Grow + Thrive Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Grow + Thrive 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
Grow + Thrive is a dietary supplement by Culturelle Kids with 5 active ingredients. Its ingredients are commonly taken for bone health and osteoporosis, correcting vitamin d deficiency, immune system support.Based on those ingredients, 879 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin D, Bifidobacterium animalis subsp. lactis (BB-12). Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Grow + Thrive by Culturelle Kids
Ask about any prescription or over-the-counter medication and we check it for interactions with Grow + Thrive by Culturelle Kids — 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 Grow + Thrive by Culturelle Kids
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Partial disclosure
Culturelle Kids Grow + Thrive is a powder with 5 active ingredients: vitamin D (for bone health and calcium regulation), two types of beneficial bacteria — Lactobacillus rhamnosus GG and Bifidobacterium animalis subsp. lactis (probiotics meant to support gut and immune health), a proprietary blend of additional cultures, and 2'-fucosyllactose (a prebiotic that feeds good bacteria). The product also contains maltodextrin as an inactive ingredient to help deliver the powder form.
Does it work?
Moderate evidence
Vitamin D in this product is effective for treating specific medical conditions including rickets, osteomalacia (soft bones), renal bone disease, and hypoparathyroidism. For Bifidobacterium animalis subsp. lactis, the evidence shows it is possibly effective for respiratory tract infections, irritable bowel syndrome, and constipation — meaning there is some supporting research, but the evidence is not yet conclusive.
Effectiveness data for Lactobacillus rhamnosus GG, the proprietary culture blend, and 2'-fucosyllactose are not established in the information we hold.
How safe is it?
Well-documented data
Vitamin D is generally well tolerated at recommended doses, though very high doses over time can cause toxicity — symptoms include high blood calcium (hypercalcemia), bone loss in adults, poor growth in children, and rarely eye inflammation and light sensitivity. The safety data shows vitamin D is likely safe in pregnancy and lactation at recommended amounts, but only use it under your doctor's guidance.
Bifidobacterium animalis subsp. lactis is generally well tolerated by most healthy children, though some may experience diarrhea or other mild stomach symptoms. In rare cases, probiotics can cause infection; discuss any concerns with your pediatrician, especially if your child is immunocompromised or seriously ill.
Meds to double-check
Moderate interaction found
Before starting Culturelle Kids Grow + Thrive, have your child's pharmacist or doctor check if they take digoxin, heart rhythm medications (verapamil, diltiazem), thiazide diuretics, atorvastatin, calcipotriene, or antibiotic medications — these carry Moderate interactions with ingredients in this product. Additionally, check any other medications against the CYP3A4 substrate list on this page, as vitamin D may reduce their effectiveness.
The bottom line
Scorecard at a glancePartially disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Culturelle Kids Grow + Thrive is intended to support bone health and digestive wellness in children through vitamin D and probiotics. Before giving it to your child, check with your pediatrician or pharmacist about any medications they take — vitamin D and the probiotic bacteria can interact with several drug types.
It's also worth a quick conversation if your child is on antibiotics, since those can reduce the probiotic's benefit. Your child's own healthcare provider can weigh whether this product is right for them.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 22, 2022.
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 Grow + Thrive, straight from the product label.
| Brand | Culturelle Kids |
|---|---|
| Barcode (UPC) | 049100401423 |
| Net contents | 20 Single Serve Packet(s) |
| Market status | On market |
| Date entered into DSLD | Sep 22, 2022 |
| DSLD ID | 273848 |
| Product type | Other Combinations |
| Supplement form | Powder |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Children 4 or More Years of Age, Gluten Free, Children more than 1 but less than 4 |
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 Grow + Thrive by Culturelle Kids, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin D | 10 mcg | 50%, 67% |
| Calories | 5 Calorie(s) | -- |
| Total Carbohydrate | 1 Gram(s) | 1%, 1% |
| Total Sugars | 0 Gram(s) | -- |
| added Sugars | 0 Gram(s) | -- |
| Lactobacillus rhamnosus GG | 0 NP | -- |
| Bifidobacterium animalis subsp. lactis (BB-12) | 0 NP | -- |
| Proprietary Blend Total Cultures | 18 mg | -- |
| 2'-Fucosyllactose | 1 Gram(s) | -- |
Other ingredients: Maltodextrin
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.
