Extra Strength Probiotic & Acidophilus Formula Ingredients & Drug Interactions
by Windmill Rx Premium Vitamins
What is this page for?
First and foremost: checking Extra Strength Probiotic & Acidophilus Formula 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
Extra Strength Probiotic & Acidophilus Formula is a dietary supplement by Windmill Rx Premium Vitamins with 7 active ingredients. Its ingredients are commonly taken for high cholesterol, high triglycerides, heart health support.Based on those ingredients, 303 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Lactobacillus acidophilus, Bifidobacterium bifidum, Lactospore. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins
Ask about any prescription or over-the-counter medication and we check it for interactions with Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins — 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 Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins
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
Low disclosure
This formula contains seven active ingredients across two categories: four live-organism probiotics and three supporting compounds. The probiotics are Lactobacillus acidophilus, Lactobacillus casei, Lactobacillus plantarum, and Bifidobacterium bifidum — beneficial bacteria intended to support digestive health.
The other actives are Bacillus coagulans (marketed as Lactospore), pantethine (a form of pantothenic acid), and fructo-oligosaccharides (FOS, a prebiotic fiber that feeds beneficial bacteria). The capsule shell, microcrystalline cellulose, magnesium stearate, and silica are inactive ingredients that hold the formula together and aid absorption.
Does it work?
Moderate evidence
Evidence for these ingredients is mixed and often limited. Lactobacillus acidophilus is rated possibly effective for irritable bowel syndrome (IBS), Helicobacter pylori infection, antibiotic-associated diarrhea, and bacterial vaginosis, but possibly ineffective for atopic disease (allergies and eczema).
Bifidobacterium bifidum is possibly effective for IBS and respiratory tract infections. Bacillus coagulans is possibly effective for constipation and IBS.
Pantethine is possibly effective for high cholesterol (hyperlipoproteinemia). For most other uses listed — including FOS, respiratory allergies, anxiety, and Alzheimer disease — the evidence is too limited to rate either way.
How safe is it?
Well-documented data
The live probiotics in this formula are generally well tolerated in healthy adults and children, though those with weakened immune systems should talk with their doctor first. Gastrointestinal side effects like bloating, flatulence, abdominal discomfort, diarrhea, and nausea may occur, but they're uncommon.
A small number of trial participants on probiotic blends reported rash or itching, though it's unclear whether the probiotics themselves or other ingredients caused it. Rare cases of serious bacterial infection (sepsis, bacteremia, abscess) have been reported in critically ill or immunocompromised patients; these appear to be due to bacteria moving from one part of the body to another rather than from the probiotics themselves.
FOS commonly causes gas and bloating, especially at higher doses, though studies suggest doses under 10 grams daily are mild. Pantethine may rarely cause mild itching and shares FOS's potential for mild stomach upset.
Long-term safety data are limited for pantethine, and safety during breastfeeding has not been well studied.
Meds to double-check
Moderate interaction found
Before taking this product, have your doctor or pharmacist check it against any antibiotics you're taking — you'll need to separate doses by several hours to protect the probiotics' effectiveness (Moderate severity). If you take blood thinners or antiplatelet drugs like warfarin or aspirin, ask about pantethine's potential to increase bleeding risk (Moderate severity).
We could not check Lactobacillus casei and Lactobacillus plantarum against any drugs — you may want to verify these separately with your pharmacist if you're on medications for other conditions.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This probiotic blend may help with IBS, constipation, and some digestive complaints, though evidence is modest and varies by ingredient. If you take antibiotics, blood thinners, or antiplatelet drugs, check your specific medications with your doctor or pharmacist before starting — timing matters for antibiotics, and pantethine may raise bleeding risk.
Gastrointestinal side effects like gas and bloating are possible but usually mild. Talk with your doctor or pharmacist about whether this product fits your situation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 5 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 26, 2012.
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 Extra Strength Probiotic & Acidophilus Formula, straight from the product label.
| Brand | Windmill Rx Premium Vitamins |
|---|---|
| Barcode (UPC) | 035046009052 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Apr 26, 2012 |
| DSLD ID | 7423 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Lactobacillus casei | 0 NP | -- |
| Lactobacillus acidophilus | 0 NP | -- |
| Lactobacillus plantarum | 0 NP | -- |
| Bifidobacterium bifidum | 0 NP | -- |
| Pantethine | 1000 mcg | -- |
| Probiolin Multi-Source Probiotic Blend | 0 NP | -- |
| Lactospore | 0 NP | -- |
| Fructo-Oligosaccharides | 250 mg | -- |
Other ingredients: Capsule shell, Microcrystalline Cellulose, Magnesium Stearate, Silica
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.
