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Saccharomyces boulardii CNCM I-745

Gut health · Antibiotic-associated diarrhoea · C. diff prevention
Tier 1 — Strong Evidence

What it is

A specific strain of the probiotic yeast S. boulardii with the strongest evidence for preventing antibiotic-associated diarrhoea and C. difficile recurrence. Cochrane reviews confirm it reduces AAD risk by approximately 50%. Uniquely resistant to antibiotics since it is a yeast, not a bacterium, so it can be taken simultaneously with antibiotics. Very safe in immunocompetent individuals.

Efficacy
4/5
Safety
5/5
Research
4/5
Onset
4/5
Cost
4/5
Drug-int.
5/5

Dose

250–500 mg twice daily during antibiotic course and 1 week after; proven for AAD and C. diff prevention

Time of day & tips

Take at the same time as antibiotics — unlike bacterial probiotics, this yeast is not killed by antibiotics. Continue for 1 week after finishing the antibiotic course. Avoid in immunocompromised patients with central venous catheters.

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