Fortify Optima Women's Probiotic 90 Billion Ingredients & Drug Interactions
by Nature's Way
What is this page for?
First and foremost: checking Fortify Optima Women's Probiotic 90 Billion 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
Fortify Optima Women's Probiotic 90 Billion is a dietary supplement by Nature's Way with 4 active ingredients. Its ingredients are commonly taken for constipation and digestive health, source of prebiotic fiber (inulin), coffee substitute.Based on those ingredients, 2,108 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Gum Acacia Fiber, Chicory root Fiber. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Fortify Optima Women's Probiotic 90 Billion by Nature's Way
Ask about any prescription or over-the-counter medication and we check it for interactions with Fortify Optima Women's Probiotic 90 Billion by Nature's Way — 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 Fortify Optima Women's Probiotic 90 Billion by Nature's Way
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 product contains 17 active ingredients, the majority of which are probiotic bacterial strains — various Lactobacillus and Bifidobacterium species designed to support your gut health. Alongside the probiotics are two fiber sources: chicory root fiber and gum acacia fiber, which act as prebiotics (food for the beneficial bacteria).
The inactive ingredients are cellulose, hypromellose, gellan gum, magnesium stearate, and silica — these are the capsule and binders that hold everything together.
Does it work?
Moderate evidence
The evidence we hold is limited. Lactobacillus acidophilus, which appears twice in this formula, is possibly effective for irritable bowel syndrome (IBS), Helicobacter pylori, antibiotic-associated diarrhea, and bacterial vaginosis — but the evidence stops short of being strong.
For chicory root fiber and the other probiotic strains in the blend, we don't have solid effectiveness data on file. If you're considering this product for a specific condition, your pharmacist or doctor can tell you whether the research supports it for your situation.
How safe is it?
Well-documented data
Lactobacillus acidophilus is generally well tolerated in healthy adults and children, though you should check with your doctor before starting it. Since it contains live organisms, there's a theoretical concern it could cause infection in some patients — though this is rare and usually occurs in people with serious underlying illness or a weakened immune system.
Taking the probiotic along with other probiotics may cause mild gastrointestinal side effects like gas, bloating, abdominal discomfort, or diarrhea, but these are uncommon. Chicory root fiber is well tolerated in food amounts but may cause gas, bloating, and abdominal pain in some people.
It can trigger allergic reactions in those sensitive to the ragweed plant family. Safety data on chicory in medicinal amounts during pregnancy and breastfeeding is limited, so talk with your healthcare provider if you're pregnant or nursing.
No pregnancy or breastfeeding safety data is on file for the other ingredients.
Meds to double-check
Moderate interaction found
Check your exact medications against antibiotic drugs (Moderate interaction — the probiotic may lose effectiveness if taken at the same time) and antidiabetes drugs (Moderate interaction — chicory may increase the risk of low blood sugar). Space antibiotics and this probiotic a few hours apart, and watch your blood sugar closely if you take diabetes medication.
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 women's probiotic is a multi-strain formula that's generally well tolerated. If you take antibiotics, separate them from this product by a few hours to protect the probiotic strains.
If you take diabetes medication, double-check the chicory fiber component with your pharmacist or doctor first. For specific health goals like IBS or digestive support, ask your healthcare provider whether the evidence supports this formula for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 17 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2023.
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 Fortify Optima Women's Probiotic 90 Billion, straight from the product label.
| Brand | Nature's Way |
|---|---|
| Barcode (UPC) | 033674158593 |
| Net contents | 30 Delayed Release Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Sep 25, 2023 |
| DSLD ID | 293284 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult Female (18 - 50 Years), Gluten Free, Dairy 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 Fortify Optima Women's Probiotic 90 Billion by Nature's Way, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Lactococcus lactis LL-23 | 0 NP | -- |
| Lactobacillus casei LC-11 | 0 NP | -- |
| Lactobacillus paracasei LPC-37 | 0 NP | -- |
| Lactobacillus acidophilus LA-14 | 0 NP | -- |
| Lactobacillus brevis LBR-35 | 0 NP | -- |
| Lactobacillus rhamnosus GG | 0 NP | -- |
| Chicory root Fiber | 0 NP | -- |
| Bifidobacterium animalis lactis BL-04 | 0 NP | -- |
| Gum Acacia Fiber | 0 NP | -- |
| Lactobacillus plantarum LP-115 | 0 NP | -- |
| Bifidobacteria Blend | 0 NP | -- |
| Lactobacillus salivarius LS-33 | 0 NP | -- |
| Lactobacilli/Lactococcus Blend | 0 NP | -- |
| Fortify Optima Women's Proprietary Probiotic Blend | 550 mg | -- |
| HOWARU Lactobacillus rhamnosus HN001 | 0 NP | -- |
| HOWARU Lactobacillus acidophilus NCFM | 0 NP | -- |
| Lactobacillus fermentum SBS-1 | 0 NP | -- |
| Bifidobacterium | 0 NP | -- |
| Bifidobacterium animalis lactis Bi-07 | 0 NP | -- |
| HOWARU Bifidobacterium animalis lactis HN019 | 0 NP | -- |
| Proprietary Plant-Based Prebiotic Blend | 75 mg | -- |
Other ingredients: Cellulose, Hypromellose, Gellan Gum, 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.