Formulation
Culturelle Kids Grow + Thrive features scientifically proven ingredients all in one packet to help support healthy development of immune & digestive systems.
Most clinically researched strain in children Based on the number of Lactobacillus rhamnosus GG clinical studies, as of January 2021. Guaranteed purity & potency Guaranteed Potency through date on box when stored as directed
Gluten Soy Free Meets the FDA's guidelines for gluten-free.
Supports a healthy immune system Helps their digestive system work better Promotes healthy development
Allergy friendly Free from Tree nuts Peanuts Wheat Eggs
No flavor added
Formula
LGG Probiotic helps support both immune & digestive health HMOs originally found in breastmilk, HMOs (human milk oligosaccharides) nourish good bacteria in the gut to help support developing tummies. Vitamin D helps to develop strong teeth & bones.
LGG naturally sourced LGG Strain
Probiotics HMO Vitamin D
Precautions
For questions, concerns or to report an adverse event, please call (800) 722-3476. www.Culturelle.com
Tamper Evident: Product is sealed within packets. Do not use if any part of the packet is torn, open or damaged.
When first taking Culturelle, your child may experience minor bloating, gas or intestinal gurgling which shoud subside with continued use. Consult your healthcare professional if symptoms persist after two weeks.
Not a reduced calorie food.
Keep out of reach of children. Not intended for children under 1 year of age.
Inform a healthcare professional before starting any dietary supplement, particularly if there is a known immune-compromised condition.
May contain traces of milk (lactose)
General Statements
Scan to learn more
Our brand values We're on a mission to inspire better health & wellness for you and your family. We believe in integrity, so we hold ourselves to the highest standards of truth. We believe in the natural power of your body's microbiome, & in scientific research & products that will unlock its full potential. We believe in uncompromising quality, safety & proven efficacy. We believe in empowering you to embrace every day with confidence.
Excludes gummy formulas.
From the #1 pediatrician recommended brand
Storage
Storage Instructions: Store Culturelle in a cool, dry place away from direct sunlight.
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.
FDA Statement of Identity
Probiotic Supplement
Suggested/Recommended/Usage/Directions
Directions for children 1 year and above: Take one (1) packet at any time of day. Mix entire contents of packet into cool food or drink. For optimal results continued daily use is suggested. When experiencing occasional digestive upset, two (2) packets may be taken. If taking two packets, take one in the morning and one in the evening. If symptoms persist, consult your physician.
Brand IP Statement(s)
Culturelle is a trademark of DSM. LGG, LGG logo and BB-12 are trademarks of Chr. Hansen A/S.
Culturelle Kids The Difference is Culturelle
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Grow + Thrive by Culturelle Kids 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 Grow + Thrive by Culturelle Kids
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Packet(s) Dosage formPowder Servings per container20 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.
Vitamin D
Interacts with715 drugs
Vitamin D is a fat-soluble vitamin that helps your body absorb calcium and is important for healthy bones, muscles, and immune function. Many people,...
Vitamin D monograph & interactionsLactobacillus rhamnosus GG
Bifidobacterium animalis subsp. lactis (BB-12)
Interacts with182 drugs
Bifidobacterium animalis subsp. lactis is a well-studied probiotic bacterium commonly added to supplements and yogurts to support digestion and gut he...
Bifidobacterium animalis subsp. lactis (BB-12) monograph & interactionsProprietary Blend Total Cultures
2'-Fucosyllactose
Other (inactive) ingredients: Maltodextrin. These complete the product’s ingredient list but are not active constituents.
Grow + Thrive by Culturelle Kids Drug Interactions
HelloPharmacist Interaction Report
Culturelle Kids Grow + Thrive contains vitamin D and Bifidobacterium animalis subsp. lactis, both of which interact with medications.
