Interaction databaseSupplement × PrescriptionReviewed May 2026

Ceftriaxone and Probiotics, a synergy.

Probiotic supplementation during ceftriaxone therapy reduces antibiotic-associated diarrhea and helps preserve gut microbiome diversity. This is particularly relevant because IV ceftriaxone is excreted in bile and disrupts colonic flora significantly.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Ceftriaxone and Probiotics
Pair type
Synergy
Evidence (highest tier)
Strong
Source citations
2 sources
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Synergy · Strong evidence

Synergy

What is happening. Probiotic supplementation during ceftriaxone therapy reduces antibiotic-associated diarrhea and helps preserve gut microbiome diversity. This is particularly relevant because IV ceftriaxone is excreted in bile and disrupts colonic flora significantly.

Mechanism. Probiotics restore colonization resistance disrupted by ceftriaxone's biliary excretion into the colon, competing with opportunistic pathogens including C. difficile for nutrients and binding sites.

Recommendation. Take probiotics throughout your ceftriaxone course. Continue for at least 1 week after the antibiotic ends.

Sources (2)
  1. Doar NW, Samuthiram SD. Qualitative Analysis of the Efficacy of Probiotic Strains in the Prevention of Antibiotic-Associated Diarrhea. Cureus. 2023;15(6):e40261. PMID 37440799
  2. McFarland LV. Probiotics for the Primary and Secondary Prevention of C. difficile Infections: A Meta-analysis and Systematic Review. Antibiotics (Basel). 2015;4(2):160-78. PMID 27025619

Stack Score

How this pair moves the number.

Effect on the composite score

If both Ceftriaxone and Probiotics are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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