Supplement × Prescription·timing-sensitive·Moderate evidence

Penicillin V Potassium + Probiotics

Timing Sensitive Moderate evidence

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.

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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. 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.

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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