Interactions on record — worth a quick check against your medications. Based on 4 of 14 ingredients. Check your meds →
Dietary supplement

Fiber+Probiotics Chocolate Dream Ingredients & Drug Interactions

by VMI Sports

Fiber+Probiotics Chocolate Dream label
See full label image
Powder Category: Other Combinations
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Fiber+Probiotics Chocolate Dream 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

The interaction bottom line Most serious interaction: Moderate

Fiber+Probiotics Chocolate Dream is a dietary supplement by VMI Sports with 14 active ingredients. Its ingredients are commonly taken for antioxidant support, heart health, brain and memory health.Based on those ingredients, 270 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Bifidobacterium bifidum, Lactobacillus acidophilus, Blueberry Fiber. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Fiber+Probiotics Chocolate Dream by VMI Sports

Ask about any prescription or over-the-counter medication and we check it for interactions with Fiber+Probiotics Chocolate Dream by VMI Sports — and tell you which ingredient is responsible.

Pharmacist-reviewed data Checks every ingredient Answer in seconds
Prefer a human? Send your question to our licensed pharmacists — free, answered by email within 24 hours.

HelloPharmacist Scorecard of Fiber+Probiotics Chocolate Dream by VMI Sports

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.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Jul 30, 2026

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 4 of its 13 active ingredients.
  • “Fiber Blend” is a proprietary blend — the label gives one combined amount (11.40 Gram(s)) without saying how much of each component you get.
  • “9-Strain Probiotic” is listed as a grouped ingredient — the label doesn't break down how much of each component you get.

This powder contains 13 active ingredients: three probiotics we can check (Bifidobacterium bifidum, Lactobacillus acidophilus, and Streptococcus thermophilus), plus seven others — L. rhamnosus, L. plantarum, L. casei, L. salivarius, L. brevis, and B. lactis/longum — whose interaction data we don't hold. The fiber comes from blueberry, psyllium, soluble fiber, and Fibersol-2.

The powder also contains cocoa, natural flavors, stevia, and monk fruit as inactive ingredients.

Does it work?

Moderate evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed

This product doesn't appear to be marketed for a specific use, so we graded its ingredients' overall clinical evidence instead.

Moderate

Some clinical evidence supports its ingredients for:

Why this rating?
  • We looked at the product name, claims, and label statements and couldn't find a stated purpose to grade.
  • Since the label doesn't commit to one use, we graded the ingredients' overall clinical evidence instead.
  • On file: Antibiotic-associated diarrhea — rated "Possibly Effective" (Lactobacillus Acidophilus) (Natural Medicines).
  • On file: Bacterial vaginosis — rated "Possibly Effective" (Lactobacillus Acidophilus) (Natural Medicines).
  • On file: Helicobacter pylori — rated "Possibly Effective" (Lactobacillus Acidophilus) (Natural Medicines).
  • On file: Irritable bowel syndrome (IBS) — rated "Possibly Effective" (Lactobacillus Acidophilus) (Natural Medicines).
  • On file: Respiratory tract infections — rated "Possibly Effective" (Bifidobacterium Bifidum) (Natural Medicines).

Of the ingredients we rated, Lactobacillus acidophilus is possibly effective for irritable bowel syndrome (IBS), Helicobacter pylori, antibiotic-associated diarrhea, and bacterial vaginosis. Bifidobacterium bifidum is possibly effective for IBS and respiratory tract infections.

Blueberry fiber showed only possibly ineffective for hypertension; evidence is insufficient for age-related cognitive decline, anxiety, athletic performance, hyperlipidemia, and cardiovascular disease. Most other uses we checked lack enough evidence to rate.

The data we hold doesn't establish effectiveness for many conditions someone might consider this product for.

