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Which probiotic is cheaper? The best probiotics and prebiotics to restore intestinal microflora. What can probiotics do?

Probiotics and prebiotics are various biologically active substances, each of which is prescribed when the natural microflora is disrupted to improve the functioning of the gastrointestinal tract. At the same time, the result of their action is the same - the number of beneficial microorganisms increases and the pathogenic bacteria living in the intestines are suppressed. In simple words, a perfect balance is being struck. Preparations with active biological additives are prescribed for dysbiosis, intestinal diseases, and to cleanse the body of toxins.

There are two ways to restore natural microflora: by taking the right foods with food or by using ready-made preparations with the necessary content of beneficial microorganisms. In the first case, the person is treated with probiotics, in the second - with prebiotics.

A probiotic consists of live beneficial bacteria necessary for normal intestinal function. They are used both in fermented milk products (kefir, yogurt, sour cream, buttermilk, soft cheese, fermented baked milk) and as a food additive. These are lactobacilli and bifidobacteria (sometimes yeast may be present). The funds are prescribed to people of different age categories, including infants. They do not cause allergic reactions or side effects. They are ideal products both for dietary nutrition and for use for preventive purposes.

The probiotic promotes good functioning of the gastrointestinal tract and restores disturbed microflora after taking antibiotics or dysbacteriosis. In addition to dairy products, probiotics are present in fermented soybeans and sauerkraut. The downside is that a certain percentage of beneficial bacteria die in the stomach under the influence of gastric juice, and not all of them reach the intestines. They also die when taking antimicrobial drugs and antibiotics. Therefore, in case of serious complications, they may not be enough for a complete recovery.


The prebiotic stimulates the growth of beneficial microorganisms in the rectum (lactobacteria, bifidobacteria). Prebiotic preparations normalize digestive processes, help with diarrhea, constipation, and increased flatulence. The prebiotic is included in food components such as chicory, garlic, artichoke, oatmeal, and rye.

Main differences

Both prebiotic and probiotic have biological origins and similar effects. Both products effectively normalize the natural microflora of the gastrointestinal tract. In some cases, they are prescribed simultaneously - in complex therapeutic treatment. However, there are differences.

A prebiotic is a chemical compound. It has many advantages - it is compatible with antibiotics, is not afraid of the effects of gastric juice, and does not cause side effects in case of overdose.

The probiotic consists exclusively of live microcultures. Each of them is effective in restoring the functioning of the gastrointestinal tract. Minus - they help cope with the disease only at an early stage.

There is also a separate group, including prebiotics and probiotics - synbiotics.

When to use probiotics

An incomplete list of problems for which probiotics are prescribed:

  • immunodeficiency state of the body;
  • allergic reactions;
  • viral infections - ARVI, influenza, acute respiratory diseases;
  • prostatitis;
  • dysbacteriosis (in the treatment of any stage);
  • salmonellosis;
  • hepatitis of any kind;
  • diseases of the gastrointestinal tract;
  • flatulence;
  • bacterial infection;
  • in gynecology for intestinal microflora disorders and in the treatment of female genital organs;
  • obesity;
  • diarrhea;
  • appearance of Helicobacter pylori;
  • colon cancer;
  • colibacillosis;
  • staphylococcal infection;
  • chronic fatigue syndrome, nervous exhaustion;
  • bronchial asthma;
  • after treatment with antibiotics, radiation and chemotherapy.

Use of prebiotics

Prebiotics are used:

  1. To restore the body’s supporting forces after illnesses;
  2. With an unbalanced diet, diets;
  3. To normalize disrupted metabolic processes;
  4. To improve immunity;
  5. For the treatment of constipation, including chronic;
  6. To improve peristalsis;
  7. In case of violation of digestive processes;
  8. For intestinal inflammation;
  9. To reduce the number of streptococci, staphylococci and increase the growth of lactobacilli, bifidobacteria;
  10. To restore optimal pH levels.

As you can see, the therapeutic effect of both has many similarities. Therefore, they are often prescribed simultaneously. The mutual action of prebiotics and probiotics promotes a speedy recovery. Beneficial microbes begin to develop faster, creating a favorable environment for their life.

