From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Pair type
Timing Sensitive
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveEmerging evidence
What is happening. Minocycline is a broad-spectrum antibiotic that can kill the live bacterial cultures in probiotic supplements taken at the same time, reducing the viability and intended benefit of the probiotic.
Mechanism. Minocycline exerts bacteriostatic and bactericidal activity against a broad range of organisms, including many probiotic Lactobacillus and Bifidobacterium strains, reducing the number of viable cells delivered if co-ingested.
Recommendation. Take probiotic supplements at least 2 hours apart from minocycline doses to maximize the survival of probiotic organisms. Probiotics may help reduce antibiotic-associated gastrointestinal upset during the course.
TimingTiming & separation.
Space the doses apart by at least this window to avoid the conflict.
Stack Score
How it moves the number.
Effect on the composite score
If both Minocycline 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.
SourcesSources, 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: a systematic review and meta-analysis. JAMA. 2012.Needs sourceNo link