The evidence, ingredient by ingredient Blueberry Streptococcus Thermophilus Bifidobacterium Bifidum Lactobacillus Acidophilus

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 4 of the 4 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 4 of 4.
  • General safety write-ups exist for 4 of 4.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Blueberry fiber is generally well tolerated when eaten as food; the safety notes mention that concentrated supplements haven't been well studied in pregnancy, and the safety of high-dose extracts while breastfeeding is unknown. Some people in trials taking freeze-dried blueberries reported constipation, diarrhea, nausea, and vomiting, with one trial noting 26% dropped out in the first week due to digestive complaints.

The probiotics are generally well tolerated in healthy people, but those with weakened immune systems — including severely ill patients, those with central lines, or preterm infants — should be cautious, as rare cases of bacteremia and sepsis have been reported. For pregnancy, B. bifidum and L. acidophilus are rated possibly safe, though you should check with your doctor or pharmacist first.

Side effects, ingredient by ingredient Blueberry Streptococcus Thermophilus Bifidobacterium Bifidum Lactobacillus Acidophilus

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 3 of the 4 matched ingredients can interact with medications — Lactobacillus Acidophilus, Blueberry, Bifidobacterium Bifidum.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: diabetes medications.
  • For scale: 270 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Check before taking this product if you use antibiotic drugs — Moderate severity interaction with the probiotics inside; space them out by a few hours. Also watch if you take antidiabetes drugs, flurbiprofen (Ansaid), or buspirone (BuSpar), as blueberry may affect how your body handles them.

Your doctor or pharmacist can help you decide if spacing or a timing change is needed.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.

This is geared toward people looking for fiber and probiotic support who don't take antibiotics or antidiabetes drugs. If you take antibiotic medications, you'll want to space them out from this product and double-check the blueberry ingredient if you're on blood sugar medication or flurbiprofen.

Anyone with a weakened immune system should talk it over with their doctor or pharmacist before starting. Run your exact medications through the checker on this page to be sure.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 4 of 13 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 24, 2020.

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

At a glance

General information

Key facts about Fiber+Probiotics Chocolate Dream, straight from the product label.

Brand VMI Sports
Barcode (UPC) 850001728096
Net contents 414 Gram(s); 14.6 Oz(s)
Market status On market
Date entered into DSLD Mar 24, 2020
DSLD ID 215444
Product type Other Combinations
Supplement form Powder
Dietary claims / uses Nutrient, All Other, Structure/Function
Intended target group(s) Vegan, Vegetarian, Adult (18 - 50 Years), Women (not pregnant or lactating), Gluten Free, Sugar Free
From the label
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 Fiber+Probiotics Chocolate Dream by VMI Sports, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
13.8 Gram(s)
Maximum serving Sizes:
13.8 Gram(s)
Servings per container
30
UPC/BARCODE
850001728096
IngredientAmount% DV
Calories40 Calorie(s)--
Total Carbohydrates11 Gram(s)4%
Sugar0 Gram(s)--
L. rhamnosus0 NP--
L. plantarum0 NP--
Blueberry Fiber1.5 Gram(s)--
Psyllium5 Gram(s)--
Soluble Fiber10 Gram(s)--
Streptococcus thermophilus0 NP--
Fiber Blend11.4 Gram(s)--
Bifidobacterium bifidum0 NP--
Lactobacillus acidophilus0 NP--
L. casei0 NP--
Fibersol-24.9 Gram(s)--
L. salivarius0 NP--
L. brevis0 NP--
9-Strain Probiotic0 NP--
B. lactis/longum0 NP--

Other ingredients: Cocoa powder, Natural flavors, Stevia, Monk Fruit

Tap any ingredient to jump to its full detail below.

Label statements
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.
Suggested/Recommended/Usage/Directions

Suggested use: Mix one (1) scoop in 10-12 oz. of water (adjust water to personal taste preference), or beverage of choice. Shake or stir well. Also mixes well in fruit smoothies and protein shakes. Do not exceed one (1) serving at any given time, and do not exceed two (2) servings in any 24 hour period.

Precautions

Warning: For use as a dietary supplement only, for healthy adults of the age of 18 and over.

Do not use this product if you are pregnant, nursing, or may become pregnant. Do not consume if you have a pre-existing medical condition, or you are taking any prescription medication.