Vitamin D is the primary concern: at high doses, it can raise blood calcium levels (hypercalcemia), which poses a Moderate risk with thiazide diuretics, certain heart rhythm medications (verapamil and diltiazem), digoxin, atorvastatin, calcipotriene, and aluminum-containing products. The most serious single interaction is with digoxin, where high-dose vitamin D–induced high blood calcium can trigger dangerous heart rhythm problems.
Read the full breakdown — every affected drug type, severity by severity
Vitamin D also carries a Moderate interaction with CYP3A4 substrates (a broad category of medications that includes many common drugs), as it may reduce their blood levels. Additionally, Bifidobacterium animalis subsp. lactis has a Moderate interaction with antibiotic drugs — the antibiotics can kill the live cultures in the probiotic, reducing its effectiveness.
We could not check Lactobacillus rhamnosus GG, Proprietary Blend Total Cultures, or 2'-Fucosyllactose for interactions — we hold no data for them. Altogether, these interactions span 880 individual medications.
Use the medication checker on this page to confirm whether any of your child's medications are affected before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Grow + Thrive?
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 Grow + Thrive interact with 879 drugs. Click any drug to see the details.
2 of the 5 ingredients in Grow + Thrive interact with drugs. Each result below shows which ingredient is responsible. Vitamin D Bifidobacterium animalis subsp. lactis (BB-12)
Alginic Acid, Aluminum HydroxideRafton
How Alginic Acid, Aluminum Hydroxide interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Alginic Acid, Aluminum Hydroxide interactionAluminum Acetate, Benzethonium ChlorideBuro-Sol Otic Solution
How Aluminum Acetate, Benzethonium Chloride interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum Acetate, Benzethonium Chloride interactionAluminum ChlorideAluminum Chloride, Anhydrol Forte, Driclor, Drysol
How Aluminum Chloride interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum Chloride interactionAluminum HydroxideAlu-Cap, Amphojel, Gaviscon
How Aluminum Hydroxide interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum Hydroxide interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAluminum Hydroxide, Magnesium Hydroxide (otc Drug)Maalox, Mucogel
How Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interactionAluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug)Mylanta
How Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interactionAluminum, CalciumDomeboro
How Aluminum, Calcium interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum, Calcium interactionAluminum, Magnesium (otc Drug)Almagel
How Aluminum, Magnesium (otc Drug) interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum, Magnesium (otc Drug) interactionAluminum, Magnesium Hydroxide (otc Drug)Wingel
How Aluminum, Magnesium Hydroxide (otc Drug) interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aluminum, Magnesium Hydroxide (otc Drug) interactionAmikacinAmikin, Arikayce
How Amikacin interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Amikacin interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Amiloride, Hydrochlorothiazide interactionAmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more
How Amoxicillin interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Amoxicillin interactionAmoxicillin VeterinaryBiomox
How Amoxicillin Veterinary interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + 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 Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Amoxicillin, Clavulanate Potassium interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Grow + Thrive — through 2 ingredients. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionVitamin DCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Amphotericin, Tetracycline interactionAmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin
How Ampicillin interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Ampicillin interactionAmpicillin, SulbactamUnasyn
How Ampicillin, Sulbactam interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Ampicillin, Sulbactam interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Atenolol, Chlorthalidone interactionAtorvastatinAtorvaliq
How Atorvastatin interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DCytochrome P450 3a4 (cyp3a4) Substrates, Atorvastatin (lipitor) Moderate
Interaction Summary
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAtorvastatin (lipitor), Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Vitamin D might reduce absorption of atorvastatin.