Seals/Symbols
MADE IN U.S.A. (flag)
WINDMILL(TM) Quality Supplements
General
905 83110602
General Statements
Active Culture
Help Support Overall Health, Intestinal Flora & Strong Immunity*
FDA Statement of Identity
DIETARY SUPPLEMENT
Brand IP Statement(s)
(C)Copyright 2008 All Rights Reserved.
Lactospore(R) is a registered trademark of Sabinsa Corporation.
Suggested/Recommended/Usage/Directions
DIRECTIONS: Take 1 capsule daily right before bedtime as a dietary supplement, or as directed by a healthcare professional.
Formula
Adults only.
Contains Milk.
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.
Precautions
Keep out of reach of children.
Do not use if seal is broken.
Storage
Protect from heat, light, and moisture. Store at 15-30(0)C (59-86(0)F).
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins 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 Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins
These are the 7 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.
Pantethine
Interacts with122 drugs
Pantethine is a derivative of vitamin B5 (pantothenic acid) that some studies suggest may modestly lower cholesterol and triglycerides. The evidence i...
Pantethine monograph & interactionsProbiolin Multi-Source Probiotic Blend
- › Lactobacillus casei
- › Lactobacillus acidophilus
- › Lactobacillus plantarum
- › Bifidobacterium bifidum
- › Lactospore
Fructo-Oligosaccharides
No knowninteractions
Fructo-oligosaccharides (FOS) are a type of soluble fiber that acts as a prebiotic, meaning they feed the helpful bacteria in your gut. They are gener...
Fructo-Oligosaccharides monograph & interactionsOther (inactive) ingredients: Capsule shell, Microcrystalline Cellulose, Magnesium Stearate, Silica. These complete the product’s ingredient list but are not active constituents.
Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins Drug Interactions
HelloPharmacist Interaction Report
Windmill Rx Premium Vitamins Extra Strength Probiotic & Acidophilus Formula contains seven ingredients, of which five have been checked for interactions.
The most serious interaction involves pantethine, which may increase bleeding risk with blood thinners and antiplatelet drugs (like aspirin or warfarin) — a Moderate severity concern stemming from pantethine's effect on how platelets clump together.
Read the full breakdown — every affected drug type, severity by severity
Three probiotic ingredients — Lactobacillus acidophilus, Bifidobacterium bifidum, and Bacillus coagulans (Lactospore) — each interact with antibiotics at Moderate severity. Because these probiotics contain live organisms, taking them at the same time as antibiotics might kill off enough of those organisms to reduce the probiotic's effectiveness.
The solution is straightforward: separate the timing of antibiotics and this product.
Fructo-oligosaccharides (FOS) has no interactions documented in our data. We could not check Lactobacillus casei or Lactobacillus plantarum — we hold no monograph data for either.
Altogether, these interactions span 303 individual medications. Before you start this product, use the interaction checker below with your exact medications, especially if you take blood thinners, antiplatelet agents, or antibiotics.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Extra Strength Probiotic & Acidophilus Formula?
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 Extra Strength Probiotic & Acidophilus Formula interact with 303 drugs. Click any drug to see the details.
4 of the 7 ingredients in Extra Strength Probiotic & Acidophilus Formula interact with drugs. Each result below shows which ingredient is responsible. Lactobacillus acidophilus Bifidobacterium bifidum Lactospore Pantethine
AbciximabReoPro
How Abciximab interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Abrocitinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Acetylsalicylic Acid interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmikacinAmikin, Arikayce
How Amikacin interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amikacin interactionLactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Amikacin interactionBifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Amikacin interactionAmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more
How Amoxicillin interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
Bifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Amoxicillin interactionLactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin interactionLactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Amoxicillin interactionAmoxicillin VeterinaryBiomox
How Amoxicillin Veterinary interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
LactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Amoxicillin Veterinary interactionBifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Amoxicillin Veterinary interactionLactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin Veterinary interactionAmoxicillin, Clavulanate PotassiumAugmentin, Augmentin '125/31 SF', Augmentin '250/62 SF', Augmentin XR, Augmentin-Duo 400/57, Clavulin
How Amoxicillin, Clavulanate Potassium interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin, Clavulanate Potassium interactionLactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Amoxicillin, Clavulanate Potassium interactionBifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Amoxicillin, Clavulanate Potassium interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
LactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionBifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionLactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amphotericin, Tetracycline interactionBifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Amphotericin, Tetracycline interactionLactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Amphotericin, Tetracycline interactionAmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin
How Ampicillin interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
LactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Ampicillin interactionLactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Ampicillin interactionBifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Ampicillin interactionAmpicillin, SulbactamUnasyn
How Ampicillin, Sulbactam interacts with Extra Strength Probiotic & Acidophilus Formula — through 3 ingredients. Tap an ingredient for the detail:
Bifidobacterium BifidumAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium.