Classification

Probiotics come in the following types: active biological additives, complex polymeric indigestible carbohydrates, bifidobacteria, glycopeptides, lactoglobulins, synbiotics, symbiotics, eubiotics.

Types of prebiotics: gram-positive and gram-negative bacteria, lactic acid bacillus, beneficial mushrooms, cocci.

Preparations with prebiotics

  • Duphalac;
  • Inulin;
  • Exportal;
  • Steambifid;
  • Prelax Baby;
  • Portalak;
  • Livolyuk PB;
  • Hilak-forte;
  • Eubicor;
  • Good luck;
  • Lactofiltrum.

Preparations with probiotics

  • Bifidumbacterin;
  • Bioflor;
  • Acipol;
  • Bifidin;
  • Baktisubtil;
  • Normobact;
  • Trilact;
  • Effidigest;
  • Acylak;
  • Senior;
  • Narine;
  • Eubicor;
  • Linux;
  • Regulin;
  • Algilak;
  • Colibacterin;
  • Symbiolact;
  • Kalsis;
  • Enterol;
  • Lactobacterin;
  • Maxilak.

The brevity, course of treatment, and recommended doses of any drug are determined for each patient individually. Usually prescribed until symptoms disappear completely. Probiotics and probiotics are recommended for preventive purposes. There is a special group of drugs for infants.


Probiotics are medications that contain strains of living bacteria. The product is sold in various forms and with different compositions. There are not only single-component probiotics, where only one type of microorganism is present, but also multicomponent ones. The unique properties of the drug help achieve the following results:

  • strengthening the immune system;
  • restoration of microflora and intestinal mucosa after taking antibiotics;
  • lowering blood cholesterol;
  • rapid removal of toxins and allergens from the body;
  • normalization of Ph balance in the colon;
  • improving the absorption of vitamins and microelements.

Below are the best probiotics according to doctors and patient reviews. Please note that the information provided is for informational purposes only and is not a guide to purchase. For any advice you should contact specialists!

There are contraindications. Consult your doctor.

The best mono- and polycomponent probiotics

Mono-ingredient probiotics contain only one strain of bacteria. These could be: bifidobacteria, lactobacilli, E. coli or bacilli. Such drugs are classified as first generation probiotics. That is, this was exactly the composition of the very first products for improving intestinal microflora. Multicomponent probiotics include from 2 to 30 strains or several types of live bacteria. For example, one preparation may contain four types of lactobacilli or a mixture of bifidobacteria and lactic acid streptococci. Due to their more complex composition, multicomponent probiotics have a complex effect on the intestinal microflora.

5 BIFIFORM

Strengthens immunity
Country: Denmark
Average price: 472 rub.
Rating (2019): 4.6

The composition of the symbiotic "Bifiform" includes enterococci and strains of bifidobacteria. The active substances normalize the functioning of the digestive system, so the probiotic is used for the treatment and prevention of dysbiosis in children and adults. The product also effectively combats constipation and diarrhea. The medication strengthens the immune system and serves as a prevention of infectious diseases.

For adults, the drug is sold in the form of tablets or capsules. For children The release form is more varied. "Bifiform Malysh" is presented in the form of a powder for preparing a solution with an orange-raspberry flavor. There are Bifiform Kids chewable tablets with the same taste. And for very young patients, the Bifiform Baby oil solution is produced.

Indications for use:

  • prevention and treatment of dysbacteriosis;
  • constipation and diarrhea.

Contraindications:

4 ACIPOL

Maximum benefits – minimum contraindications
Country Russia
Average price: 337 rub.
Rating (2019): 4.7

"Acipol" is produced in capsules containing kefir grains and acidophilus lactobacilli. Since the shell is gelatinous, before taking the symbiotic for small children, it is recommended to open the capsule and mix the contents in one teaspoon of water or milk. The probiotic is approved for use by babies older than three months.

