11 best probiotics for intestines
Many people without medical education are often confused in such specific terms as probiotics, prebiotics, and synbiotics. However, in the case of a visit to a pharmacy and when buying similar products to stimulate immunity and improve digestion without a prescription, you need to know what the difference is between these terms. We explain them in an accessible language.
Probiotics - These are preparations that contain various useful living microorganisms, more often - bacteria, cocci, yeast. As for prebiotics, the prefix “pre-” means “before”, and “bio” - “life”.
Prebiotics - These are drugs that do not contain strains of live bacteria, but they help them to settle in the intestines, and improve the vital activity of normal microflora, to help it defeat pathogenic microorganisms. In other words, prebiotics stimulate the activity of probiotics. It is desirable to prescribe these drugs in turn. An example of a prebiotic is Hilak Forte, which contains a ready medium for the growth and reproduction of beneficial microorganisms.
And now consider some of the representatives of these extremely useful supplements - probiotics, which help healthy digestion. Strictly speaking, these substances are not drugs as they do not contain chemicals that interfere with the metabolism of the human body. They just help us to become healthy, improve immunity, get rid of dysbiosis. Consider the funds included in the popular rating of "health assistants."
Top intestinal probiotics ranking
Nomination | a place | Name of product | price |
The best monocomponent probiotics | 1 | Bifidumbacterin | 93 ₽ |
2 | Lactobacterin | 164 ₽ | |
3 | Colibacterin | 237 ₽ | |
The best multi-component probiotics | 1 | Atsipol | 376 ₽ |
2 | Yogulact | 224 ₽ | |
3 | Linex | 388 ₽ | |
Best sorption probiotics | 1 | Battistin | 389 ₽ |
2 | Bifidumbacterin forte | 143 ₽ | |
Top Synbiotics | 1 | Maxilac | 365 ₽ |
2 | Bion - 3 | 816 ₽ | |
3 | Biovestin - Lacto | 390 ₽ |
The best monocomponent probiotics
Monocomponent probiotics can be attributed to the most simple means, which in their composition contain only any one type of living microorganisms. It may be normal E. coli, lactic acid bacteria, or bifidobacteria. It is these probiotics that first appeared on the market, therefore they are called “first generation” probiotics. Despite the fact that many other combined and complex drugs have appeared, these tools for improving the microflora of the gastrointestinal tract are still not outdated. The popular popular probiotic, Bifidumbacterin, opens the rating.
Bifidumbacterin
Rating: 4.9
This probiotic contains only live bifidobacteria, which have been dried in a vacuum, or by lyophilization. The most commonly seen is Bifidumbacterin powder, which has a beige or grayish color. But it is also available in capsules, tablets, vaginal and rectal suppositories, and in the form of a liquid concentrate.Like many other probiotics, bifidobacteria normalize the activity of the intestines, allow you to re-establish the synthesis of vitamins, and help in the complex treatment of many chronic diseases.
Bifidumbacterin is indicated for various disorders of the intestine, after the prescription of antibiotics, after dysentery and salmonellosis. Probiotic can be used after various extra-intestinal infections, for example, in the recovery period, the treatment of pneumonia. Bifidumbacterin is indicated in children, including infants, in women with inflammatory diseases of the female genital organs after antibiotic therapy and in many other conditions.
For young children under the age of 6 months, only powder can be used, and other forms can be prescribed only from the age of three. Babies can even add powder to breast milk. Usually the course of treatment is 2 weeks, and only a doctor can prolong it. Probiotic capsules taken orally for half an hour before meals. The dosage is prescribed according to the instructions. The most important thing is to prevent spoilage of the drug, you can not dilute the powder in hot water. For 10 capsules you can pay only 100 rubles, for 20 tablets - 200 rubles, for 10 candles - 70 rubles, but 10 ml of liquid concentrate in a bottle will cost 600 rubles. Bifidumbacterin is produced in tablets and capsules by the domestic company Ecopolis, suppositories by Lanafarm, and liquid concentrate by Bio Long Life.
Advantages and disadvantages
Bifidumbacterin has practically no contraindications, and only individual intolerance can be attributed to the disadvantages, which have a one-year shelf life of bifidumbacterin, it should be stored in a refrigerator, like other probiotics.
Lactobacterin
Rating: 4.8
Lactobacterin also belongs to the means - probiotics of the first generation, but, unlike bifidobacteria, its capsules contain live lactobacilli, or lactic acid sticks, which synthesize lactic acid. It is known that excess alkaline environment contributes to the development of pathogenic bacteria in the intestine, but a small amount of lactic acid contributes to the growth and development of normal microflora. Lactobacterin, first of all, is shown when it is detected in the analysis of feces when seeding pathogenic staphylococci, Escherichia coli, Proteus for dysbacteriosis.
