Can You Take Pepcid and a Probiotic at the Same Time

Closeup of a young woman dropping an effervescent antacid in a glass of water. young woman hardly put a soluble pill with a medicine for pain or a hangover in a glass of water

It'south OK to accept prescribed amounts of OTC antacids and probiotics at the same time.

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Probiotics and antacids both work in your gut. Antacids can help ameliorate some digestion issues, whereas adding probiotics to your diet in the form of food or supplements is often recommended for gut health. So tin can you lot actually take probiotics and antacids together? Hither's what yous need to know.

A Probiotics Primer

Yogurt and other fermented foods similar kefir and pickles are rich in probiotics, but you lot can also buy supplements made of the expert leaner and yeast that naturally alive in our bodies, according to the Cleveland Clinic. These probiotics are part of a larger universe of live organisms called the microbiome — a mix of good and bad bacteria, fungi, viruses and protozoa that are constantly working to keep and restore the correct rest.

Although research about the bodily efficacy of probiotics is withal ongoing, people take supplementary probiotics for a number of conditions, per Cleveland Clinic. These include diarrhea and constipation, inflammatory bowel illness (IBD), irritable bowel syndrome (IBS), small intestinal bacterial overgrowth (SIBO) and yeast and urinary tract infections.

The near common leaner types y'all'll see listed on probiotics labels are ​Lactobacillus​ and ​Bifidobacterium​, Cleveland Clinic notes, Another common ingredient, good yeast, is oftentimes plant in probiotics in the class of ​Saccharomyces boulardii​.

In addition to the type of bacteria or yeast they contain, probiotics are also categorized past colony forming units (CFU). According to the Office of Dietary Supplements, the CFU numbers indicate the number of viable cells per dosage.

Joan Weichun Chen, MD, a gastroenterologist, acid reflux specialist and assistant professor at the University of Michigan in Ann Arbor, doesn't recommend specific probiotic brands to her patients but says if a patient is interested in trying a probiotic, she recommends looking at the CFU and choosing 1 with a higher number first.

What Almost Antacids?

Antacids work in your gut in a completely unlike mode from probiotics. According to the University of Michigan, antacids for mild to occasional heartburn work past neutralizing stomach acid.

Some antacids also have a foaming amanuensis that floats on elevation of stomach contents. When this happens, acid from the stomach causes less damage when a person has reflux — the human activity of acid from the tummy going back upward through the esophagus, the tube that connects the oral cavity and stomach.

Do Antacids Impact Probiotics?

"Probiotics and antacids take dissimilar principal targets," Dr. Chen says. While antacids work to slightly drag the pH in the stomach, probiotics act primarily by renewing and enhancing skilful bacteria in the minor intestine, the office of the digestive system that comes directly afterwards the tummy.

According to Dr. Chen, probiotic supplements are oft coated with a material that allows them to survive the stomach's acidity every bit they travel along the digestive system. Some take a delayed-release conception so that their contents are dispersed afterward they clear those breadbasket acids. She adds that the ii over-the-counter products have limited interaction, so information technology's fine to take them at the same fourth dimension, as long equally you have them in prescribed amounts.

Probiotics and PPIs Together

People who don't get relief from antacids may plow to a stronger class of anti-reflux medication called PPIs, or proton pump inhibitors. They work past decreasing the amount of acid in the breadbasket, according to the U.S. Food & Drug Assistants. Over-the-counter PPIs tin can be used for frequent heartburn in 14-day courses of handling. Prescription PPIs may exist used to care for more serious conditions like gastroesophageal reflux disease (GERD), ulcers and inflammation of the esophagus over the course of many weeks.

If yous're taking a PPI, you should always talk to your doctor before adding probiotics or whatsoever other supplement or medication to the mix, Dr. Chen says.

However, probiotics have the potential to play a helpful role if your PPI causes side effects. According to results of a pilot written report of 36 patients published in Feb 2022 in the journal ​Scientific Reports​, probiotics, along with prebiotics, actually improved PPI side effects similar bloating, gas and belly pain — another reason to talk to your doctor about whether and when probiotics brand sense for you.

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Source: https://www.livestrong.com/article/465193-probiotics-antacids/

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