The action of the active substances of the drug is similar to antibiotics. The product creates unfavorable conditions for pathogenic microbes, so it easily normalizes the balance of intestinal microflora. The probiotic is used for the prevention and treatment of dysbiosis resulting from poor nutrition or taking antibiotics. It is often included in the course of complex treatment of the gastrointestinal tract, for example, for colitis and enterocolitis.

Indications for use:

  • reducing intoxication during food poisoning;
  • chronic enterocolitis and colitis.

Contraindications:

  • sensitivity to components.

3 ENTEROL

Best after taking antibiotics
Country: France
Average price: 450 rub.
Rating (2019): 4.8

The multicomponent probiotic "Enterol" was developed by French scientists. The symbiotic contains Saccharomyces boulardii - these are lyophilized live bacteria, and lactose monohydrate acts as an excipient. Having fulfilled its main function, yeast fungi are naturally eliminated from the body. The drug is available in capsules or sachets of powder.

Most often, Enterol is prescribed after a course of antibiotics. The probiotic fights the causes of diarrhea, which could occur due to food poisoning or against the background of dysbiosis. The product should not be taken by children under 1 year of age without a doctor's prescription.

Indications for use:

  • diarrhea;
  • rotavirus infection;
  • irritable bowel syndrome.

Contraindications:

  • allergic reactions or high sensitivity to the components included in the composition;
  • pregnancy and lactation period.

2 Lactobacterin

Suitable for newborns
Country Russia
Average price: 140 rub.
Rating (2019): 4.9

The first generation probiotic “Lactobacterin” is created on the basis of one component – ​​live lactobacilli. After entering the intestines, they produce lactic acid, creating favorable conditions for the formation of beneficial bacteria. The active component fights staphylococcus, Proteus and E. coli. Lactobacterin is allowed for babies from the first day of life. The probiotic has virtually no contraindications or side effects, so it is not capable of harming the fragile intestines of newborns.

The drug is available in the form of a powder, hermetically packaged in bottles. Each pack contains 10 such bottles. The product can be used for no more than 10 days. The product is resistant to antibiotics, so it can be used simultaneously with antibacterial drugs.

Indications for use:

  • intestinal infections and dysbacteriosis;
  • diarrhea;
  • impaired intestinal function in newborns.

Contraindications:

  • vulvovaginitis.

1 Bifidumbacterin

Best for the whole family
Country Russia
Average price: 232 rub.
Rating (2019): 5.0

A prominent representative of the first generation of probiotics is Bifidumbacterin. The one-component drug is available in the form of tablets, drops, powder and suppositories. The product improves metabolic processes, increases immunity and normalizes intestinal function in both adults and children from 6 months. It is worth noting that six-month-old babies can only take “Bifidumbacterin” in powder; other forms of release are approved for use from 3 years of age. If infants refuse to take the drug, then it is possible to prepare a solution based on breast milk.

The active ingredient of the drug is bifidobacteria, which are active against strains of Escherichia coli, yeast-like fungi and staphylococcus. The course of treatment should not exceed 14 days. Only the attending physician can extend the period of admission.

Indications for use:

  • dysbacteriosis;
  • intestinal infections;
  • colic.

Contraindications:

  • individual intolerance;
  • allergy to probiotic.

The best sorption probiotics

This category presents the best probiotic complexes, which in addition to living microorganisms include a sorbent. In the preparation, bacteria are united into small colonies (20-180 living cells), which are fixed on sorbents, most often activated carbon. This increases the survival rate of microorganisms in the stomach. A product with this composition gently and effectively cleanses the intestines, restores colonies of beneficial bacteria, and prevents poisoning and other stomach problems.

5 Ecoflor

Safely and effectively relieves intoxication
Country Russia
Average price: 125 rub.
Rating (2019): 4.6

An innovative drug of 4 generations of probiotics. At the same time it combines the properties of a probiotic, sorbent and prebiotic. Destroying pathogenic microorganisms, it completely preserves nutrients, vitamins, minerals, and amino acids. Bifidobacteria and lactobacilli contained in the composition populate the intestines with beneficial microflora. Removal of intoxication of various origins occurs in a short time, as evidenced by a decrease in the number of eosinophils in the blood. The drug is considered the safest among analogues, it equally effectively restores the body after diarrhea and constipation, and does not damage the mucous membrane of the digestive tract.

