. 2011;40(1):41-46. PubMed
- Castelo-Branco, C., Ciria-Recasens, M., Cancelo-Hidalgo, M. J., Palacios, S., Haya-Palazuelos, J., Carbonell-Abello, J., Blanch-Rubio, J., Martinez-Zapata, M. J., Manasanch, J., and Perez-Edo, L. Efficacy of ossein-hydroxyapatite complex compared with ca
- Li K, Kaaks R, Linseisen J, Rohrmann S. Associations of dietary calcium intake and calcium supplementation with myocardial infarction and stroke risk and overall cardiovascular mortality in the Heidelberg cohort of the European Prospective Investigation i
- Chung M, Tang AM, Fu Z. Calcium Intake and Cardiovascular Disease Risk: An Updated Systematic Review and Meta-analysis. Ann Intern Med. 2016 Oct 25. PubMed
- Nolan CR, Califano JR, Butzin CA. Influence of calcium acetate or calcium citrate on intestinal aluminum absorption. Kidney Int. 1990;38(5):937-41. PubMed
- Lewis JR, Radavelli-Bagatini S, Rejnmark L, et al. The effects of calcium supplementation on verified coronary heart disease hospitalization and death in postmenopausal women: a collaborative meta-analysis of randomized controlled trials. J Bone Miner Res PubMed
- Jalloh MA, Gregory PJ, Hein D, et al. Dietary supplement interactions with antiretrovirals: a systematic review. Int J STD AIDS. 2017 Jan;28(1):4-15. PubMed
- Lappe J, Watson P, Travers-Gustafson D, Recker R, Garland C, Gorham E, Baggerly K, McDonnell SL. Effect of Vitamin D and Calcium Supplementation on Cancer Incidence in Older Women: A Randomized Clinical Trial. JAMA. 2017 Mar 28;317(12):1234-1243. PubMed
- Grove ML, Cook D. Calcium and heart attacks. Doesn't apply to most calcium prescriptions. BMJ. 2010;341:c5003. PubMed
- Insentress [package insert]. Whitehouse Station, NJ: Merck Sharp & Dohme Corp.; 2014.
- Roberts JL, Kiser JJ, Hindman JT, Meditz AL. Virologic failure with a raltegravir-containing antiretroviral regimen and concomitant calcium administration. Pharmacotherapy 2011;31(10):298e-302e. DOI
- Vitekta [package insert]. Foster City, CA: Gilead Sciences, Inc.; 2014.
- Storan ER, O'Gorman SM, Murphy A, Laing M. Case Report of Calciphylaxis Secondary to Calcium and Vitamin D<sub>3</sub> Supplementation. J Cutan Med Surg. 2017;21(2):162-163. DOI
- Jenkins DJA, Spence JD, Giovannucci EL, et al. Supplemental vitamins and minerals for CVD prevention and treatment. J Am Coll Cardiol 2018;71(22):2570-84. PubMed
- Borkenhagen JF, Connor EL, Stafstrom CE. Neonatal hypocalcemic seizures due to excessive maternal calcium ingestion. Pediatr Neurol 2013;48(6):469-71. PubMed
- WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016 (http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/ anc-positive-pregnancy-experience/en/).
- Aune D, Navarro Rosenblatt DA, Chan DS, et al. Dairy products, calcium, and prostate cancer risk: a systematic review and meta-analysis of cohort studies. Am J Clin Nutr. 2015;101(1):87-117. PubMed
- Lan T, Park Y, Colditz GA, et al. Adolescent dairy product and calcium intake in relation to later prostate cancer risk and mortality in the NIH-AARP Diet and Health Study. Cancer Causes Control. 2020;31(10):891-904. PubMed
- Zhang Y, Li Y, Liu J, et al. Association of Vitamin D or Calcium Supplementation with Cardiovascular Outcomes and Mortality: A Meta-Analysis with Trial Sequential Analysis. J Nutr Health Aging 2021;25(2):263-270. PubMed
- Myung SK, Kim HB, Lee YJ, Choi YJ, Oh SW. Calcium Supplements and Risk of Cardiovascular Disease: A Meta-Analysis of Clinical Trials. Nutrients 2021;13(2):368. PubMed
- Hetaimish B. Neonatal Calcinosis Cutis After Treatment of Hypocalcemia with Calcium Gluconate: A Report of 2 Cases. Am J Case Rep 2024;25:e943397. PubMed
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Bacillus Coagulans 20 references
- 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
- 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.
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- 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.
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- 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
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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.
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