The pharmaceutical industry produces dry lactobacterin in the form of vials of probiotic powder. Lactobacterin administration is shown in case of recovery after acute intestinal infections and protracted diarrhea, which virtually eliminates all normal microflora, with various common diseases that inhibit our “helpers”. These are the effects of antibiotic therapy, chemotherapy and radiation therapy. Lactobacterin is indicated for the treatment of babies with various chronic and acute diseases, with skin pathology, this probiotic is shown to patients with ulcerative colitis. It is important that lactobacilli, or Dederlein sticks, constitute the main “population” of the female genital tract, and for various vaginitis, with bacterial vaginosis, it is necessary to apply locally diluted lactobacterin after rehabilitation to restore vaginal microflora in women.
The usual mode of application of probiotics involves dilution in one teaspoon of water preparation. 1 bottle of Lactobacterin contains 5 doses, and the preparation method (depending on age) is described in detail in the instructions. For example, a child under the age of 6 months can be given three doses 2 times a day, for example, in the treatment of an intestinal infection. It can be used for no longer than 10 days without a doctor's prescription. Lactobacterin is produced by the domestic company Microgen, and you can buy 10 bottles at a price of 150 rubles.
Advantages and disadvantages
The obvious advantage of Lactobacterin is its use not only in the treatment of diseases of the gastrointestinal tract, but also to restore the vaginal biocenosis in gynecological diseases, which is unusual for most probiotics. Lactobacterin is also the probiotic that can be used in babies from the first day of life, and at the same time it is very affordable. Perhaps the only disadvantage of lactobacterin is its “narrow” composition of lactic acid bacteria, but it got into the rating for its versatility and use in gynecological practice.
Colibacterin
Rating: 4.7
Colibacterin can be considered the last widely known probiotic of the first generation. Escherichia coli is a normal E. coli that does not have pathogenic properties, and in this preparation, in addition to the culture of the microorganism, sugar-gelatin medium is added, all this is dried in vacuum and packaged in ampoules with 3 doses each. Unlike the other probiotics described above, there is only an oral form, and each ampoule contains 30 billion living cells — that is, several times more than the people living on our planet.
There is a difference in the testimony. This probiotic is used in diseases that violate the microflora of the large intestine. These are dysentery, both chronic and prolonged, enterocolitis and colitis, as well as recovery (convalescence) after various intestinal infections. This probiotic is not used in gynecological practice, since E. coli should not occur in the genital tract, and the use for ulcerative lesions of the intestine is not indicated. Usually, the contents of one vial are diluted with water, and after 5 minutes, they are applied orally half an hour before meals. Thus, an adult needs an average of 10 doses per day, or three ampoules, which can be divided into several doses depending on the meal. Colibacterin can be taken from the age of six months. The native company Microgen produces dry colibacterin, and it is possible to purchase one package in 10 ampoules at a price of 230 rubles.
Advantages and disadvantages
Of course, Colibacterin is used for more limited indications, but this cannot be considered a lack of probiotic. In some cases, there may be adverse reactions to the drug, which may be manifested by nausea, slight discomfort in the abdomen, but it passes quickly and does not require any cancellation. There is, of course, an individual reaction to colibacterin, which can manifest as a skin rash, diarrhea. In this case, the probiotic must be canceled. Store Kolibakterin should be at a temperature not higher than 10 degrees.
The best multi-component probiotics
As readers have probably guessed, multicomponent probiotics include those preparations that contain more than one species, or a strain of microorganisms, for example, combined probiotics from bifidobacteria and dairy bacteria. Since these probiotics (by the way, they are also called eubiotics) are aimed at the emergence of symbiosis, or mutually beneficial coexistence of microorganisms, sometimes they are also called symbiotics. Unlike the first generation, these combinations of probiotics have a complex effect, and can be prescribed with a larger number of indications. This ranking will feature the well-known and popular combinations of beneficial microorganisms, symbiotics, as well as their derivatives, created by the microbiological industry.