The drug contains no preservatives or genetically modified bacteria, which increases its safety during treatment. It is recommended to take 10 minutes before meals, diluted in a small amount of water. Allowed to mix with jelly. The course lasts up to 14 days. For children under 5 years old, a single dose is 3 g per dose, for children under 10 years old – 5 g, for adults also 5 g, but the frequency is up to 3 times a day.

4 BIFIDUMBACTERIN FORTE

Quickly removes toxins from the body
Country Russia
Average price: 215 rub.
Rating (2019): 4.7

The probiotic complex is available in capsule or powder form. Live bifidobacteria sorbed on activated carbon evenly populate the intestinal microflora. Active components normalize microflora, and charcoal eliminates intoxication. The drug very quickly rids the digestive organs of waste products of harmful bacteria, removes toxic substances and restores colonies of beneficial microorganisms.

A probiotic is prescribed not only for indigestion, but also before a planned operation or after surgery. The drug easily eliminates poisoning, constipation and diarrhea. Newborns are prescribed the drug from the first day of life only in powder; capsules are allowed from the age of three.

Indications for use:

  • poisoning and allergies;
  • constipation or diarrhea;
  • intestinal infections.

Contraindications:

  • lactase deficiency;
  • Individual intolerance to the components of the drug.

3 Linux

Produces B vitamins
Country: Slovenia
Average price: 263 rub.
Rating (2019): 4.8

The active ingredient of the drug "Linex" is libenin, which contains strains of live lactobacilli, bifidobacteria and enterococci. Once in the intestines, beneficial microorganisms not only begin to actively multiply, but also synthesize vitamins B1, B2, B6, B12 and K. Lactic acid bacteria increase the acidity of the intestinal microflora, which leads to inhibition of the growth and development of pathogenic microorganisms. Active substances prevent pathogenic bacteria from attaching to the intestinal wall.

The release form of the drug is capsules. Linex is safe for health if the dosage is taken correctly. The product is prescribed even to infants, but it is first recommended to carefully remove the contents of the capsule and mix it with breast milk or formula.

Indications for use:

  • treatment and prevention of dysbacteriosis;
  • gas or heartburn;
  • diarrhea or constipation.

Contraindication:

  • hypersensitivity to components.

2 Probifor

Effective against poisoning. Safe at any age, starting from birth
Country Russia
Average price: 684 rub.
Rating (2019): 4.9

It does not consist of individual cells of bifidobacteria, but of small colonies located on microparticles of activated carbon. The number of cells in one colony reaches 180 pieces. When they enter the intestines, they begin to actively reproduce, which helps to quickly restore beneficial microflora. Probifor is an effective fighter against diarrhea and intoxication. It contains lactose as an auxiliary substance.

There are no age restrictions for admission. An effective probiotic is prescribed in the postoperative period. Doctors advise taking it before surgery or childbirth. Indications for starting medication are skin diseases, bacterial infections, and allergies. Available in powder or capsule form. They are taken with meals, washed down with plenty of water, kefir or yogurt. For a child of the first year of life, you need to dilute the powder with water before taking it. Frequency of administration: up to 7 years, 1 capsule 4 times a day. Over 7 years old – 3 pieces 2 times a day. If symptoms do not disappear, then the course of treatment is extended from 3 to 5 days.

1 Bactistatin

Better regulation of intestinal microflora
Country Russia
Average price: 860 rub.
Rating (2019): 5.0

The drug contains zeolite, which removes toxic substances and allergens from the body and improves parietal digestion in the intestines. The probiotic does not contain live bacteria, but contains liquid produced from Bacillus subtilis, which is rich in vitamin E. It selectively affects the intestinal microflora, destroying pathogenic and preserving beneficial bacteria. Bactistatin contains a substance similar to interferon, which enhances immunity to viruses. Intolerance to the drug is rarely observed. Not recommended for pregnant and breastfeeding women due to lack of research.

