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 SensitiveModerate evidence
What is happening. Penicillin V Potassium 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 Penicillin V Potassium 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. JAMA. 2012.Needs sourceNo link