Read the full Bifidobacterium Bifidum + Ampicillin, Sulbactam interactionLactosporeAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking antibiotics with Bacillus coagulans might decrease the effectiveness of B.
Read the full Lactospore + Ampicillin, Sulbactam interactionLactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Ampicillin, Sulbactam interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionAspirin, Butalbital, Caffeine, PhenacetinMarnal
How Aspirin, Butalbital, Caffeine, Phenacetin interacts with Extra Strength Probiotic & Acidophilus Formula — through 1 ingredient. Tap an ingredient for the detail:
PantethineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Pantethine + Aspirin, Butalbital, Caffeine, Phenacetin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Extra Strength Probiotic & Acidophilus Formula 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.
Lactobacillus acidophilus
Antibiotic Drugs
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L. acidophilus.
L. acidophilus preparations usually contain live and active organisms. Therefore, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and L. acidophilus preparations by at least two hours.
Bifidobacterium bifidum
Antibiotic Drugs
Theoretically, taking Bifidobacterium. bifidum with antibiotic drugs might decrease the effectiveness of B. bifidum.
Since B. bifidum preparations usually contain live and active organisms, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and B. bifidum preparations by at least 2 hours.
Lactospore
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.
Pantethine
Anticoagulant/Antiplatelet Drugs
Theoretically, pantethine might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Some evidence suggests that pantethine reduces platelet aggregation.
Brand information
Manufacturer and brand details for Extra Strength Probiotic & Acidophilus Formula, from the product label.
Windmill Rx Premium Vitamins
See all Windmill Rx Premium Vitamins products- Web Address
- www.windmillvitamins.com
Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins: Common Questions
Does Extra Strength Probiotic & Acidophilus Formula by Windmill Rx Premium Vitamins interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this probiotic work if I'm taking an antibiotic?
Can I take this if I'm on a blood thinner like warfarin?
Is this safe during pregnancy?
What does this probiotic actually do?
Will it cause gas or bloating?
What if I have a weakened immune system — is this safe for me?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Extra Strength Probiotic & Acidophilus Formula is safe with your meds?
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Extra Strength Probiotic & Acidophilus Formula’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Pantethine
Interacts with 122 drugsPantethine is a derivative of vitamin B5 (pantothenic acid) that some studies suggest may modestly lower cholesterol and triglycerides. The evidence is limited and not strong enough to repla...
Read the full Pantethine monograph → Herb & supplement monographLactobacillus Acidophilus
Interacts with 182 drugsLactobacillus acidophilus is a 'friendly' bacterium used as a probiotic to support gut and vaginal health. It is generally well tolerated in healthy people, and there is reasonable evidence...
Read the full Lactobacillus Acidophilus monograph → Herb & supplement monographBifidobacterium Bifidum
Interacts with 182 drugsBifidobacterium bifidum is a 'friendly' bacteria (probiotic) that naturally lives in the human gut and is taken to support digestion and gut balance. Some evidence suggests probiotics may he...
Read the full Bifidobacterium Bifidum 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 → Herb & supplement monographFructo-oligosaccharides (fos)
Fructo-oligosaccharides (FOS) are a type of soluble fiber that acts as a prebiotic, meaning they feed the helpful bacteria in your gut. They are generally considered safe for most people in...
Read the full Fructo-oligosaccharides (fos) monograph →Sources & How We Checked
Extra Strength Probiotic & Acidophilus Formula'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 57 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.