According to patient reviews, at the very beginning of treatment, cramps and bloating disappear, and stool normalizes. A drug is prescribed for the treatment of dysbacteriosis, gastritis, and allergies. Doctors recommend taking it after antibiotics, when there is a high probability of microflora imbalance. The drug should be taken strictly according to the instructions: adults – 1-2 capsules three times a day during meals. Children from 6 years old – up to 2 pieces per day.

The best synbiotics

Synbiotics are preparations that contain probiotics and prebiotics. Probiotics are live bacteria that belong to the normal intestinal microflora. Prebiotics are organic chemicals that create ideal conditions for normalizing intestinal microflora. Complex preparations cope well with indigestion, since one capsule contains not only beneficial microorganisms, but also a nutrient medium for them.

5 NARINE FORTE

Dietary fermented milk product
Country Russia
Average price: 350 rub.
Rating (2019): 4.6

The liquid probiotic contains a specially created strain of acidobacteria “Narine TNSi”, which takes root well on the mucous membranes of the gastrointestinal tract. The product fights all known pathogenic microorganisms. Together, bifidobacteria and acidobacteria remain viable for a long time, which means the effect of normalizing the intestinal microflora is longer.

The drink is recommended for use by adults and children with dysbiosis and intestinal infections. "Narine Forte" is prescribed after long-term use of antibiotics or hormonal drugs, as well as after radiation or chemotherapy. The product normalizes intestinal function after climate change. It can be taken by expectant mothers, women during lactation, as well as newborn or premature babies.

Indications for use:

  • vitamin deficiency;
  • alcohol intoxication;
  • prevention of dysbacteriosis.

Contraindications:

  • individual intolerance.

4 Biovestin – Lacto

High rate of drug absorption
Country Russia
Average price: 506 rub.
Rating (2019): 4.7

Lactobacilli and bifidobacteria that are part of the product belong to a strain that has a high reproduction rate. They destroy pathogenic bacteria, quickly saturating the body. A biological environment is created around them that prevents the penetration of pathogenic microbes. Biovestin-Lacto is one of the best drugs for pregnant and lactating women experiencing digestive difficulties and constipation. The drug is recommended for use by persons who have undergone chemotherapy and radiation treatment.

Allowed for newborn children. Individual immunity is considered a contraindication. It is recommended to store in the refrigerator, but in a low cooling zone. Storage duration is up to two months. The daily dose for adults should not exceed 12 ml. It is better to drink immediately before meals. For preventive purposes, take for 30 days 3 times a year. One package lasts for a week. According to patient reviews, the drug is easily tolerated, there is additional cleansing of the skin from inflammation, and elimination of flatulence.

3 Normoflorin

The most natural composition, suitable for newborns
Country Russia
Average price: 400 rub.
Rating (2019): 4.8

"Normoflorin" is an effective biocomplex against intestinal dysbiosis. It improves peristalsis, restores microflora, and reduces cholesterol. It is based on three components: metabolites, lactitol and bacteria (bifido and lacto). Together they have an active positive effect on the gastrointestinal tract. The drug is suitable even for people intolerant to lactose and cow's milk protein. An important feature is the completely natural composition.

The manufacturer produces three types of “Normoflorin”, which differ slightly in composition. But most often they are advised to be taken in combination. The probiotic has been on the market for over 20 years. It is a complex of useful substances that can help even with chronic gastrointestinal diseases (ulcers, gastritis, etc.). The kit includes a measuring cup. The product is used for the prevention and treatment of dysbiosis in children and adults. Does not contain dyes or preservatives.

Indications for use:

  • stomach ulcer, chronic gastritis, etc.;
  • lactase deficiency;
  • dysbacteriosis;
  • disturbed microbiocenosis.

Contraindications:

  • individual intolerance to components.

2 Bion-3

Probiotic with vitamin complex
Country: Germany
Average price: 859 rub.
Rating (2019): 4.9

The probiotic contains bifidobacteria and lactobacilli. It is considered the best drug with a high content of vitamins and minerals. Saturates the body with B vitamins, folic acid, vitamin C, E, biotin and others. Thanks to such a rich composition, immunity is increased and the balance of microorganisms is restored after antibiotics. The amount of substances completely covers the daily need of a child and an adult for them. The tablets quickly dissolve after use, nutrients enter the bloodstream and saturate the body’s tissues, and metabolism is activated.

