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. Tetracycline is a broad-spectrum antibiotic that can kill the live bacteria in probiotic supplements taken at the same time, reducing the viability and intended benefit of the probiotic. Probiotics are commonly used to mitigate antibiotic-associated gastrointestinal upset.
Mechanism. Tetracycline exerts bacteriostatic activity by inhibiting bacterial protein synthesis; taken concurrently it suppresses the live probiotic organisms before they reach and colonize the gut.
Recommendation. Separate the probiotic from the antibiotic dose by at least 2 hours to preserve probiotic viability. Continuing a probiotic during and after the antibiotic course may help reduce antibiotic-associated diarrhea.
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 Probiotics and Tetracycline 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