Can I Take Naisan and Probiotics Together on an Empty Stomach? - Gastroenterology and Hepatology

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Can Naisan be taken together with probiotics?


Hello doctor, I usually take probiotics on an empty stomach in the morning.
However, recently I have been experiencing gastroesophageal reflux and need to take Nexium.
I noticed that Nexium is also taken on an empty stomach in the morning.
Can I take my probiotics at the same time?

Liu Xiaobai, 30~39 year old female. Ask Date: 2017/03/10

Dr. Lin Minghui reply Gastroenterology and Hepatology


Nexium is used to treat gastroesophageal reflux disease (GERD) by inhibiting gastric acid secretion.
Reduced gastric acid can sometimes affect the intestinal barrier, making it easier for harmful bacteria to invade and proliferate in the intestines.
Probiotics increase beneficial bacteria, which should not be in conflict.

Reply Date: 2017/03/10

More Info


When considering whether to take Naisan (a medication for gastroesophageal reflux disease, or GERD) and probiotics together on an empty stomach, it's essential to understand the roles of both substances and how they interact with each other and the digestive system.

Naisan, which contains the active ingredient rabeprazole, is a proton pump inhibitor (PPI) that reduces stomach acid production. It is commonly prescribed for conditions like GERD, peptic ulcers, and other acid-related disorders. By decreasing the acidity in the stomach, Naisan helps alleviate symptoms such as heartburn and acid reflux.

Probiotics, on the other hand, are live microorganisms that provide health benefits when consumed in adequate amounts. They are often used to promote gut health, improve digestion, and restore the natural balance of gut bacteria, especially after antibiotic use or gastrointestinal disturbances.

Taking both Naisan and probiotics together can be beneficial, but there are a few considerations to keep in mind:
1. Timing and Absorption: Probiotics are best taken on an empty stomach to ensure that the beneficial bacteria reach the intestines without being destroyed by stomach acid. However, since Naisan reduces stomach acid, it may create a more favorable environment for probiotics to survive. This means that taking them together might not significantly hinder the effectiveness of the probiotics.

2. Potential Interaction: There is no significant evidence to suggest that taking Naisan and probiotics together would cause any adverse interactions. However, individual responses can vary. Some people may experience gastrointestinal discomfort when combining different supplements or medications, so it's essential to monitor how your body reacts.

3. Consulting Healthcare Providers: Before making any changes to your medication or supplement regimen, it's always wise to consult with your healthcare provider or a pharmacist. They can provide personalized advice based on your medical history, current medications, and specific health needs.

4. Probiotic Strain Consideration: Different strains of probiotics have different effects. Some may be more resilient to changes in stomach acidity than others. If you're particularly concerned about the effectiveness of the probiotics while on Naisan, consider discussing with your healthcare provider which specific strains may be most beneficial for your situation.

5. Diet and Lifestyle: Alongside taking medications and probiotics, maintaining a healthy diet and lifestyle can significantly impact your digestive health. Foods rich in fiber, hydration, and regular physical activity can help support gut health and overall well-being.

In summary, taking Naisan and probiotics together on an empty stomach is generally considered safe and may even be beneficial, especially since Naisan reduces stomach acidity. However, individual responses can vary, and it's always best to consult with a healthcare professional to ensure that this combination is appropriate for your specific health situation. Monitoring your body's response and adjusting accordingly will help you achieve the best outcomes for your digestive health.

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