Interactions on record — worth a quick check against your medications. Based on 1 of 4 ingredients. Check your meds →
Dietary supplement

Ultimate Friendly Flora 25 Billion CFU Ingredients & Drug Interactions

by ProCaps

Ultimate Friendly Flora 25 Billion CFU label
See full label image
Capsule Category: Non-nutrient/non-botanical
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 Ultimate Friendly Flora 25 Billion CFU 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

Ultimate Friendly Flora 25 Billion CFU is a dietary supplement by ProCaps with 4 active ingredients. Its ingredients are commonly taken for digestive health and balance, diarrhea (including antibiotic-related), vaginal yeast and bacterial infections.Based on those ingredients, 182 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Lactobacillus acidophilus (La-14). Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Ultimate Friendly Flora 25 Billion CFU by ProCaps

Ask about any prescription or over-the-counter medication and we check it for interactions with Ultimate Friendly Flora 25 Billion CFU by ProCaps — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Ultimate Friendly Flora 25 Billion CFU by ProCaps

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 11, 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 0 of its 4 active ingredients.
  • “Total CFU” is listed as a grouped ingredient — the label doesn't break down how much of each component you get.

This product contains four active probiotic ingredients: Lactobacillus paracasei (UALpc-04), Lactobacillus acidophilus (La-14), Lactobacillus plantarum (Lp-115), and Bifidobacterium lactis (HN019/BL-04). Together they deliver 25 billion colony-forming units (CFU) per capsule — the live bacteria that make probiotics work.

The inactive ingredients are plant cellulose, vegetarian capsule material, microcrystalline cellulose, silicon dioxide, and magnesium stearate.

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
Moderate

Some clinical evidence supports this product's ingredients for its stated purpose, but it isn't conclusive.

Why this rating?
  • The label markets this product for: Digestive health with beneficial probiotic strains.
  • We looked for evidence on: Antibiotic-associated diarrhea, Bacterial vaginosis, Clostridioides difficile infection, Colic, Constipation, Helicobacter pylori — and 4 related terms.
  • The strongest evidence on file: Lactobacillus Acidophilus is rated "Possibly Effective" for Antibiotic-associated diarrhea (Natural Medicines).
  • Also on file: Lactobacillus Acidophilus is rated "Possibly Effective" for Bacterial vaginosis, Helicobacter pylori, Irritable bowel syndrome (IBS).
  • Also on file: Lactobacillus Acidophilus is rated "Insufficient Reliable Evidence To Rate" for Constipation, Inflammatory bowel disease (IBD), Lactose intolerance.

The evidence for Lactobacillus acidophilus, one of the four strains here, shows it's possibly effective for irritable bowel syndrome (IBS), possibly effective for Helicobacter pylori infection, possibly effective for antibiotic-associated diarrhea, and possibly effective for bacterial vaginosis. For atopic disease (allergic conditions), the evidence rates it as possibly ineffective.

For acute respiratory distress syndrome (ARDS), there isn't enough reliable evidence to say either way. We don't have effectiveness ratings on file for the other three probiotic strains in this product.

The evidence, ingredient by ingredient 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 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Lactobacillus acidophilus is generally well tolerated in healthy adults and children. Since this product contains live, active microorganisms, there's a theoretical concern that in rare cases they might cause infection in people with certain health conditions — though most documented cases appear linked to bacteria from other parts of the body, not the probiotic itself.

When taking Lactobacillus acidophilus with other probiotics, a small number of people reported mild gastrointestinal side effects like stomach discomfort, bloating, gas, or diarrhea, but these are uncommon. In one trial, a rash and itching were reported, though it wasn't clear whether they came from the L. acidophilus or another factor.

Check with your doctor before use, especially if you have a weakened immune system or serious underlying illness.

Side effects, ingredient by ingredient 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?
  • 1 of the 1 matched ingredient can interact with medications — Lactobacillus Acidophilus.
  • The most serious interaction on file is rated Moderate.
  • For scale: 182 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.

The main thing to watch is antibiotic drugs. Taking them at the same time as this product may reduce how well the probiotic works, so separate them by a few hours.

We couldn't check three of the four probiotic strains in this product for interactions, so there may be others — run your medications through the search tool before you start.

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 for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

This four-strain probiotic may be worth trying if you're managing IBS, have had antibiotic-related diarrhea, or are dealing with bacterial vaginosis — though the evidence is "possibly effective," not proven. If you're on antibiotics right now, space them out from this product.

Talk to your pharmacist before you start, especially if your immune system is compromised.

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

Assessment coverage: 1 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 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

At a glance

General information

Key facts about Ultimate Friendly Flora 25 Billion CFU, straight from the product label.

Brand ProCaps
Barcode (UPC) 688510
Net contents 180 Easy-To-Swallow Capsule(s)
Market status On market
Date entered into DSLD Nov 22, 2022
DSLD ID 275290
Product type Non-nutrient/non-botanical
Supplement form Capsule
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years)
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 Ultimate Friendly Flora 25 Billion CFU by ProCaps, 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:
1 Capsule(s)
Maximum serving Sizes:
1 Capsule(s)
Servings per container
180
UPC/BARCODE
688510
IngredientAmount% DV
Lactobacillus paracasei UALpc-040 NP--
Lactobacillus acidophilus (La-14)0 NP--
Lactobacillus plantarum (Lp-115)0 NP--
Total CFU0 NP--
Bifidobacterium lactis (HN019/BL-04)0 NP--

Other ingredients: natural Plant Cellulose, Vegetarian Capsule, Microcrystalline Cellulose, Silicon Dioxide, Magnesium Stearate

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 Consume one or more capsules daily or as recommended by your physician. As with any dietary supplement, this product is most effective as part of a healthy diet and active lifestyle. For questions about the use of this product call 800-332-7799.

