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Safety regarding probiotics during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
Doctor :   Hi Dr HERE
User :   I'm in the 31st week of my pregnancy and recently took a probiotic (one capsule) to counter a yeast infection. It contains a bacterial culture with 13 billion organisms, including Lactobacillus rhamnosus, L. casel, L. acidophilus, L. plantarum, L. bulgaricus, L. salivarius, Enterococcus faecium, Streptococcus thermophilus, Bifidobacterium longum, and B. breve. In addition to this, it contains 300 mg of Fructo-oligosaaccharides. I'm especially concerned about E. faecium, which I head could cause neonatal meningitis. Do these probiotics cross the placenta???
Doctor :   let me readur query
Doctor :   no
Doctor :   they do not cross the placenta
User :   So, the probiotics stay in my intestines and do not enter my bloodstream?
Doctor :   no thye do not
Doctor :   they do not enter the blood stream
User :   Do you know why a probiotic would contain a dangerous, antibiotic-resistant bacteria like E. Faecium?
Doctor :   E facium is a common bacteria and usually present in the feces as the name suggests
User :   Should I be concerned about any of the other bacteria in the probiotic?
Doctor :   no not at all
Doctor :   they are not pathogenic at all
User :   That's a relief! I've heard there are studies that promote probiotic use during pregnancy, and that they can be effective in treating baby colic, etc.
Doctor :   yes they are effective
User :   Last week, I was given a round of antibiotics and felt a yeast infection coming on, and so I took the probiotic. I guess this was okay, but perhaps I should have taken Monistat instead...?
Doctor :   yes thats fine
Doctor :   but if u have persistant yeast infection then u can take monitstat
User :   Which do you think is better for a yeast infection during pregnancy -- Monistat or acidophilus supplements?
Doctor :   usually probiotics are better
Doctor :   and antifungal agents are used for resistant cases
User :   Monistat is a class C drug, and so I was hesitant to use it.
Doctor :   monistat used as a pesary, is not that dangerous and can be used effectively
User :   Monistat also comes in various forms...metronidazole, mioaconazole, and tioconazole. Which of those is safest during pregnancy?
Doctor :   monistat comes as a package with different medicaitons in differaent formats
User :   Which is safest?
Doctor :   most pessaries are safe
Doctor :   and most have the only differance in absorption and time of action
User :   Would the probiotic I took have been dangerous in a larger dose?
Doctor :   no
User :   Thanks for your help! It's a relief to know that everything is okay!
Doctor :   probiotics are safe and even if u take a larger dose it will not have any major effects
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