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Grazia (Anonymous, 213.108.118.) Warszawa 5 days ago

Which probiotic to take with Pylera and Fluconazole?
9.99 zł

Good morning
I have the fungus candide albicans I am taking Fluconazole. As if that wasn't enough, it turned out that I have helicobacter pylori bacteria, from tomorrow I also have to take PYLERA 4 times a day I am asking for advice on what would be the best probiotic in my case and when should I take it at what time Thank you and best regards

8 answers, 1 subscriber

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Rosinchen  (Anonymous, 2003:cf:7728:aa00::) 1 day ago

Hello, I can't say anything about the combination of fluconazole and pylera, but I would take the fluconazole first and then pylera if you want / need to eradicate the Heliobacter. I didn't have any side effects while taking Pylera, the hammer came after 10 days. I already took probiotics with the bacterial strains recommended here during the Pylera therapy, but after 10 days after stopping taking it, I got such bad abdominal cramps and diarrhea that I had to see a doctor. He examined blood and stool, but found nothing. Diarrhea is better but still mixed with a lot of mucus, I still have colicky abdominal pain. I've been eating only gruel, mashed potatoes with water and rusks for 3 weeks, nothing else is possible. I have already spent a lot of money on probiotics, but the condition is poor. Until I took Pylera, I was a healthy person, a wreck at the moment. I wouldn't take Pylera again.

Grazia (Anonymous, 213.108.118.) 5 days ago

Thank you very much and best regards 😊

Klaudia Ćwiąkała Pharmacist, Editor

5 days ago

Yes, you can take Asecurin. However, it is advisable to keep an interval of at least 2 hours from Pylera.

Grazia (Anonymous, 213.108.118.) 5 days ago

I'm sorry, just one more question, can I take 2 probiotics in my case: enterol and abeurin
Thank you

Klaudia Ćwiąkała Pharmacist, Editor

5 days ago

There are no scientific studies that would indicate significant interactions between drugs with fluconazole and probiotics with Saccharomyces boulardi. Saccharomyces boulardii is a species of yeast that is resistant to many antifungal drugs, including fluconazole. Fluconazole mainly acts on other types of fungi such as Candida, so it does not interfere with the action of Saccharomyces boulardii in the gastrointestinal tract.

Therefore, you can take Enterol during your Fluconazole treatment.

Grazia (Anonymous, 213.108.118.) 5 days ago

I understand that I can
Thank you

Grazia (Anonymous, 213.108.118.) 5 days ago

Hello, can you use Enterol with Fluconazole, I read on the internet that you can't.
Thank you and best regards

Klaudia Ćwiąkała Pharmacist, Editor

5 days ago

A good choice during treatment with Pylera will be a probiotic containing Saccharomyces boulardii yeast. They are resistant to the destructive effects of the antibiotic, so they can be used independently of the drug (without keeping intervals). In addition, some studies suggest that the use of Saccharomyces boulardii may increase the efficiency of eradication of Helicobacter pylori bacteria. They also have well-documented efficacy in preventing and treating antibiotic-induced diarrhea, which is a common side effect of Pylera treatment.

When choosing a probiotic, it is worth choosing a product with the status of a drug, because then the clinical effectiveness and quality is confirmed by appropriate tests. Medicines containing Saccharomyces boulardii include Enterol and Lakcid Entero:

https://www.gdziepolek.pl/produkty/27293/enterol-250-kapsulki/apteki

https://www.gdziepolek.pl/produkty/117524/lakcid-entero-kapsulki/apteki

You can also consider buying a probiotic in the form of a dietary supplement that contains Saccharomyces boulardii in combination with strains of Lactobacillus reuteri bacteria and is indicated specifically as a complement to the eradication of Helicobacter pylori, e.g. HelicoGastrin:

https://www.gdziepolek.pl/produkty/112638/helicogastrin-kapsulki/apteki

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