Probiotics for Infants: Safe Usage Guidelines for 6-Month-Olds - Pediatrics

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Please inquire about probiotics?


Hello Doctor: Regarding the dosage of the following probiotics, can it be given to a six-month-old infant? If so, how should it be administered? One capsule daily or half a capsule?
Proprietary Blend of 10 Strains of Probiotic Bacteria:
- Lactobacillus acidophilus
- Bifidobacterium bifidum
- Lactobacillus plantarum
- Lactobacillus salivarius
- Lactobacillus casei
- Lactobacillus paracasei
- Lactobacillus rhamnosus
- Bifidobacterium breve
- Bifidobacterium longum
- Streptococcus thermophilus
Each capsule contains: 25 Billion CFU
Other Ingredients: Cellulose, Cellulose (capsule), FOS (Fructooligosaccharides), Ascorbyl Palmitate, and Silica.

Jerry, 30~39 year old female. Ask Date: 2011/03/19

Dr. Xiao Kaiwen reply Pediatrics


Probiotics are generally recommended for use after the age of six months.
There are various types of probiotics available on the market; some contain dead bacteria with enzymatic effects (such as certain enzyme products), while others contain live bacteria (which are usually more expensive and require refrigeration).
For guidance on which probiotics are suitable for infants and young children, please refer to the manufacturer's instructions.
The principle is that they should be approved by the health department and should specify the appropriate age for use in infants and young children.

Reply Date: 2011/03/19

More Info


When considering the use of probiotics for infants, particularly for a 6-month-old, it is essential to approach the topic with caution and a clear understanding of the guidelines and recommendations from healthcare professionals. Probiotics are live microorganisms that can provide health benefits, particularly for gut health, but their use in infants requires careful consideration.


Safety and Recommendations for Probiotics in Infants
1. Age Appropriateness: Generally, probiotics can be introduced to infants after they are 6 months old. However, it is crucial to consult with a pediatrician before starting any probiotic regimen. The pediatrician can provide personalized advice based on the infant's health history and specific needs.

2. Product Selection: The specific probiotic blend you mentioned contains a variety of strains, including Lactobacillus and Bifidobacterium species, which are commonly found in infant formulas and breast milk. These strains are generally considered safe for infants. However, it is vital to ensure that the product is specifically formulated for infants and has been tested for safety and efficacy in this age group.

3. Dosage Guidelines: The dosage of probiotics for infants can vary based on the product and the concentration of live bacteria. In your case, with a product containing 25 billion CFUs (colony-forming units) per capsule, it is advisable to start with a lower dose. Many pediatricians recommend starting with half a capsule or a lower concentration product designed for infants. This approach helps to monitor for any adverse reactions before increasing the dosage.

4. Administration: Probiotics can be administered by mixing the contents of the capsule with a small amount of breast milk, formula, or soft food that the infant is already consuming. This method ensures that the infant ingests the probiotics without any difficulty.

5. Monitoring for Reactions: After introducing probiotics, it is essential to monitor the infant for any signs of gastrointestinal discomfort, such as bloating, gas, or diarrhea. If any adverse effects occur, discontinue use and consult a pediatrician.

6. Consulting Healthcare Providers: Always consult with a healthcare provider before starting probiotics, especially if the infant has underlying health conditions or is on medication. The pediatrician can provide guidance on the appropriateness of probiotics for the infant's specific health needs.


Additional Considerations
- Probiotics and Infant Health: Probiotics may help with various gastrointestinal issues, such as colic, constipation, and diarrhea. However, the evidence supporting their use in infants is still evolving, and not all probiotics are created equal. It is essential to choose products that have been clinically studied in infants.

- Dietary Sources: While supplements are one way to introduce probiotics, consider dietary sources as well. If the infant is consuming solid foods, introducing yogurt or other fermented foods (if age-appropriate) can also provide beneficial bacteria.

- Long-term Use: The long-term use of probiotics in infants is still a subject of research. While they are generally considered safe, it is essential to evaluate the need for ongoing use with a healthcare provider.

In conclusion, while probiotics can be beneficial for infants, especially those over 6 months old, it is crucial to approach their use with care. Always consult with a pediatrician to ensure that the specific product is safe and appropriate for your infant's health needs. Starting with a lower dosage and monitoring for any adverse effects can help ensure a positive experience with probiotics.

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