Formula
Powerful probiotics for women's daily digestive & immune health
Formulated with 15 probiotic strains + prebiotic one capsule, multiple benefits 90 billion active cultures, guaranteed! Targeted delivery
Fortify Optima Women's Probiotic + prebiotics
90 Billion Live Probiotic Cultures per capsule 15 Probiotic Strains
Powerful Probiotics for Womens's Daily Digestive & Immune Health Specially formulated with a proprietary blend of probiotics, Fortify Optima is a powerful ally with HN019, BL-04, La-14 and HN001, researched probiotic strains to support daily digestive, immune and women's health.The lactobacilli strain helps support vaginal health and promote healthy flora. Lactobacilli cultures to support your small intestine Bifidobacteria cultures to support your colon Formulated with 15 Probiotic Strains + Prebiotics Fortify Optima Women's 90 Billion CFU formula contains 15 probiotic strains designed to support gut diversity + plant-based prebiotics. This unique prebiotic blend contains gum acacia and chicory root fiber as a food source for good bacteria.
Contains the Doctor Preferred Probiotic for Regularity
Plant-based prebiotic blend
Women's health
Precautions
Keep out of reach of children.
Safety sealed with inner seal. Do not use if seal is broken or missing.
If you are pregnant, nursing, or taking any medications, consult a healthcare professional before use.
Storage
Keep tightly closed. Keep refrigerated to maintain maximum potency.
Formulation
Certified Gluten Free GFCO.org
Gluten Free. No soy, dairy, or artificial color.
Advanced care
Researched Probiotic Strains Potency of live cultures measured in Colony Forming Units (CFU).
No Artificial colors Gluten-Free
90 Billion active Cultures, Guaranteed! Innovative bottle technology helps ensure this product will deliver 90 Billion live probiotic cultures until the date of expirationto help balance your intestinal tract and support immune health. Targeted Delivery Each capsule is resistant to the harmful effects of stomach acid and distributes live cultures to the proper area of the small intestine and colon, right where they're needed most! One capsule, multiple benefits Taking Fortify Optima Women's Advanced Care every day helps support: A healthy gut and vaginal microbiome Vaginal health and flora Digestive balance A healthy immune response Guaranteed potency
Digestive balance Immune Health
Seals/Symbols
Certified Gluten Free GFCO.org
Non GMO Project Verified nongmoproject.org
Brand IP Statement(s)
HOWARU is a registered trademark of IFF and is used under license. HN019 and HN001 are trademarks of the Fonterra Group of companies used under license. The probiotic strains contained in this product are manufactured by IFF.
Copyright 2022 Nature's Way Brands, LLC
Based on IQVIA ProVoice survey of Primary Care Physicians, HOWARU B. lactis HN019 is the Doctor preferred probiotic strain for Regularity as compared to other strains in leading Probiotic brands, 52-week sales MULO, ending 10/3/2021; November 2021. Copyright 2022 Nature's Way Brands, LLC
FDA Disclaimer Statement
This statement has not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
FDA Statement of Identity
Probiotic Supplement
Suggested/Recommended/Usage/Directions
Recommendation: Adults take 1 capsule daily. May be taken at any time, with our without food.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Fortify Optima Women's Probiotic 90 Billion by Nature's Way 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 Fortify Optima Women's Probiotic 90 Billion by Nature's Way
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule 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.
Fortify Optima Women's Proprietary Probiotic Blend
- › Bifidobacteria Blend
- › Lactobacilli/Lactococcus Blend
Proprietary Plant-Based Prebiotic Blend
Other (inactive) ingredients: Cellulose, Hypromellose, Gellan Gum, Magnesium Stearate, Silica. These complete the product’s ingredient list but are not active constituents.
