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Interactions between Fluconazole and Saccharomyces boulardii lyo

1 drug interaction and 9 additional warnings found for the following 2 drugs:

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Drug interactions

Minor drug interactions

Minor:

fluconazole saccharomyces boulardii lyo

Applies to: fluconazole and saccharomyces boulardii lyo

Theoretically, antifungal agents may reduce the efficacy of brewer's yeast or Saccharomyces boulardii due to suppression of yeast activity. However, no data are available regarding any clinically significant interaction.

References (2)
  1. Brinckmann J, Blumenthal M, eds., Goldberg A (2000) "Herbal Medicine: Expanded Commission E Monographs." Newton, MA: Integrative Medicine Communications
  2. Agencia Española de Medicamentos y Productos Sanitarios Healthcare (2008) Centro de información online de medicamentos de la AEMPS - CIMA. https://cima.aemps.es/cima/publico/home.html

Food/lifestyle interactions

No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

Disease interactions

9 potential interactions Applies to: 8 conditions, including Arrhythmia, Hemodialysis, Liver Disease, Immunodeficiency, and Organ Transplant.

Arrhythmia

Moderate:

fluconazole

Fluconazole has a moderate potential interaction with Arrhythmia.

Some azole antifungals have been associated with prolongation of the QT interval on the ECG. Rare cases of QT prolongation and torsade de pointes have been reported during postmarketing experience; such reports usually involved seriously ill patients with multiple confounding risk factors, such as structural heart disease, electrolyte abnormalities, and concomitant medications. These drugs should be administered with caution to patients with potentially proarrhythmic conditions, such as congenital/acquired QT prolongation, cardiomyopathy (especially when heart failure is present), sinus bradycardia, and existing symptomatic arrhythmias. Concomitant use with other medications that have potential to increase the risk of cardiotoxicity should be avoided.

Bone Marrow Depression/Low Blood Counts

Major:

saccharomyces boulardii lyo

Saccharomyces boulardii lyo has a major potential interaction with Bone Marrow Depression/Low Blood Counts.

Saccharomyces boulardii lyo probiotics should not be used in pre- or post- organ or bone marrow transplant patients and other patients considered severely immunocompromised or critically ill.

Bone Marrow Transplantation

Major:

saccharomyces boulardii lyo

Saccharomyces boulardii lyo has a major potential interaction with Bone Marrow Transplantation.

Saccharomyces boulardii lyo probiotics should not be used in pre- or post- organ or bone marrow transplant patients and other patients considered severely immunocompromised or critically ill.

Hemodialysis

Moderate:

fluconazole

Fluconazole has a moderate potential interaction with Hemodialysis.

Fluconazole is substantially removed by hemodialysis. Plasma levels of fluconazole has been shown to reduce by 50% following 3 hours of dialysis. Fluconazole should be administered after hemodialysis.

Immunodeficiency

Major:

saccharomyces boulardii lyo

Saccharomyces boulardii lyo has a major potential interaction with Immunodeficiency.

Saccharomyces boulardii lyo probiotics should not be used in pre- or post- organ or bone marrow transplant patients and other patients considered severely immunocompromised or critically ill.

Moderate:

saccharomyces boulardii lyo

Saccharomyces boulardii lyo has a moderate potential interaction with Immunodeficiency.

Probiotics, especially those containing lactobacillus, should be used with caution in immunosuppressed patients.

Liver Disease

Major:

fluconazole

Fluconazole has a major potential interaction with Liver Disease.

The use of fluconazole has been rarely associated with hepatotoxicity. Reversible idiosyncratic hepatitis, cholestasis and fatal fulminant hepatic failure have been reported, the latter occurring primarily in patients with serious underlying medical conditions and taking multiple concomitant medications. Liver function tests should be performed periodically in patients with preexisting hepatic abnormalities, particularly during prolonged therapy. Treatment should be withdrawn if persistent elevations or worsening of liver enzyme levels occur.

Organ Transplant

Major:

saccharomyces boulardii lyo

Saccharomyces boulardii lyo has a major potential interaction with Organ Transplant.

Saccharomyces boulardii lyo probiotics should not be used in pre- or post- organ or bone marrow transplant patients and other patients considered severely immunocompromised or critically ill.

Renal Dysfunction

Moderate:

fluconazole

Fluconazole has a moderate potential interaction with Renal Dysfunction.

Fluconazole is primarily eliminated by the kidney. Patients with renal impairment may be at greater risk for adverse effects from fluconazole due to decreased drug clearance. Dosage adjustments are recommended for patients with moderate to severe renal impairment (CrCl <= 50 mL/min) receiving multiple doses of the drug.

More resources

fluconazole

A total of 611 drugs are known to interact with fluconazole.

saccharomyces boulardii lyo

A total of 308 drugs are known to interact with saccharomyces boulardii lyo.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.