Please consult your doctor or health care practitioner prior to use. Do not use if safety seal is broken.

Use only as directed and do not exceed recommended dosage.

Allergen warning: Produced in a facility with equipment that potentially processes dairy, soy egg, wheat, peanuts, shellfish, almonds, or other tree nuts, or corn.

Keep out of the reach of children.

Storage

Store in a cool, dry place.

Store in a cool, dry place (60 degrees F to 80 degrees F)

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.

Brand IP Statement(s)

Fibersol - 2 is a registered tradmark of ADM/Matsutani LLC. ProbioSEB Multi is a registered trademark of Specialty Enzymes and Biotechnologies Co.

Formulation

Specialty Enzymes & Probiotics

All Natural

Digestive Support

0 g Sugar

Gluten Free No Artificial Colors or Flavors

Vegan Friendly

Natural Fiber Sources Promotes Healthy Digestion

General Statements

ADM Follow us Facebook@VMISports twitter@VMISports instagram@VMISports

VMI Sports is a USA Company

Formula

3 Fiber Sources

10 g Fiber 1B CFU Probiotics

Featuring Psyllium Husk

Keto Friendly

FDA Statement of Identity

Dietary Supplement

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Fiber+Probiotics Chocolate Dream by VMI Sports label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

Fiber+Probiotics Chocolate Dream label

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)
What’s inside

The Ingredients in Fiber+Probiotics Chocolate Dream by VMI Sports

These are the 14 active ingredients this product is made of. Select any to open its full monograph.

Serving size13.8 Gram(s) Dosage formPowder Servings per container30 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.

Sugar

0 Gram(s) per serving

Soluble Fiber

10 Gram(s) per serving

Fiber Blend

11.4 Gram(s) per serving

9-Strain Probiotic

0 NP per serving

Other (inactive) ingredients: Cocoa powder, Natural flavors, Stevia, Monk Fruit. These complete the product’s ingredient list but are not active constituents.

Interaction report

Fiber+Probiotics Chocolate Dream by VMI Sports Drug Interactions

Want to check YOUR meds against Fiber+Probiotics Chocolate Dream?

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 checker
270Drugs
182 Moderate 88 Minor

Ingredients driving the most interactions

Bifidobacterium bifidum 182
Lactobacillus acidophilus 182
Blueberry Fiber 88

Individual Drug Interactions

The ingredients in Fiber+Probiotics Chocolate Dream interact with 270 drugs. Click any drug to see the details.

3 of the 14 ingredients in Fiber+Probiotics Chocolate Dream interact with drugs. Each result below shows which ingredient is responsible. Bifidobacterium bifidum Lactobacillus acidophilus Blueberry Fiber

Each ingredient & the kinds of drugs it affects

For each ingredient in Fiber+Probiotics Chocolate Dream 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.

Bifidobacterium bifidum1 drug type · 182 drugs

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.

Likelihood Probable Evidence D
Bifidobacterium bifidum full monograph & interactions

Lactobacillus acidophilus1 drug type · 182 drugs

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.

Likelihood Probable Evidence D
Lactobacillus acidophilus full monograph & interactions

Blueberry Fiber3 drug types · 88 drugs

Antidiabetes Drugs

Theoretically, blueberries or blueberry leaf extracts might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal and in vitro research suggests that blueberry and/or blueberry leaf extracts can lower blood glucose levels.

Likelihood Unlikely Evidence D
Buspirone (Buspar)

Theoretically, blueberry juice might increase blood levels of buspirone.
In vitro research shows that blueberry juice can inhibit the metabolism of buspirone, possibly by inhibiting cytochrome P450 3A (CYP3A) enzymes. However, pharmacokinetic research in humans shows that drinking 300 mL of blueberry juice 30 minutes before taking buspirone hydrochloride 10 mg does not significantly affect the concentration or clearance of buspirone.