Read the full Vitamin D + Atorvastatin Calcium interactionAvibactam Sodium, CeftazidimeAvycaz
How Avibactam Sodium, Ceftazidime interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Avibactam Sodium, Ceftazidime interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Azilsartan, Chlorthalidone interactionAzithromycinAzasite, Zithromax, Zmax
How Azithromycin interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Azithromycin interactionAztreonamAzactam
How Aztreonam interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Aztreonam interactionBacampicillinPenglobe
How Bacampicillin interacts with Grow + Thrive — through 1 ingredient. Tap an ingredient for the detail:
Bifidobacterium Animalis Subsp. Lactis (bb-12)Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B.
Read the full Bifidobacterium Animalis Subsp. Lactis (bb-12) + Bacampicillin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Grow + Thrive 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.
Vitamin D
Aluminum
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
The protein that transports calcium across the intestinal wall can also bind and transport aluminum. This protein is stimulated by vitamin D, which may therefore increase aluminum absorption. This mechanism may contribute to increased aluminum levels and toxicity in people with renal failure, when they take vitamin D and aluminum-containing phosphate binders chronically.
Atorvastatin (Lipitor)
Vitamin D might reduce absorption of atorvastatin.
A small, low-quality clinical study shows that taking vitamin D reduces levels of atorvastatin and its active metabolites by up to 55%. However, while atorvastatin levels decreased, total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol levels did not substantially change. Atorvastatin is metabolized in the gut by CYP3A4 enzymes, and researchers theorized that vitamin D might induce CYP3A4, causing reduced levels of atorvastatin. However, this proposed mechanism was not specifically studied.
Calcipotriene (Dovonex)
Taking calcipotriene with vitamin D increases the risk for hypercalcemia.
Calcipotriene is a vitamin D analog used topically for psoriasis. It can be absorbed in sufficient amounts to cause systemic effects, including hypercalcemia. Theoretically, combining calcipotriene with vitamin D supplements might increase the risk of hypercalcemia.
Digoxin (Lanoxin)
Theoretically, hypercalcemia induced by high-dose vitamin D can increase the risk of arrhythmia from digoxin.
High doses of vitamin D can cause hypercalcemia. Hypercalcemia increases the risk of fatal cardiac arrhythmias with digoxin. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and digoxin concurrently.
Diltiazem (Cardizem, Others)
Theoretically, hypercalcemia induced by high-dose vitamin D can reduce the therapeutic effects of diltiazem for arrhythmia.
High doses of vitamin D can cause hypercalcemia. Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically this could also occur with diltiazem. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and diltiazem concurrently.
Thiazide Diuretics
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Thiazide diuretics decrease urinary calcium excretion, which could lead to hypercalcemia if vitamin D supplements are taken concurrently. This has been reported in people being treated with vitamin D for hypoparathyroidism, and also in elderly people with normal parathyroid function who were taking a thiazide, vitamin D, and calcium-containing antacids daily.
Verapamil (Calan, Others)
Hypercalcemia induced by high-dose vitamin D can reduce the therapeutic effects of verapamil for arrhythmia.
Hypercalcemia due to high doses of vitamin D can reduce the effectiveness of verapamil in atrial fibrillation. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and verapamil concurrently.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
There is some concern that vitamin D might induce CYP3A4. In vitro research suggests that vitamin D induces CYP3A4 transcription. Additionally, observational research has found that increased UV light exposure and serum vitamin D levels are associated with decreased serum levels of CYP3A4 substrates such as tacrolimus and sirolimus, while no association between UV light exposure or vitamin D levels and levels of mycophenolic acid, a non-CYP3A4 substrate, was found. A small, low-quality clinical study shows that taking vitamin D reduces levels of the CYP3A4 substrate atorvastatin and its active metabolites by up to 55%; however, the clinical effects of atorvastatin were not reduced. While researchers theorized that vitamin D might induce CYP3A4, this proposed mechanism was not specifically studied.
Bifidobacterium animalis subsp. lactis (BB-12)
Antibiotic Drugs
Theoretically, taking Bifidobacterium lactis with antibiotic drugs might decrease the effectiveness of B. lactis.
Since B. lactis 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. lactis preparations by at least 2 hours.
Brand information
Manufacturer and brand details for Grow + Thrive, from the product label.