Fortify Optima Women's Probiotic 90 Billion by Nature's Way Drug Interactions
HelloPharmacist Interaction Report
Fortify Optima Women's Probiotic by Nature's Way contains two strains of Lactobacillus acidophilus that interact with one major drug type.
Both Lactobacillus acidophilus LA-14 and HOWARU Lactobacillus acidophilus NCFM may reduce their own effectiveness if you take them at the same time as antibiotic drugs (Major severity). Since these probiotic strains contain live organisms, antibiotics can kill a significant number of them before they take effect.
Separating when you take antibiotics and this probiotic — typically by a few hours — helps preserve the probiotic's benefit.
Read the full breakdown — every affected drug type, severity by severity
The product also contains chicory root fiber, which may increase the risk of low blood sugar (hypoglycemia) if you're taking antidiabetes drugs (Moderate severity). Animal and lab research suggests chicory has blood-sugar-lowering effects, so combining it with diabetes medications warrants attention.
Several other ingredients in this formula — including Lactococcus lactis, Lactobacillus casei, Lactobacillus paracasei, Lactobacillus brevis, Lactobacillus rhamnosus, Bifidobacterium strains, and fiber sources — could not be checked because we hold no interaction data for them.
Altogether, these interactions span 267 individual medications. Use the search tool below to check your exact medications before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Fortify Optima Women's Probiotic 90 Billion?
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 Fortify Optima Women's Probiotic 90 Billion interact with 2,108 drugs. Click any drug to see the details.
2 of the 4 ingredients in Fortify Optima Women's Probiotic 90 Billion interact with drugs. Each result below shows which ingredient is responsible. Gum Acacia Fiber Chicory root Fiber
"phentolamineOraVerse, Rogitine, Ryzumvi
How "phentolamine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + "phentolamine interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + 6-mercaptopurine interactionAbacavirZiagen
How Abacavir interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abacavir interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abacavir, Lamivudine interactionAbciximabReoPro
How Abciximab interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acalabrutinib interactionAcamprosateCampral
How Acamprosate interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acamprosate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Fortify Optima Women's Probiotic 90 Billion — through 2 ingredients. Tap an ingredient for the detail:
Chicory Root FiberAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory Root Fiber + Acarbose interactionGum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Fortify Optima Women's Probiotic 90 Billion — through 1 ingredient. Tap an ingredient for the detail:
Gum Acacia FiberOral Drugs Moderate
Interaction Summary
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Acacia Fiber + Acetaminophen, Caffeine, Isometheptene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Fortify Optima Women's Probiotic 90 Billion 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.
Gum Acacia Fiber
Amoxicillin (Amoxil, Trimox)
Gum arabic can reduce the absorption of amoxicillin.
A small study in healthy volunteers shows that taking amoxicillin and gum arabic concurrently significantly reduces the absorption of amoxicillin. Separate doses of amoxicillin from gum arabic by at least 2 hours.
Oral Drugs
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Gum arabic has been used as a suspending osmotic agent in drug formulations. It might improve bioavailability of water-insoluble drugs like naproxen, but reduce absorption of polar drugs like amoxicillin. To avoid changes in absorption, take gum arabic 30-60 minutes after oral medications.
Chicory root Fiber
Antidiabetes Drugs
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal and in vitro research shows that chicory extracts have antidiabetic effects.
Brand information
Manufacturer and brand details for Fortify Optima Women's Probiotic 90 Billion, from the product label.
Nature's Way
See all Nature's Way products- Name
- Nature's Way Brands, LLC
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- 1-800-962-8873
- Web Address
- fortifyprobiotics.com
Fortify Optima Women's Probiotic 90 Billion by Nature's Way: Common Questions
Does Fortify Optima Women's Probiotic 90 Billion by Nature's Way interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this while I'm on antibiotics?
What are the bacterial strains actually for?
Could this cause side effects?
Is it safe if I'm pregnant or breastfeeding?
I take diabetes medication — is this okay?
How many live bacteria am I getting per dose?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Fortify Optima Women's Probiotic 90 Billion is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
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 Fortify Optima Women's Probiotic 90 Billion’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Chicory
Interacts with 86 drugsChicory is best known as a caffeine-free coffee substitute and as a source of inulin, a soluble prebiotic fiber that may support digestion and regularity. Strong human evidence for most othe...