General Statements

For over 40 years Unsurpassed purity, quality and efficacy 100% Solar production Zero carbon footprint Andrew Lessman, Founder Questions? Reorders? 800.800.1200 HSN www.HSN.com 800.944.9999 Q www.QVC.com 800.345.1515

Formula

Comprehensive probiotic complex Five beneficial probiotic strains

Andrew Lessman's Ultimate Friendly Flora Probiotic is a comprehensive blend of five established, beneficial probiotic strains, delivering an exceptional 25 Billion Colony Forming Units (CFU) per capsule. Probiotic means “for life” and probiotic-rich foods have been consumed for thousands of years. However, our diet is no longer rich in microflora with yogurt remaining one of its only sources, which typically contains unwanted calories and sugar and only provides unreliable levels of a single strain of microflora. There are trillions of beneficial microorganisms (microflora) in our body and their healthy balance is essential to the health of our digestive and immune systems. Our Ultimate Friendly Flora Probiotic is designed to enhance the balance of these microorganisms in our digestive, immune, urinary and genital systems. It is well established that the microflora in our GI (gastrointestinal) tract play a vital role in promoting healthy digestion, including nutrient absorption and regularity. Maintaining a proper balance of our microflora is also essential to healthy immune system function. The delicate balance of microflora is easily upset by stress, poor diet, digestive issues and aging. This fragile balance is further disrupted by medications that affect the digestive system and its pH balance, such as antacids or antibiotics, which can entirely wipe out our microflora. Ultimate Friendly Flora Probiotic provides 25 Billion Colony Forming Units per capsule of five carefully selected varieties of established, beneficial microflora to ensure the essential benefits of these remarkably healthy “friends.”

FDA Statement of Identity

Dietary Supplement

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.

Formulation

Contains no common allergens

Storage

Note This product should be stored in a cool, dry place and kept away from sources of heat or humidity. It does not require refrigeration.

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

See for yourself

Ultimate Friendly Flora 25 Billion CFU by ProCaps label

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

Ultimate Friendly Flora 25 Billion CFU 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 Ultimate Friendly Flora 25 Billion CFU by ProCaps

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 container180 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.

Total CFU

0 NP per serving

Other (inactive) ingredients: Natural Plant Cellulose, Vegetarian Capsule, Microcrystalline Cellulose, Silicon Dioxide, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.

Interaction report

Ultimate Friendly Flora 25 Billion CFU by ProCaps Drug Interactions

Want to check YOUR meds against Ultimate Friendly Flora 25 Billion CFU?

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
182Drugs
182 Moderate

Ingredients driving the most interactions

Lactobacillus acidophilus (La-14) 182

Individual Drug Interactions

The ingredients in Ultimate Friendly Flora 25 Billion CFU interact with 182 drugs. Click any drug to see the details.

1 of the 4 ingredients in Ultimate Friendly Flora 25 Billion CFU interact with drugs. Each result below shows which ingredient is responsible. Lactobacillus acidophilus (La-14)

Each ingredient & the kinds of drugs it affects

For each ingredient in Ultimate Friendly Flora 25 Billion CFU with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

Lactobacillus acidophilus (La-14)1 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 (La-14) full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Ultimate Friendly Flora 25 Billion CFU, from the product label.

ProCaps

See all ProCaps products
Name
ProCaps Labs
City
Henderson
State
NV
ZipCode
89011
Phone Number
800.800.1200
Web Address
www.ProCapsLabs.com
Pharmacist Counseling Corner

Ultimate Friendly Flora 25 Billion CFU by ProCaps: Common Questions

Does Ultimate Friendly Flora 25 Billion CFU by ProCaps interact with any medications?
Yes. Based on its ingredients, Ultimate Friendly Flora 25 Billion CFU has a known interaction with 182 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Ultimate Friendly Flora 25 Billion CFU contains 4 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 while I'm on an antibiotic?
You can take both, but not at the same time. Antibiotics kill the live bacteria in probiotics, so space them apart by a few hours — your pharmacist can suggest a schedule that fits your antibiotic timing.
Does this probiotic actually work for IBS or diarrhea?
For IBS and antibiotic-related diarrhea, the evidence says Lactobacillus acidophilus (one of the four strains here) is possibly effective. That means there's some promise, but it's not a guaranteed fix — results vary from person to person.
What side effects might I get?
Most people tolerate it well. Some people on probiotics experience mild stomach discomfort, gas, or bloating — usually short-lived. In one trial, a couple of people reported a rash, though it's unclear what caused it. Call us if you develop anything that worries you.
Is it safe during pregnancy or breastfeeding?
We don't have pregnancy or breastfeeding safety data on file for these specific strains. Talk to your OB or midwife before starting — they know your health picture best.
What are all those other ingredients in the capsule?
The inactive ingredients — plant cellulose, microcrystalline cellulose, silicon dioxide, and magnesium stearate — are fillers and binders that hold the capsule together. The vegetarian capsule itself is the shell.

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

Not sure if Ultimate Friendly Flora 25 Billion CFU 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.

Ultimate Friendly Flora 25 Billion CFU label
Go deeper

The Full Monographs Behind Ultimate Friendly Flora 25 Billion CFU’s Ingredients

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

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

Ultimate Friendly Flora 25 Billion CFU'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 15 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
  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
  4. 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
  5. 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
  6. 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.
  7. 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
  8. 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
  9. 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.
  10. 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
  11. Ozer M, Goksu SY, Shahverdiani A, Mustafa M. Lactobacillus acidophilus-induced endocarditis and associated splenic abscess. Case Rep Infect Dis 2020;2020:1382709.
  12. 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
  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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