Saccharomyces boulardii is a probiotic yeast. Unlike most probiotics it is not a bacterium, so antibiotics do not affect it – which is why it can be taken at the same time as antibiotic treatment.
This category is part of Probiotics for adults, children and babies. It is most often chosen during and after antibiotics, when travelling and when the diet changes.
Forms and strengths
| Form |
Suitable for |
Examples in our range |
| Capsules 250 mg |
Adults and children who can swallow a capsule |
Bulacol 250 mg, EsenBak S. boulardii, Flonivin Boulardii, PharmaS Floriotic Boulardii |
| Capsules 500 mg and forte |
Adults, when a higher single dose is needed |
Bulacol 500 mg, EsenBak S. boulardii Forte, BoulardiMax |
| Combinations |
S. boulardii with vitamin D3, a prebiotic or other ingredients |
Medico Domus S. boulardii + D3, Kaltex S. boulardii + Prebiotic, FloraBalance Boulardii |
| Sachets with rehydration salts |
When fluid replacement also matters during diarrhoea |
Rehidromiks Boulardii |
| Larger pack |
For longer use |
NOW Saccharomyces Boulardii 60 capsules |
How to take S. boulardii
- With antibiotics, start on the same day and continue for a few days after treatment, as directed
- Do not mix the capsule or sachet contents with hot drinks – heat destroys the yeast
- For small children the capsule can be opened and mixed with cold food or drink, if the leaflet allows it
- With diarrhoea, replacing fluids is just as important – see Electrolytes and oral rehydration
When to see a doctor
- blood or mucus in the stool, high fever or severe abdominal pain
- signs of dehydration – dry mouth, passing little urine, drowsiness; in babies and young children immediately
- diarrhoea lasting longer than two to three days, or severe diarrhoea starting after antibiotics
- people with severely weakened immunity or a central venous catheter should not take S. boulardii without medical advice
Pharmacist’s advice
S. boulardii and bacterial probiotics can be combined, as they play different roles. If you take an antifungal medicine (e.g. fluconazole), it also acts on the yeast – ask a pharmacist for advice.
Check the leaflet before use: the dose and the minimum age differ from product to product.
Ljubica Barbulović, Master of Pharmacy
|
See also
Frequently asked questions
How do I take S. boulardii with antibiotics?
Start on the same day as the antibiotic; it can even be taken at the same time, as antibiotics do not act on yeast.
Can children take S. boulardii?
There are products for children too – check age and dose in the leaflet or with a pharmacist.
What is the difference between 250 and 500 mg?
The amount of yeast per capsule; the daily dose depends on the manufacturer’s recommendation.
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