Likelihood Unlikely Evidence B
Flurbiprofen (Ansaid, Others)

Theoretically, blueberry juice might increase blood levels of flurbiprofen.
In vitro research shows that blueberry juice can inhibit the metabolism of flurbiprofen, possibly by inhibiting cytochrome P450 2C9 (CYP2C9) enzymes. However, pharmacokinetic research in humans shows that drinking 300 mL of blueberry juice 30 minutes before taking flurbiprofen 100 mg does not significantly affect the concentration or clearance of flurbiprofen.

Likelihood Unlikely Evidence B
Blueberry Fiber full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Fiber+Probiotics Chocolate Dream, from the product label.

VMI Sports

See all VMI Sports products
Name
VMI Sports
Street Address
100 B Tec Street
City
Hicksville
State
NY
ZipCode
11801
Web Address
www.vmisports.com
Pharmacist Counseling Corner

Fiber+Probiotics Chocolate Dream by VMI Sports: Common Questions

Does Fiber+Probiotics Chocolate Dream by VMI Sports interact with any medications?
Yes. Based on its ingredients, Fiber+Probiotics Chocolate Dream has a known interaction with 270 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Fiber+Probiotics Chocolate Dream contains 14 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I take this if I'm on antibiotics?
Not at the same time. The probiotics in here — Bifidobacterium bifidum and Lactobacillus acidophilus — can be killed by antibiotics, which defeats the point of taking them. Space them a few hours apart, and ask your doctor or pharmacist which order works best for your dosing schedule.
What are the probiotics in this for?
L. acidophilus is possibly effective for irritable bowel syndrome, antibiotic-associated diarrhea, bacterial vaginosis, and Helicobacter pylori. B. bifidum is possibly effective for irritable bowel syndrome and respiratory tract infections. The others are included but don't have established effectiveness data in our records.
Does the blueberry fiber actually work for anything?
In our data, blueberry was rated possibly ineffective for high blood pressure, and evidence is insufficient for most other uses. It's mainly here as a source of fiber, not a proven remedy.
Are there side effects I should know about?
Blueberry can cause constipation, diarrhea, nausea, or vomiting in some people, especially at higher doses. The probiotics may cause bloating, flatulence, or mild stomach discomfort, though these are uncommon in healthy people. Probiotics carry a rare but serious risk for people with weakened immunity.
Is it safe to take while pregnant or nursing?
B. bifidum and L. acidophilus are rated possibly safe in pregnancy, and eating blueberries as food is fine, but concentrated blueberry supplements haven't been well studied. The probiotics from food are likely fine, but limited data exist on supplements. Talk with your doctor or pharmacist about what's right for you.
Will this affect my blood sugar medication?
Theoretically, blueberry fiber might increase the risk of low blood sugar when taken with antidiabetes drugs. It's a Minor interaction, but you should check with your doctor or pharmacist to see if timing or monitoring changes are needed.

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

Not sure if Fiber+Probiotics Chocolate Dream is safe with your meds?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.

Fiber+Probiotics Chocolate Dream label
Go deeper

The Full Monographs Behind Fiber+Probiotics Chocolate Dream’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Herb & supplement monograph

Blueberry

Interacts with 88 drugs

Blueberries are a nutritious fruit rich in antioxidants called anthocyanins, and eating them as part of a balanced diet is healthy and safe for most people. Concentrated supplements are mark...

Read the full Blueberry monograph → Herb & supplement monograph

Streptococcus Thermophilus

Streptococcus thermophilus is a friendly bacterium used as a probiotic, often combined with other strains in yogurt and supplements. It is generally well tolerated in healthy people and may...

Read the full Streptococcus Thermophilus monograph → Herb & supplement monograph

Bifidobacterium Bifidum

Interacts with 182 drugs

Bifidobacterium 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 monograph

Lactobacillus Acidophilus

Interacts with 182 drugs

Lactobacillus 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 →
Sources

Sources & How We Checked

Fiber+Probiotics Chocolate Dream'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.

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 50 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.