Culturelle Kids
See all Culturelle Kids products- Name
- i-Health, Inc.
- Street Address
- 55 Sebethe Dr.
- City
- Cromwell
- State
- CT
- ZipCode
- 06416
- Phone Number
- 800-722-3476
- Web Address
- www.Culturelle.com
Grow + Thrive by Culturelle Kids: Common Questions
Does Grow + Thrive by Culturelle Kids interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
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Can my child take this while on antibiotics?
What does the vitamin D in this product do?
Can this powder cause stomach upset?
What is 2'-fucosyllactose?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Grow + Thrive 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 Grow + Thrive’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin D
Interacts with 715 drugsVitamin D is a fat-soluble vitamin that helps your body absorb calcium and is important for healthy bones, muscles, and immune function. Many people, especially those with low sun exposure,...
Read the full Vitamin D monograph → Herb & supplement monographBifidobacterium Animalis Subsp. Lactis
Interacts with 182 drugsBifidobacterium animalis subsp. lactis is a well-studied probiotic bacterium commonly added to supplements and yogurts to support digestion and gut health. It appears generally safe for most...
Read the full Bifidobacterium Animalis Subsp. Lactis monograph →Sources & How We Checked
Grow + Thrive'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 34 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.
Vitamin D 26 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Tatro DS, ed. Drug Interactions Facts. Facts and Comparisons Inc., St. Louis, MO. 1999.
- Koutkia P, Chen TC, Holick MF. Vitamin D intoxication associated with an over-the-counter supplement. N Engl J Med 2001;345:66-7. PubMed
- Bar-Or D, Yoel G. Calcium and calciferol antagonize effect of verapamil in atrial fibrillation. Br Med J 1981;282:1585-6.
- Demontis R, Leflon A, Fournier A, et al. 1 alpha(OH) vitamin D3 increases plasma aluminum in hemodialyzed patients taking AI(OH)3. Clin Nephrol 1986;26:146-9.
- Crowe M, Wollner L, Griffiths RA. Hypercalcemia following vitamin D and thiazide therapy in the elderly. Practitioner 1984;228:312-3.
- Parfitt AM. Thiazide-induced hypercalcemia in vitamin D-treated hypoparathyroidism. Ann Intern Med 1972;77:557-63. PubMed
- Thiazide diuretics and the risk of osteoporosis. Pharmacist's Letter/Prescriber's Letter 2003;19(11):191105.
- Moon J. The role of vitamin D in toxic metal absorption. J Am Coll Nutr 1994;13:559-64.
- Demontis R, Reissi D, Noel C, et al. Indirect clinical evidence that 1alphaOH vitamin D<SUB>3</SUB> increases the intestinal absorption of aluminum. Clin Nephrol 1989;31:123-7.
- Adler AJ, Berlyne GM. Duodenal aluminum absorption in the rat: effect of vitamin D. Am J Physiol 1985;249:G209-13. PubMed
- Schwartz JB. Effects of vitamin D supplementation in atorvastatin-treated patients: A new drug interaction with an unexpected consequence. Clin Pharmacol Ther 2009;85:198-203. PubMed
- Dietary reference intakes for calcium and vitamin D. Institute of Medicine, November 30, 2010. Available at: http://www.iom.edu/~/media/Files/Report%20Files/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D/Vitamin%20D%20and%20Calcium%202010%20Repo
- Cox KA, Dunn MA. Aluminum toxicity alters the regulation of calbindin-D28k protein and mRNA expression in chick intestine. J Nutr 2001;131:2007-13. PubMed
- Escribano, J., Balaguer, A., Pagone, F., Feliu, A., and Roque, I. Figuls. Pharmacological interventions for preventing complications in idiopathic hypercalciuria. Cochrane.Database.Syst.Rev. 2009;(1):CD004754. PubMed
- Carlton, S., Clopton, D., and Cappuzzo, K. A. Vitamin D deficiency: appropriate replenishment therapies and the effects of vitamin D toxicity. Consult Pharm 2010;25(3):171-177. PubMed
- Wang, H., Xia, N., Yang, Y., and Peng, D. Q. Influence of vitamin D supplementation on plasma lipid profiles: a meta-analysis of randomized controlled trials. Lipids Health Dis. 2012;11:42. PubMed
- Turner AN, Carr Reese P, Fields KS, Anderson J, Ervin M, Davis JA, Fichorova RN, Roberts MW, Klebanoff MA, Jackson RD. A blinded, randomized controlled trial of high-dose vitamin D supplementation to reduce recurrence of bacterial vaginosis. Am J Obstet G PubMed
- Weiner M, Epstein FH. Signs and symptoms of electrolyte disorders. Yale J Biol Med. 1970;43(2):76-109.
