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Lactobacillus plantarum per Irritable Bowel Syndrome (IBS)

B Evidenze Almeno un trial randomizzato lo supporta, con risultati per lo più coerenti.

Reduces abdominal pain and bloating in IBS. Multiple RCTs show significant improvement in global IBS symptom scores. Strain-specific evidence for 299v is relatively strong.

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B

In sintesi

Reduces abdominal pain and bloating in IBS. Multiple RCTs show significant improvement in global IBS symptom scores. Strain-specific evidence for 299v is relatively strong.

Key Study Findings

Meta-Analysis n=3154
Comparative effectiveness and safety of probiotics with psychotropic potential in mental health benefits in irritable …
Dose: None vs: placebo Outcome: quality of life, depression, and anxiety in IBS … Effetto: SUCRA=89.7% (B. longum for QoL); SUCRA=95.6% (probiotic combo for depression) None

Popolazione: patients with irritable bowel syndrome

Meta-Analysis
Strain-Specific Systematic Review with Meta-Analysis of Probiotics Efficacy in the Treatment of Irritable Bowel Syndrome.
Dose: None vs: placebo Outcome: improvement in key IBS symptoms Effetto: None None

Popolazione: patients with IBS from 32 RCTs evaluating 10 probiotic strains

Other n=25 4 weeks
Effect of probiotic administration of Bifidobacterium animalis subsp. lactis BB-12 and Lactiplantibacillus plantarum ATCC 14917 …
Dose: Bifidobacterium animalis subsp. lactis BB-12 and Lactiplantibacillus plantarum ATCC 14917 vs: phosphate-buffered saline (PBS) Outcome: visceral hypersensitivity (abdominal withdrawal reflex scores) Effetto: None p<0.05

Popolazione: female rats with water avoidance stress-induced IBS-D model

Other
Lactobacillus plantarum and Galacto-Oligosaccharides Synbiotic Relieve Irritable Bowel Syndrome by Reshaping Gut Microbiota and Attenuating …
Dose: 1e9 CFU/day + GOS 10 g/L vs: IBS model mice without synbiotic Outcome: IBS symptoms and colonic dysfunction Effetto: None <0.05

Popolazione: C. rodentium + WAS IBS mouse model

Other
Synergistic Modulation of the Gut-Brain-Immune Axis by a Dual Lactobacillus Combination in a Murine IBS …
Dose: None vs: Single-strain or vehicle control Outcome: IBS-like symptoms in zymosan-induced mouse model Effetto: None None

Popolazione: Zymosan-induced IBS mouse model

Randomized Controlled Trial n=61 12 weeks Double-blind
Four-strain probiotic exerts a positive effect on irritable bowel syndrome symptoms occurring in inflammatory bowel …
Dose: None vs: Placebo Outcome: IBS-SSS (100-point reduction) Effetto: 45% active vs 33% placebo (P=0.42) P=0.42

Popolazione: IBD patients with IBS symptoms in remission

Key Statistics

5

Studi

800

Partecipanti

↑

Positive

B

Grado

Referenced Papers

Foods (Basel, Switzerland) 2019 21 citazioni
Polski merkuriusz lekarski … 2012 8 citazioni
Zeitschrift fur Gastroenterologie 2005 17 citazioni
Journal of clinical … 2004 205 citazioni
Current treatment options … 2002 5 citazioni

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Dosaggi di uso comune

general:
10-20 billion CFU/day
ibssupport:
10 billion CFU/day (299v strain) for 4 weeks minimum

Limite massimo: Well-tolerated up to 20 billion CFU/day in clinical trials

Dosaggi studiati nella ricerca

Dosaggio Durata Effetto N
None -- Positive 3154
None -- Positive --
Bifidobacterium animalis subsp. lactis BB-12 and Lactiplantibacillus plantarum ATCC 14917 4 weeks Positive 25
1e9 CFU/day + GOS 10 g/L -- Positive --
None -- Positive --
None 12 weeks Neutral 61
None 8 weeks Positive 1098
10 μg 6 weeks Positive 246

Momento migliore per l'assunzione: On an empty stomach or before meals

Safety & Side Effects

Effetti collaterali segnalati

  • ⚠ Mild gas and bloating during initial use
  • ⚠ Occasional loose stools
  • ⚠ Histamine-related symptoms in sensitive individuals (histamine-producing species)
  • ⚠ Very rare: bacteremia in immunocompromised individuals

Interazioni note

  • ● Antibiotics (may reduce probiotic viability; space dosing 2 hours apart)
  • ● Immunosuppressants (theoretical risk in immunocompromised patients)
  • ● Histamine-intolerance medications (L. plantarum may produce biogenic amines)

Livello di assunzione massimo tollerabile: Well-tolerated up to 20 billion CFU/day in clinical trials

Consultare sempre il proprio medico prima di iniziare qualsiasi integratore.Consultate sempre il vostro medico prima di iniziare qualsiasi integratore.

Frequently Asked Questions

Does Lactobacillus plantarum help with Irritable Bowel Syndrome (IBS)?
Based on 5 studies with 800 participants, there is moderate evidence from clinical studies that Lactobacillus plantarum may support Irritable Bowel Syndrome (IBS) management. Our evidence grade is B (Good Evidence).
How much Lactobacillus plantarum should I take for Irritable Bowel Syndrome (IBS)?
Studies have used various dosages. A commonly studied range is 10-20 billion CFU/day. Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Lactobacillus plantarum?
Reported side effects may include Mild gas and bloating during initial use, Occasional loose stools, Histamine-related symptoms in sensitive individuals (histamine-producing species), Very rare: bacteremia in immunocompromised individuals. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Lactobacillus plantarum and Irritable Bowel Syndrome (IBS)?
We rate the evidence as Grade B (Good Evidence). This rating is based on 5 peer-reviewed studies with 800 total participants. The overall direction of effect is positive.

References

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