Atsipol
Rating: 4.9
The first complex probiotic, consisting of two types of different living beings, is Acipol, which is produced in capsules. Each capsule contains live lactobacilli, which produce lactic acid, which is inactivated by heating kefir fungi. As a result, the heated kefiric fungus is provided by a water-soluble polysaccharide, and this polysaccharide helps lactobacilli to gain a foothold in the body.By and large, Atsipol can be attributed to synbiotics, or to drugs that contain any additional substances, since kefirous fungus in this form is represented by the inanimate form. But historically, it is even said in popular advertising that Acipol is nothing like kefir fungi and lactic acid sticks. Atsipol has been shown for various enteritis, for salmonellosis, for rotavirus diarrhea, for non-infectious forms of gastroenteritis that occur with nausea, vomiting and abundant liquid stool. This probiotic is also prescribed for the treatment of functional diarrhea, for example, for irritable bowel syndrome, and various forms of dysbacteriosis. A separate indication is atopic dermatitis and psoriasis. Atsipol can also be administered to healthy people in extreme conditions for the prevention of dysbiosis.
Adults take capsules preferably one capsule three times a day half an hour before meals. Usually, the treatment for intestinal infections is a week, and the prophylactic course is 2 weeks. Produces Atsipol pharmaceutical company Pharmstandard. For 30 capsules, designed for 10 days of admission, will have to pay about 300 rubles.
Advantages and disadvantages
Atsipol is a probiotic, which, perhaps, has a disadvantage that it is more expensive than monocomponent agents. He has no side effects, and hypersensitivity to the components develops very rarely, because in practice it is very difficult to find someone who would be allergic to kefir, with the exception of lactase deficiency.
Yogulact
Rating: 4.8
Yogulact is already a real complex of probiotics, which contains lactobacilli, or lactic acid bacteria, and streptococci of the thermophilic series. Thermophilic streptococci are used in the national economy for the preparation of certain varieties of cheese, and in humans they help to activate the work of the intestines, processing lactose, or milk sugar.
This probiotic belongs to dietary supplements, produced in capsules of 400 mg. In addition to the usual indications, such as intestinal dysbacteriosis after taking antibiotics and chronic infections, Yoga can be prescribed to relieve the symptoms of food allergies, in the complex therapy of helminthic invasions, or helminth infections, in the intestinal absorption, or in malabsorption syndrome. Probiotic is shown to children and adults living in the Far North, in places with environmentally unfriendly conditions. Yogulact is prescribed for the first year of life of a child who is artificially fed for preventive purposes. For adults, there is a simple dosing regimen - one capsule three times a day after meals. The German manufacturer STADA manufactures these capsules, and 30 capsules can be purchased at pharmacies for as low as 350 rubles.
Advantages and disadvantages
The obvious advantages of Yogulakta include a mild complex effect, the absence of side effects and interactions with other drugs, and the relative disadvantage is a contraindication to use this probiotic in children under one year old, and due to the lack of clinical data, and a rather high price.
Linex
Rating: 4.8
The complex probiotic known in Russia, Linex, already contains three different types of microorganisms. These are well-known acidophilic lactobacilli, or lactic acid bacilli, bifidobacteria, and enterococci. Additionally contains lactose, and excipients for the capsule shell. In one capsule is not less than 12 million live bacteria that help in the work of the intestine. Lactose allows to increase the acidity in the intestine during its fermentation, which contributes to the deterioration of conditions for the development of pathogenic microorganisms. Normal microflora begins to synthesize various vitamins, which leads to increased immunity.
Linex is shown, as well as other supplements to increase body resistance and to prevent dysbiosis, in the event of symptoms such as nausea, abdominal pain, belching, constipation, bloating or flatulence. All of these symptoms relate to indigestion, or dyspeptic syndrome. Assign Linex adults need two capsules three times a day, and newborns and children under two years old - one capsule each, and the newborn need to open the capsule, and mix with a small amount of liquid. The company LEK produces probiotic Linex, and you can buy one package of 32 capsules for 465 rubles.
Advantages and disadvantages
Since Linex is a more balanced probiotic, it should cost more, but for some socially unprotected groups of the population it is considered an inaccessible drug. However, he has no contraindications, and he is well tolerated, even during pregnancy and lactation. This probiotic can be used with other medications, for example, at the end of a course of antibiotics, and even with powerful chemotherapeutic drugs.
Best sorption probiotics
Sorption probiotics differ from the first two groups of probiotics simply by the fact that the active forms of microorganisms (or their metabolites) are combined with a carrier sorbent that has a significant surface area. The sorbent can be compared with a lifeline for microorganisms, or with a parachute. After all, all microbes that enter the alkaline environment of the intestine need to overcome the attack of gastric juice, and if the probiotic is not protected by the enteric coating or is not precipitated on a special sorbent, its biological effectiveness may be significantly lower. That is why sorption probiotics are characterized by good digestibility and fast recovery of bowel function. The first of these probiotics is Baktistatin, which deservedly entered the rating.