- Lappe J, Watson P, Travers-Gustafson D, Recker R, Garland C, Gorham E, Baggerly K, McDonnell SL. Effect of Vitamin D and Calcium Supplementation on Cancer Incidence in Older Women: A Randomized Clinical Trial. JAMA. 2017 Mar 28;317(12):1234-1243. PubMed
- Roth DE, Leung M, Mesfin E, Qamar H, Watterworth J, Papp E. Vitamin D supplementation during pregnancy: state of the evidence from a systematic review of randomised trials. BMJ. 2017;359:j5237. PubMed
- Murai IH, Fernandes AL, Sales LP, et al. Effect of a single high dose of vitamin D3 on hospital length of stay in patients with moderate to severe COVID-19: A randomized clinical trial. JAMA. 2021.
- Wang Z, Schuetz EG, Xu Y, Thummel KE. Interplay between vitamin D and the drug metabolizing enzyme CYP3A4. J Steroid Biochem Mol Biol 2013;136:54-8. PubMed
- Doyle D, Browne U, Brickley A, Murphy D. Vitamin D-induced hypercalcaemia and acute kidney injury in sarcoidosis. BMJ Case Rep 2023;16(1):e250580. PubMed
- Williamson A, Martineau AR, Sheikh A, Jolliffe D, Griffiths CJ. Vitamin D for the management of asthma. Cochrane Database Syst Rev 2023;2(2):CD011511. PubMed
- Kinesya E, Santoso D, Gde Arya N, et al. Vitamin D as adjuvant therapy for diabetic foot ulcers: Systematic review and meta-analysis approach. Clin Nutr ESPEN 2023;54:137-143. PubMed
Bifidobacterium Animalis Subsp. Lactis 8 references
- Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
- Phuapradit P, Varavithya W, Vathanophas K, et al. Reduction of rotavirus infection in children receiving bifidobacteria-supplemented formula. J Med Assoc Thai 1999;82:S43-8.
- 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
- 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
- Taipale TJ, Pienihäkkinen K, Isolauri E, Jokela JT, Söderling EM. Bifidobacterium animalis subsp. lactis BB-12 in reducing the risk of infections in early childhood. Pediatr Res. 2016;79(1-1):65-9. PubMed
- Amat-Bou M, Garcia-Ribera S, Climent E, et al. Effects of Bifidobacterium animalis Subsp. lactis (BPL1) supplementation in children and adolescents with prader-willi syndrome: A randomized crossover trial. Nutrients. 2020;12(10):3123. PubMed
- Mäkelä SM, Forssten SD, Kailajärvi M, et al. Effects of Bifidobacterium animalis ssp. lactis 420 on gastrointestinal inflammation induced by a nonsteroidal anti-inflammatory drug: A randomized, placebo-controlled, double-blind clinical trial. Br J Clin Ph
- Wildt S, Munck LK, Vinter-Jensen L, et al. Probiotic treatment of collagenous colitis: a randomized, double-blind, placebo-controlled trial with Lactobacillus acidophilus and Bifidobacterium animalis subsp. Lactis. Inflamm Bowel Dis 2006;12(5):395-401. PubMed
See these in context on the Bifidobacterium Animalis Subsp. Lactis 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