The modern, effective drug is recommended to be taken for prevention, starting from the age of 14. Take 1 tablet per day for 30 days. The package is designed for 1 course. Due to the high nutrient content, consult a physician before use. In case of renal failure, hypercalcemia, dysfunction of the thyroid gland, the use of the drug is limited or prohibited.

1 Maxilak

Best efficiency.Most popular
Country: Poland
Average price: 440 rub.
Rating (2019): 5.0

The dietary supplement “Maxilak” is one of the most popular according to doctors and patient reviews. The drug contains live lactobacilli (4 species), bifidobacteria (3 species), lactococci and streptococci, and the prebiotic oligofructose is used to create comfortable conditions for them. This combination effectively suppresses the activity of harmful bacteria and stops their reproduction.

The drug can be taken not only by adults, but also by children aged 3 to 14 years, subject to compliance with all prescriptions of the attending physician. The synbiotic is available in the form of capsules with an innovative patented Multi Resistant Encapsulation (MURE) coating. Capsules retain the viability of microorganisms even under aggressive environmental influences, so the product can be stored at high temperatures.

Indications for use:

  • long-term treatment with antibiotics;
  • diarrhea or constipation;
  • dysbiosis.

Contraindications:

  • hypersensitivity to synbiotic components.

Today, experts have developed a long list of probiotics for the intestines. They are prescribed to improve the condition of intestinal microflora. Such drugs strengthen the immune system and eliminate the negative consequences of taking antibiotics.

Probiotics are a broad group of medications that contain strains of living bacteria that form the basis of the natural human microflora. Lacto- and bifidobacteria have a beneficial effect on the body: they help eliminate dysbiosis, destroy pathogenic microorganisms, produce vitamins, folic acid and biotin, and strengthen the immune system. Probiotics are also called eubiotics.

Prebiotics are chemical substances that create favorable conditions for the growth of normal microflora of the large intestine and are not absorbed in the small intestine. Prebiotics are compatible with antibiotics, are not affected by gastric juice, and do not cause side effects in case of overdose.

There is a separate group called synbiotics, which includes prebiotics and probiotics.

In the next video, a nutritionist will talk about the difference between probiotics and prebiotics.

When are these drugs prescribed?

In most cases, probiotics are prescribed when taking antibiotics. The latter effectively eliminate pathogenic microflora, but beneficial microorganisms are also affected.

Medicines that contain probiotics help restore natural microflora and also neutralize toxic compounds, which produce pathogenic bacteria in the course of their life.

Probiotics restore natural intestinal microflora

Normal functioning of the intestines in the human body is the key to a strong immune system. The protective functions of the body are formed in this organ of the digestive tract. Immunoglobulin A is produced when there is a sufficient number of beneficial bacteria. Antibodies protect the genitourinary, digestive and respiratory systems.

It is imperative to take probiotics after antibiotics in order to avoid serious consequences for the gastrointestinal tract. The interval between drugs should be at least 2 hours. Only the attending physician should select the medication.

Beneficial properties of probiotics:

  • participation in the synthesis of acids and vitamins;
  • preventing the occurrence of allergic manifestations;
  • lowering cholesterol levels;
  • elimination of intestinal inflammation;
  • elimination of various rashes on the skin - this improves the condition of the skin (read about atopic dermatitis in children);
  • helping the body produce vitamin K, folic acid, biotin (during the breakdown of food);
  • normalization of metabolism;
  • preventing the appearance of dysbacteriosis;
  • participation in the formation of essential amino acids, release of antioxidants;
  • eliminating signs of infection in the intestines by fighting pathogenic microorganisms (read about treatment methods).

In order to choose the best probiotics to restore intestinal microflora, it is necessary to determine the cause of the lack of beneficial microorganisms, which manifests itself in constipation, flatulence, IBS, antibiotic-associated and infectious diarrhea.