Battistin
Rating: 4.9
This dietary supplement has a dual identity. It contains a zeolite as a carrier, but on the other hand, it does not contain live microorganisms, but a sterilized and dried culture liquid obtained from hay bacillus, which does not contain live bacteria cells, but contains vitamin E. In addition, it contains probiotic enters fermented soy flour in the form of a hydrolyzate.
Baktistatin applied inside, and packed in capsules weighing 500 milligrams. Baktistatin has a number of unique properties. Hay bacillus culture fluid contains substances that kill pathogenic bacteria but does not affect the beneficial microflora. Also in the composition of the substances deposited on the zeolite, there are also special hydrolytic enzymes that improve abdominal and parietal digestion. The supplement contains interferon-like substances that increase the protective function of the human body against viruses. The carrier itself - a zeolite is capable of removing toxins and allergens from the body, and at the same time does not contribute to a decrease in the amount of vitamins, beneficial proteins and amino acids.
As a result, abdominal bloating and intestinal spasms are reduced, its peristalsis is normalized, and soy flour hydrolyzate promotes improved growth of normal intestinal microflora. Baktistatin, as well as other similar probiotics, is able to treat dysbacteriosis, is used for gastritis with low acidity, in conditions after taking antibiotics and transferred intestinal infections, for various skin and allergic diseases, can be used for prevention. He is prescribed one or two capsules three times a day during meals, and he is indicated to children from the age of six in a daily dose of 2 capsules. Baktistatin is produced by the Russian manufacturer LLC Kraft, and packaging in 20 capsules can be purchased at a price of 270 rubles.
Advantages and disadvantages
The advantage of Battistina can be considered a good inhibitory effect on pathogenic microflora, very rare cases of individual intolerance, and good ability to regulate the intestinal microflora and its balance. Negatives of probiotics can be considered the lack of research on the effects of funds on the body of pregnant and lactating women, so pregnancy and lactation are contraindications to receive.
Bifidumbacterin forte
Rating: 4.8
Bifidumbacterin forte could be considered a monocomponent probiotic, since it contains only bifidobacteria. But these beneficial microorganisms are adsorbed on activated carbon, and each sachet or capsule contains at least 50 million colony-forming units, or sources of beneficial microflora. This probiotic is able to normalize the intestinal microflora, improves digestion, and modulates the immune system. The range of indications for admission is very wide. These are various acute intestinal infections, food poisoning, inflammatory and infectious processes that are not related to the intestines. These are bronchitis and pneumonia, such functional states as constipation, chronic pancreatitis and cholecystitis, malabsorption syndrome, allergies, and even urinary tract infection. As in other cases, Bifidumbacterin can be taken in the recovery period after surgery, as well as preparatory measures for various types of treatment.
These capsules are taken during food intake, and, if necessary, independently of it, because activated carbon protects microorganisms from the destructive action of gastric acid. As for the powder, it can be mixed with any fermented milk product and consumed inside. For the treatment of acute intestinal infections, one week of intake is sufficient, and Bifidumbacterin Forte can be used for prophylactic treatment up to 2 weeks, and the remedy can be prescribed even for children up to one year old. Produces this probiotic CJSC Partner, and the cost of one package is about 200 rubles.
Advantages and disadvantages
The advantage of Bifidumbacterin can be considered a quick and active effect, since the concentration of microorganisms on activated carbon is very high, and the activated carbon itself can work as a sorbent and take toxic substances from the body. This probiotic has no side effects, it is approved for use in pregnant and lactating women, and individual intolerance occurs extremely rarely. The only thing that needs to be borne in mind is that the sorbent always remains a sorbent, and if the patient takes Bifidumbacterin Forte along with other drugs, this will lead to a decrease in their activity, since activated carbon often absorbs medicinal substances into itself.
Top Synbiotics
Finally, we represent the last group of drugs in the ranking of synbiotics, from the Latin sin - together. These drugs immediately contain live microflora, that is, probiotics, as well as tools that improve its settlement within the intestine, that is, prebiotics. In other words, these probiotics can be compared with seeds that are previously placed in a nutrient medium. Such probiotics can be considered very active and useful food supplements, and they cope much better with various diseases as part of complex therapy than 1st generation products. The rating includes several well-known and popular synbiotics.
