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Saccharomyces boulardii per Traveler's Diarrhea

B

RCTs show 25-40% reduction in traveler's diarrhea when started 5 days before travel. Effects vary by destination.

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In sintesi

RCTs show 25-40% reduction in traveler's diarrhea when started 5 days before travel. Effects vary by destination.

Key Study Findings

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

Randomized Controlled Trial n=47 8 weeks Double-blind
Effects of a polyphenol-rich extract blend, probiotics, and hydrolyzed fiber on quality of life and …
Dose: None vs: Placebo (Group I) and partial formulation (Group II) Outcome: IBS quality of life (QoL questionnaire) Effetto: Dysphoria: median diff -5 (Group III) vs -1 (contr 0.0021 (dysphoria Group III)

Popolazione: Patients with IBS

Other
Ibero-Latin American clinical practice guideline for the use of biotics in pediatric gastroenterology, hepatology, and …
Dose: None vs: None Outcome: Clinical guideline recommendations for pediatric GI Effetto: None None

Popolazione: Pediatric patients with GI disorders

Observational Study n=279
Use of Probiotics During Antibiotic Therapy in Pediatrics: A Cross-Sectional Survey of Italian Primary Care …
Dose: None vs: None Outcome: Probiotic prescribing habits of Italian PCPs Effetto: L. rhamnosus GG used by 91.8% None

Popolazione: Italian primary care pediatricians

Other n=70 16 weeks Open-label
Synbiotic Supplementation for Chronic Constipation in Patients Under Peritoneal Dialysis: An Italian Multicenter Prospective Study.
Dose: None vs: None (single-arm study) Outcome: Constipation scoring system change Effetto: -5.3 (95% CI -5.9/-4.7) 0.001

Popolazione: Peritoneal dialysis patients with chronic constipation

Review
An update on probiotics in paediatrics.
Dose: None vs: None Outcome: GI disorder outcomes in paediatrics Effetto: None None

Popolazione: Paediatric patients with GI disorders

Key Statistics

4

Studi

3200

Partecipanti

Positive

B

Grado

Referenced Papers

Current opinion in … 2025
Advances in experimental … 2024 2 citazioni
Advances in experimental … 2019 17 citazioni
The American journal … 2018 46 citazioni
Pediatric gastroenterology, hepatology … 2017 42 citazioni
Journal of pediatric … 2016 233 citazioni
Digestive diseases (Basel, … 2016 37 citazioni
The Cochrane database … 2015 233 citazioni
Journal of clinical … 2015 35 citazioni
Frontiers in immunology 2013 263 citazioni
Journal of clinical … 2011 432 citazioni
Journal for specialists … 2010 22 citazioni
American journal of … 2010
European journal of … 2009 91 citazioni
Current opinion in … 2009 82 citazioni
Advances in biochemical … 2008 535 citazioni
American family physician 2008
The Journal of … 2007 265 citazioni
The American journal … 2001 648 citazioni
International journal of … 2000 181 citazioni
Clinical infectious diseases … 1998 346 citazioni

Dosage & Usage

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

Dosaggi di uso comune

general:
250-500 mg/day (equivalent to 5-10 billion CFU)
aadprevention:
500 mg/day (start with antibiotic, continue 7 days after)
cdiffprevention:
500 mg twice daily as adjunct to standard therapy
travelersdiarrhea:
250-500 mg/day starting 5 days before travel

Limite massimo: Well-tolerated up to 1,000 mg/day in clinical trials

Dosaggi studiati nella ricerca

Dosaggio Durata Effetto N
None -- Positive --
None 8 weeks Positive 47
None -- Positive --
None -- Mixed 279
None 16 weeks Positive 70
None -- Positive --
None -- Positive --
None -- Mixed --

Momento migliore per l'assunzione: Can be taken with or without food; space 2 hours from antifungals

Safety & Side Effects

Effetti collaterali segnalati

  • Mild gas and bloating
  • Rare: fungemia in critically ill patients with central venous catheters
  • Thirst (yeast may increase water requirements)
  • Very rare: potential environmental contamination risk in ICU settings

Interazioni note

  • Antifungal medications (may kill S. boulardii, reducing effectiveness)
  • Monoamine oxidase inhibitors (S. boulardii contains tyramine)
  • Immunosuppressants (theoretical risk of fungemia in immunocompromised patients)

Livello di assunzione massimo tollerabile: Well-tolerated up to 1,000 mg/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 Saccharomyces boulardii help with Traveler's Diarrhea?
Based on 4 studies with 3,200 participants, there is moderate evidence from clinical studies that Saccharomyces boulardii may support Traveler's Diarrhea management. Our evidence grade is B (Good Evidence).
How much Saccharomyces boulardii should I take for Traveler's Diarrhea?
Studies have used various dosages. A commonly studied range is 250-500 mg/day (equivalent to 5-10 billion CFU). Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Saccharomyces boulardii?
Reported side effects may include Mild gas and bloating, Rare: fungemia in critically ill patients with central venous catheters, Thirst (yeast may increase water requirements), Very rare: potential environmental contamination risk in ICU settings. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Saccharomyces boulardii and Traveler's Diarrhea?
We rate the evidence as Grade B (Good Evidence). This rating is based on 4 peer-reviewed studies with 3,200 total participants. The overall direction of effect is positive.

Related Evidence

Altri ingredienti per Traveler's Diarrhea

Avvertenza FDA: Queste affermazioni non sono state valutate dalla Food and Drug Administration. I prodotti e le informazioni presenti su questo sito web non sono destinati a diagnosticare, trattare, curare o prevenire alcuna malattia. I gradi di evidenza presentati si basano sulla nostra analisi della ricerca pubblicata e sottoposta a revisione paritaria e non costituiscono consulenza medica. Consultate sempre il vostro medico prima di iniziare qualsiasi regime di integrazione.