Lactobacillus Acidophilus 15 references
- Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
- Begtrup LM, de Muckadell OB, Kjeldsen J, Christensen RD, Jarbøl DE. Long-term treatment with probiotics in primary care patients with irritable bowel syndrome--a randomised, double-blind, placebo controlled trial. Scand J Gastroenterol 2013;48(10):1127-35 PubMed
- Chatterjee S, Kar P, Das T, Ray S, Gangulyt S, Rajendiran C, Mitra M. Randomised placebo-controlled double blind multicentric trial on efficacy and safety of Lactobacillus acidophilus LA-5 and Bifidobacterium BB-12 for prevention of antibiotic-associated
- Shavakhi A, Tabesh E, Yaghoutkar A, Hashemi H, Tabesh F, Khodadoostan M,Minakari M, Shavakhi S, Gholamrezaei A. The effects of multistrain probiotic compound on bismuth-containing quadruple therapy for Helicobacter pylori infection: a randomized placebo-c
- Karamali M, Dadkhah F, Sadrkhanlou M, et al. Effects of probiotic supplementation on glycaemic control and lipid profiles in gestational diabetes: a randomized, double-blind, placebo-controlled trial. Diabetes Metab 2016;42(4):234-41. PubMed
- Badehnoosh B, Karamali M, Zarrati M, et al. The effects of probiotic supplementation on biomarkers of inflammation, oxidative stress and pregnancy outcomes in gestational diabetes. J Matern Fetal Neonatal Med. 2018 May;31(9):1128-1136.
- Kumar S, Kumar R, Rohilla L, Jacob N, Yadav J, Sachdeva N. A high potency multi-strain probiotic improves glycemic control in children with new-onset type 1 diabetes mellitus: A randomized, double-blind, and placebo-controlled pilot study. Pediatr Diabete
- Shahriari A, Karimi E, Shahriari M, Aslani N, Khooshideh M, Arab A. The effect of probiotic supplementation on the risk of gestational diabetes mellitus among high-risk pregnant women: A parallel double-blind, randomized, placebo-controlled clinical trial PubMed
- Xiao SD, Zhang DZ, Lu H, et al. Multicenter, randomized, controlled trial of heat-killed Lactobacillus acidophilus LB in patients with chronic diarrhea. Adv Ther. 2003;20(5):253-60.
- 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
- Ozer M, Goksu SY, Shahverdiani A, Mustafa M. Lactobacillus acidophilus-induced endocarditis and associated splenic abscess. Case Rep Infect Dis 2020;2020:1382709.
- Sadrin S, Sennoune S, Gout B, et al. A 2-strain mixture of Lactobacillus acidophilus in the treatment of irritable bowel syndrome: A placebo-controlled randomized clinical trial. Dig Liver Dis 2020;52(5):534-540. PubMed
- Stoffer JN, Slingsby TJ, Giuliari GP. Lactobacillus acidophilus endophthalmitis after intravitreal bevacizumab injection requiring intraocular lens explantation. Can J Ophthalmol 2022;57(1):e21-e22. PubMed
- Cukovic-Cavka S, Likic R, Francetic I, Rustemovic N, Opacic M, Vucelic B. Lactobacillus acidophilus as a cause of liver abscess in a NOD2/CARD15-positive patient with Crohn's disease. Digestion 2006;73(2-3):107-10.
- Hui J, Ren Y, Wang Y, Han Q. Lactobacillus acidophilus endophthalmitis postcataract operation: A case report with a literature review. Ocul Immunol Inflamm 2023.
See these in context on the Lactobacillus Acidophilus monograph →
Bifidobacterium Bifidum 7 references
- Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
- Xiao JZ, Takahashi S, Odamaki T, et al. Antibiotic susceptibility of bifidobacterial strains distributed in the Japanese market. Biosci Biotechnol Biochem. 2010;74(2):336-42. PubMed
- Rerksuppaphol S, Rerksuppaphol L. Randomized controlled trial of probiotics to reduce common cold in schoolchildren. Pediatr Int. 2012;54(5):682-7. PubMed
- Karamali M, Dadkhah F, Sadrkhanlou M, et al. Effects of probiotic supplementation on glycaemic control and lipid profiles in gestational diabetes: a randomized, double-blind, placebo-controlled trial. Diabetes Metab 2016;42(4):234-41. PubMed
- Badehnoosh B, Karamali M, Zarrati M, et al. The effects of probiotic supplementation on biomarkers of inflammation, oxidative stress and pregnancy outcomes in gestational diabetes. J Matern Fetal Neonatal Med. 2018 May;31(9):1128-1136.