Maxilac
Rating: 4.9
The structure of Maxilak includes not only lactobacilli, or lactic acid fermentation sticks, of which there are as many as 4 types, but also three types of bifidobacteria, various types of cocci. In order to improve their performance, low-dimensional oligosaccharide, fructose, is immediately added to the additive. It is not only a substrate of nutrition for beneficial microflora, but also capable of suppressing pathogenic flora.This drug comes in the form of special capsules that do not dissolve under the influence of gastric juice, and they can be stored not even in the refrigerator, but at room temperature. This remedy is indicated for both adults and children as young as 3 years old. Indications for use of Maxilac will be standard. These are various types of dysbacteriosis, prolonged use of antibiotics for various bacterial infections, viral diarrhea, functional constipation and other conditions.
In total, the Maxilak includes 9 different types of microorganisms, and you need to take it one capsule 1 time per day with meals, preferably in the evening. It is advisable for children to pour the capsule into lactic acid products or into water, just not hot. This probiotic is produced by the Polish company Gene EXO, and a package of 10 capsules designed for a course of 10 days can be purchased at a price ranging from 400 rubles.
Advantages and disadvantages
Perhaps, according to the combination of various microorganisms, Maksilak can be considered one of the most active and multi-component of all the funds in this rating. There are no contraindications to its use, it can be used in pregnant and lactating women, and only individual intolerance, which develops very rarely, can serve as a reason for discontinuation of the drug. It is extremely important that this tool can be stored at room temperature for 2 years, and only the price of 40 rubles. and higher for one capsule, may limit the use of this really very useful tool.
Bion - 3
Rating: 4.8
But it turns out that there is no limit to perfection and price increases for any probiotics. Such an even more interesting means is Bion-3. We can assume that this drug is a multivitamin complex that contains a wide variety of vitamins, such as folic acid, vitamin B6, pantothenic acid, biotin, fat-soluble vitamins A and E, ascorbic acid, and all the B vitamins. In addition, it contains Calcium, molybdenum, magnesium, iron, zinc and other trace elements are included. As for the "living part", it is provided by lactic acid bacteria and bifidobacteria. Essentially, Bion-3 is a source of vitamins, minerals and trace elements, and various microorganisms. Therefore, it is most often used for prophylactic purposes, both for adults and children over 14 years old. It is enough to use the drug one tablet daily, the course of administration is one month.
The Austrian company Merck produces this food supplement, and one package designed for a monthly intake can be purchased at a price of 710 rubles.
Advantages and disadvantages
Naturally, the more components a different drug has, the more restrictions it has. So, in addition to standard intolerance, the tool is not recommended in children younger than 14 years old, with renal failure, excess calcium, hyperfunction of the thyroid gland. Since there are similar contraindications, it is necessary to consult a doctor before use. This tool is already a drug of the middle price category, which can also limit its sales.
Biovestin - Lacto
Rating: 4.7
Biovestin-Lacto contains live and active bifidobacteria, and the strain of these microorganisms is distinguished by a significant reproduction rate and intolerance to various pathogenic microbes. In addition, the composition of this drug includes lactic acid sticks, and metabolic products of these same bifidobacteria and lactobacilli. These products create a favorable biochemical environment around the growing colony, which makes it difficult for representatives of the pathogenic flora to access them.
Biovestin-Lacto is indicated for all conditions listed above for all drugs, as well as during pregnancy and before childbirth, with hormones, chemotherapy and radiation therapy, with stress, anemia and vitamin-deficient conditions, and for various digestive disorders and for treatment acute intestinal infections.Biovestin-Lacto can be used even in newborn babies, and for adults the daily dose is 12 ml, the drug is used in liquid form and taken before meals. In healthy patients for the prevention of pathological conditions need to undergo treatment for 1 month 3 times a year. Biovestin-Lacto is produced by the Russian company Bio-Vesta, and 7 bottles of 12 milliliters can be purchased for 270 rubles. Therefore, it is a weekly dose for an adult.
Advantages and disadvantages
Since this tool is an active food additive, a contraindication can be indicated only as a state of individual intolerance, as well as intolerance to lactose and milk protein, since Biovestin-Lacto contains skimmed milk. A relative inconvenience will be the need to use the warm zone of the refrigerator, since it is necessary to store this tool in its door, at a temperature of about plus 4 degrees for no more than 2 months.
In this case, the conclusion must be said that, despite the fact that all the drugs included in the rating, and containing live microorganisms, are essentially non-prescription food additives, it is necessary to consult a doctor at the very first admission, especially if we are talking about babies age, and especially newborn. Despite the fact that cases of individual intolerance are very rare for these tools, consultation with a pediatrician will never be superfluous.
Attention! This rating is subjective, is not advertising and does not serve as a guide to the purchase. Before buying, you should consult with a specialist.