Classification of probiotics

The beneficial microorganisms under consideration are classified by type of bacteria, composition, release form, and also by generation.
1

By type of bacteria in its composition

  1. Bifidobacteria. This group includes probiotics for the intestines for constipation (Bifiform, Bifidumbacterin, Bifikol, Probifor, Bifiliz). Constipation in newborns is treated with - follow the link to find out how to use them.
  2. Lactobacilli. They contain dozens of species and belong to the group of fermented lactic bacteria (Acipol, Lactobacterin, Biobakton, Acylact).
  3. Coli-containing products. The composition includes non-pathogenic Escherichia coli (Bifikol, Colibacterin, Bioflor).
  4. Enterococci. Contains beneficial bacteria (Bifiform, Linex).
  5. Non-pathogenic yeasts and bacteria. Used for the treatment of gastrointestinal infections, a separate type of probiotics is self-eliminating antagonists (Enterol, Sporobacterin, Biosporin, Bactisubtil, Bactisporin).

Probiotics containing bifidobacteria include Bifiform and Bifidumbacterin

Bifidobacteria, lactobacilli, non-pathogenic Escherichia coli inhabit to a greater extent the large intestine, enterococci - mainly the small intestine, and to a lesser extent - the large intestine.
2

By composition

Probiotics also differ into several types according to their composition:

  1. Synbiotics. Such drugs have a combined composition, which consists of probiotics and prebiotics.
  2. Sorptive. The best probiotics for removing toxic substances from the human body. They consist of enterosorbents and beneficial microorganisms.
  3. Monocomponent. Such products contain only 1 type of bacteria, which have a beneficial effect on the microflora.
  4. Metabolic. Consist of metabolic products of beneficial microorganisms.
  5. Recombinant. Such drugs contain bacteria obtained through the process of genetic modification.
  6. Multicomponent. Medicines containing 2 or more types of non-pathogenic microorganisms.
Probiotic Linex is available in capsules

By release form

The drugs are available in several forms:

  • in liquid form (Trilact, Biovestin-lacto, Narine, Normoflorin, Lactoflor, Floristin);
  • in enteric capsules (Linex, Bifiform, Acipol);
  • in the form of powders (Lactobacterin, Colibacterin, Bifidumbacterin);
  • in sorption form (Bifikol Forte, Bifidobacterin, Ecoflor).

By generation

In pharmacology, there are 4 generations of probiotic drugs. List of gut probiotics by generation:

  1. Single-component medications containing one type of bacteria:
  • Bifidumbacterin;
  • Mutaflor;
  • Lactobacterin;
  • Colibacterin.
  • Enterol;
  • Sporobacterin;
  • Bactistatin;
  • Biosporin;
  • Baktisubtil.
  1. Multicomponent symbiotic medicines containing dietary supplements:
  • Acipol;
  • Bifiform;
  • Acylact;
  • Biovestin-Lacto;
  • Linux;
  • Bifiliz.
  1. Combined sorbed bifid-containing probiotic preparations with immunomodulatory properties (probiotics for children under one year):
  • Bifidumbacterin Forte;
  • Florin Forte;
  • Probifor.

Single-component drugs include Bifidumbacterin and Mutaflor

In most cases, a huge selection of drugs to restore normal microflora in a person causes confusion when choosing a drug.

Probiotics in foods

The microorganisms in question are found in some foods:

  • in kefir, yogurt and other lactic acid products;
  • sauerkraut;
  • cottage cheese and cheese;
  • miso soup;
  • tofu, soy sauce;
  • sourdough bread;
  • artichokes, onions, leeks;
  • bananas

How to take funds

The table shows the best gut probiotics for children by age and adults. And in the article on you can find a list of the best drugs containing vitamin D that can be given to infants, a deficiency of which leads to.

Name of the drug / release form
Age category / dosage and method of administration Contraindications
Side effects average cost
Bifiform (capsules)
  • Adults for the treatment of acute diarrhea – 1 pc. 4 times;
  • adults to normalize microflora – 2-3 pcs. per day for 1-3 weeks;
  • children from 2 years old – 1 drop. 2-3 times a day.

