Supplement × Prescription·timing-sensitive·Moderate evidence

Dicloxacillin + Probiotics

Timing Sensitive Moderate evidence

Dicloxacillin can suppress or kill bacterial probiotic organisms if taken at the same time, although selected probiotics may lower antibiotic-associated diarrhea risk.

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Pair type
Timing Sensitive
Evidence
Moderate
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveModerate evidence

What is happening. Dicloxacillin can suppress or kill bacterial probiotic organisms if taken at the same time, although selected probiotics may lower antibiotic-associated diarrhea risk.

Mechanism. Antibacterial exposure can reduce viable probiotic colony counts; the benefit is prevention of dysbiosis, not increased antibiotic efficacy.

Recommendation. Separate probiotic doses from the antibiotic by at least 2 hours when feasible; avoid probiotic use in severely immunocompromised patients or patients with central lines unless clinician-directed.

Stack Score

How it moves the number.

Effect on the composite score

If both Dicloxacillin and Probiotics are in the same stack, this pair applies −5 to your Stack Score (per scored timing-sensitive row).

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

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Hempel S et al. Probiotics for the prevention and treatment of antibiotic-associated diarrhea. JAMA. 2012.Needs sourceNo link

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