Read the full Chicory monograph → Herb & supplement monographGum Arabic
Interacts with 2,022 drugsGum arabic is a soluble dietary fiber from the acacia tree that is widely used as a safe food additive and is sometimes taken as a supplement for digestive health and as a prebiotic. Early s...
Read the full Gum Arabic monograph →Sources & How We Checked
Fortify Optima Women's Probiotic 90 Billion'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 36 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 →
Chicory 13 references
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Stone-Dorshow T, Levitt MD. Gaseous response to ingestion of a poorly absorbed fructo-oligosaccharide sweetener. Am J Clin Nutr 1987;46:61-5. PubMed
- 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
- Cadot, P., Kochuyt, A. M., van Ree, R., and Ceuppens, J. L. Oral allergy syndrome to chicory associated with birch pollen allergy. Int.Arch.Allergy Immunol. 2003;131(1):19-24. PubMed
- Friis, B., Hjorth, N., Vail, J. T., Jr., and Mitchell, J. C. Occupational contact dermatitis from Cichorium (chicory, endive) and Lactuca (lettuce). Contact Dermatitis 1975;1(5):311-313.
- Nemery, B. and Demedts, M. Occupational asthma in a chicory grower. Lancet 3-25-1989;1(8639):672-673. PubMed
- Pirson F, Detry B, Pilette C. Occupational rhinoconjunctivitis and asthma caused by chicory and oral allergy syndrome associated with bet v 1-related protein. J Investig Allergol Clin Immunol 2009;19(4):306-10.
- Willi R, Pfab F, Huss-Marp J, et al. Contact anaphylaxis and protein contact dermatitis in a cook handling chicory leaves. Contact Dermatitis 2009;60(4):226-7. PubMed
- Street RA, Sidana J, Prinsloo G. Cichorium intybus: traditional uses, phytochemistry, pharmacology, and toxicology. Evid Based Complement Alternat Med 2013;2013:579319.
- Bonnema AL, Kolberg LW, Thomas W, Slavin JL. Gastrointestinal tolerance of chicory inulin products. J Am Diet Assoc 2010;110(6):865-8. PubMed
- Devi Kt R, Sivalingam N. Cichorium intybus attenuates Streptozotocin-induced pancreatic ß-cell damage by inhibiting NF-?B activation and oxidative stress. J Appl Biomed 2020;18(2-3):70-9. PubMed
Gum Arabic 8 references
- Jensen CD, Spiller GA, Gates JE, et al. The effect of acacia gum and a water-soluble dietary fiber mixture on blood lipids in humans. J Am Coll Nutr 1993;12:147-54. PubMed
- Eltayeb IB, Awad AI, Elderbi MA, Shadad SA. Effect of gum arabic on the absorption of a single oral dose of amoxicillin in healthy Sudanese volunteers. J Antimicrob Chemother 2004;54:577-8. PubMed
- Babiker R, Merghani TH, Elmusharaf K, et al. Effects of gum Arabic ingestion on body mass index and body fat percentage in healthy adult females: two-arm randomized, placebo controlled, double-blind trial. Nutr J 2012;11:111. PubMed
- Babiker R, Elmusharaf K, Keogh MB, Banaga AS, Saeed AM. Metabolic effect of gum Arabic (Acacia senegal) in patients with type 2 diabetes mellitus (T2DM): randomized, placebo controlled double blind trial. Functional Foods in Health and Disease. 2017;7(3): DOI
- Beneke CE, Viljoen AM, Hamman JH. Polymeric plant-derived excipients in drug delivery. Molecules. 2009;14(7):2602-20. PubMed
- Ali NE, Kaddam LA, Alkarib SY, et al. Gum Arabic (Acacia Senegal) Augmented Total Antioxidant Capacity and Reduced C-Reactive Protein among Haemodialysis Patients in Phase II Trial. Int J Nephrol. 2020;2020:7214673.
- Mortensen A, Aguilar F, Crebelli R, et al. Re-evaluation of acacia gum (E 414) as a food additive. EFSA J. 2017;15(4):e04741. PubMed
- Larson R, Nelson C, Korczak R, et al. Acacia Gum Is Well Tolerated While Increasing Satiety and Lowering Peak Blood Glucose Response in Healthy Human Subjects. Nutrients 2021;13(2):618. PubMed
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