Blueberry 7 references
  1. Cignarella A, Nastasi M, Cavalli E, Puglisi L. Novel lipid-lowering properties of Vaccinium myrtillus L. leaves, a traditional antidiabetic treatment, in several models of rat dyslipidaemia: a comparison with ciprofibrate. Thromb Res 1996;84:311-22. PubMed
  2. Wang SY, Lin HS. Antioxidant activity in fruits and leaves of blackberry, raspberry, and strawberry varies with cultivar and developmental stage. J Agric Food Chem 2000;48:140-6.. PubMed
  3. Martineau, L. C., Couture, A., Spoor, D., Benhaddou-Andaloussi, A., Harris, C., Meddah, B., Leduc, C., Burt, A., Vuong, T., Mai, Le P., Prentki, M., Bennett, S. A., Arnason, J. T., and Haddad, P. S. Anti-diabetic properties of the Canadian lowbush bluebe
  4. Vuong, T., Martineau, L. C., Ramassamy, C., Matar, C., and Haddad, P. S. Fermented Canadian lowbush blueberry juice stimulates glucose uptake and AMP-activated protein kinase in insulin-sensitive cultured muscle cells and adipocytes. Can J Physiol Pharma
  5. Hanley MJ, Masse G, Harmatz JS, Cancalon PF, Dolnikowski GG, Court MH, Greenblatt DJ. Effect of blueberry juice on clearance of buspirone and flurbiprofen in human volunteers. Br J Clin Pharmacol. 2013 Apr;75(4):1041-52. PubMed
  6. Basu A, Du M, Leyva MJ, et al. Blueberries decrease cardiovascular risk factors in obese men and women with metabolic syndrome. J Nutr 2010;140(9):1582-7. PubMed
  7. Basu A, Feng D, Planinic P, Ebersole JL, Lyons TJ, Alexander JM. Dietary blueberry and soluble fiber supplementation reduces risk of gestational diabetes in women with obesity in a randomized controlled trial. J Nutr 2021;151(5):1128-38. PubMed

See these in context on the Blueberry monograph →

Streptococcus Thermophilus 21 references
  1. Saxelin M, Chuang NH, Chassy B, et al. Lactobacilli and bacteremia in southern Finland 1989-1992. Clin Infect Dis 1996;22:564-6. PubMed
  2. 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
  3. 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:
  4. 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
  5. Goldin BR. Health Benefits of probiotics. Br J Nutr 1998;80:S203-7. DOI
  6. 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.
  7. MacGregor G, Smith AJ, Thakker B, Kinsella J. Yoghurt biotherapy: contraindicated in immunosuppressed patients? Postgrad Med J 2002;78:366-7. PubMed
  8. Land MH, Rouster-Stevens K, Woods CR, et al. Lactobacillus sepsis associated with probiotic therapy. Pediatrics 2005;115:178-81.
  9. 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
  10. 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
  11. Dolatkhah N, Hajifaraji M, Abbasalizadeh F, Aghamohammadzadeh N, Mehrabi Y, Abbasi MM. Is there a value for probiotic supplements in gestational diabetes mellitus? A randomized clinical trial. J Health Popul Nutr. 2015;33:25. PubMed
  12. 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.
  13. 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
  14. 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
  15. Pasala S, Singer L, Arshad T, Roach K. Lactobacillus endocarditis in a healthy patient with probiotic use. IDCases. 2020;22:e00915. PubMed
  16. 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.
  17. 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
  18. 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
  19. 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
  20. Campbell RE, Miller A, Afroze A. Native valve endocarditis secondary to Lactobacillus paracasei bacteremia. Consultant. 2020;60(9):27-8. DOI
  21. 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

See these in context on the Streptococcus Thermophilus monograph →

Bifidobacterium Bifidum 7 references
  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
  2. 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
  3. Rerksuppaphol S, Rerksuppaphol L. Randomized controlled trial of probiotics to reduce common cold in schoolchildren. Pediatr Int. 2012;54(5):682-7. PubMed
  4. 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
  5. 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.
  6. 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.
  7. 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 →

Lactobacillus Acidophilus 15 references
  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
  2. 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
  3. 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
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  13. 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
  14. 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.
  15. 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 →

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

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