One more time...probiotic timing with Cephalexin?

[MMWG]

We are on preventative cephalexin 2 x day (1 tsp). We just had a suspected flare up so the doc doubled our dose for 10 days. We are about done with that but we have loose stools and now they are green. I have some high quality probiotics from the pharmacy, but I have been hesitant to give them because I can't remember how you are supposed to time them to make sure they don't interfere with the abx. My doc is not a believer in probiotics, so there's no point in asking him. I would like to work them into our regular routine, but particularly now because of the higher dosage. The kid has belly issues anyway--he is on miralax everyday. The miralax + probiotics seemed to be a bit much for him, so I have to do some tweaking...

 

What's the suggested timing?

[peglem]

We are on preventative cephalexin 2 x day (1 tsp). We just had a suspected flare up so the doc doubled our dose for 10 days. We are about done with that but we have loose stools and now they are green. I have some high quality probiotics from the pharmacy, but I have been hesitant to give them because I can't remember how you are supposed to time them to make sure they don't interfere with the abx. My doc is not a believer in probiotics, so there's no point in asking him. I would like to work them into our regular routine, but particularly now because of the higher dosage. The kid has belly issues anyway--he is on miralax everyday. The miralax + probiotics seemed to be a bit much for him, so I have to do some tweaking...

 

What's the suggested timing?

If you use S.Boulardii (Floraster) you can give it at the same time as the abx, because its a yeast so not killed by abx. For the bacterial probios (lacto, biff,etc.) give about 2 hours after abx dose-so there's time for the abx to be absorbed 1st.