- 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.
- Esaiassen E, Hjerde E, Cavanagh JP, Simonsen GS, Klingenberg C; Norwegian Study Group on Invasive Bifidobacterial Infections. Bifidobacterium bacteremia: Clinical characteristics and a genomic approach to assess pathogenicity. J Clin Microbiol. 2017;55(7) PubMed
See these in context on the Bifidobacterium Bifidum monograph →
Pantethine 9 references
- Da Col PG, Cattin L, Fonda M, et al. Pantethine in the treatment of hypercholesterolemia: a randomized double-blind trial versus tiadenol. Curr Ther Res 1984;36:314-22.
- Rubba P, Postaiglione B, De Simone F, et al. Comparative evaluation of the lipid-lowering effects of fenofibrate and pantethine in type II hyperlipoproteinemia. Curr Ther Res 1985;38:719-27.
- Coronel F, Tornero F, Torrente J, et al. Treatment of hyperlipemia in diabetic patients on dialysis with a physiological substance. Am J Nephrol 1991;11:32-6.. PubMed
- Agrati AM, Ambrosi G, Ferraro G, Palmieri. Gemfibrozil efficacy vs pantethine in dyslipoproteinemic patients: a controlled study. Curr Ther Res 1989;45:650-63.
- Rumberger, J. A., Napolitano, J., Azumano, I., Kamiya, T., and Evans, M. Pantethine, a derivative of vitamin B(5) used as a nutritional supplement, favorably alters low-density lipoprotein cholesterol metabolism in low- to moderate-cardiovascular risk No
- Hiramatsu, K., Nozaki, H., and Arimori, S. Influence of pantethine on platelet volume, microviscosity, lipid composition and functions in diabetes mellitus with hyperlipidemia. Tokai J.Exp.Clin.Med. 1981;6(1):49-57.
- McRae MP. Treatment of hyperlipoproteinemia with pantethine: A review and analysis of efficacy and tolerability. Nutrition Res 2005;25:319-333. DOI
- Cattin, L., Da Col, P. G., Fonda, M., Mameli, M. G., and Fergulio, G. A. Treatment of hypercholesterolemia with pantethine and fenofibrate; open randomized study on 43 subjects. Current Therapeutic Research 1985;38(Sep):386-395.
- Evans M, Rumberger JA, Azumano I, Napolitano JJ, Citrolo D, Kamiya T. Pantethine, a derivative of vitamin B5, favorably alters total, LDL and non-HDL cholesterol in low to moderate cardiovascular risk subjects eligible for statin therapy: a triple-blinded
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.
- 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
Fructo-oligosaccharides (fos) 6 references
- Briet F, et al. Symptomatic response to varying levels of fructo-oligosaccharides consumed occasionally or regularly. Eur J Clin Nutr 1995;49:501-7.
- Bouhnik Y, Vahedi K, Achour L, et al. Short-chain fructo-oligosaccharide administration dose-dependently increases fecal bifidobacteria in healthy humans. J Nutr 1999;129:113-6. PubMed
- Cummings JH, Macfarlane GT, Englyst HN. Prebiotic digestion and fermentation. Am J Clin Nutr 2001;73:415S-420S. PubMed
- Souza DDS, Tahan S, Weber TK, Araujo-Filho HB, de Morais MB. Randomized, double-blind, placebo-controlled parallel clinical trial assessing the effect of fructooligosaccharides in infants with constipation. Nutrients. 2018;10(11). pii: E1602. PubMed
- Andermann TM, Fouladi F, Tamburini FB, et al. A Fructo-Oligosaccharide Prebiotic Is Well Tolerated in Adults Undergoing Allogeneic Hematopoietic Stem Cell Transplantation: A Phase I Dose-Escalation Trial. Transplant Cell Ther 2021;27(11):932. PubMed
- Dou Y, Yu X, Luo Y, Chen B, Ma D, Zhu J. Effect of Fructooligosaccharides Supplementation on the Gut Microbiota in Human: A Systematic Review and Meta-Analysis. Nutrients 2022;14(16):3298. PubMed
See these in context on the Fructo-oligosaccharides (fos) monograph →
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