If the child is unable to swallow the medicine, you can open the capsule and dilute the contents in a small amount of water

Individual hypersensitivity to substances contained in the medication Not identified 470 rub.
Bifidumbacterin (powder, capsules) – can be considered as a children's probiotic Powder
  • from birth to 1 year – 1 pack. 2-3 times a day;
  • over 1 year – 1 pack. 3-4 times a day;
  • adults – 2 packs. 2-3 times a day.
  • from 3 years – 1 drop. 3-4 times a day;
  • adults – 2 drops. 2-3 times a day
Hypersensitivity to the components of the drug Possible allergies 400 rub.
Linex (capsules) – perfect as a probiotic for children after antibiotics
  • From birth to 2 years – 1 drop. 3 times a day;
  • from 2 to 12 years – no more than 2 drops. 3 times a day;
  • from 12 years – 2 drops. 3 times a day.

Take after meals with a small amount of liquid. Infants can dilute the contents of the capsule in a spoonful of water.

Lactose intolerance, high sensitivity to medication Allergic reaction 500 rub.
Lactobacterin (tablets, ampoules, bottles with liquid contents)
  • From 0 to 6 months. – 3 doses of dry contents 2 times a day;
  • from 6 months up to one year - 3 doses no more than 3 times a day;
  • from 1 year to 3 years – 5 doses 2 times a day;
  • from 3 years and adults – 5 doses 2-3 times a day.

Before use, dilute the medicine with boiled water and consume 30 minutes before meals.

Candidiasis, hypersensitivity In rare cases, allergic manifestations 200 rub.
Florin Forte (powder in sachets)
  • From 0 to 6 months. – 1 pack each. 2 times a day;
  • from 6 months up to 3 years – 1 pack. 3 times a day;
  • from 3 to 12 years – 1 pack. 3-4 times a day;
  • from 12 years old – 2 packs. 3 times a day.

Consume with meals

Individual intolerance to lactobacilli, bifidobacteria, lactose Not installed 350 rub.
Enterol (capsules, powder)
  • From 1 to 3 years – 1 drop. 2 times a day for 5 days;
  • adults – 1 drop. 1-2 times a day for 10 days.

Take the medicine an hour before meals, wash it down with liquid

High sensitivity to drug components, central venous catheter Possible allergic reactions, pain in the stomach 340 rub.
Probifor (capsules, sachets of powder)
  • From 0 to 6 months. – 1 pack each. 2 times a day;
  • from 6 months – 1 pack each. no more than 4 times a day;
  • up to 7 years and adults – 2-3 drops. 2 times a day
Congenital lactase deficiency, glucose-galactose malabsorption Not observed 435 rub.
Ecoflor (bag of granules)
  • From 3 to 5 years – 3 g no more than 2 times a day;
  • from 5 to 10 years – 5 g 2 times a day;
  • from 10 years – 5 g no more than 2-3 times a day
Peptic ulcers in the acute stage, individual intolerance to the drug Possible allergic reactions 65 rub.
Trilact (suspension)
  • From 18 months up to 12 years – 2-3 ml per day;
  • adults – 3-5 ml per day
Individual intolerance to the components of the drug Not identified 80 rub.
Mutaflor (capsules) From 15 years – 1-2 capsules per day High sensitivity to the composition of the drug Possible bloating, flatulence, diarrhea, nausea, vomiting, abdominal pain, headache, peeling skin, allergic manifestations 11,000 rub.
Colibacterin (powder)
  • from 6 to 12 months. – 2-4 doses per day; from 1 to 3 years – 4-8 doses per day;
  • adults – 6-12 doses per day
Severe allergic manifestations, individual intolerance In rare cases, flatulence, intestinal pain 230 rub.

Contraindications

Probiotics and prebiotics for the intestines are strictly not recommended for use:

  • for blood cancer;
  • AIDS;
  • weakened immune system.

The use of probiotics for children and adults with the above diseases can contribute to the development of infection and blood poisoning.

Conclusion

Probiotics play an important role in strengthening the immune system. However, the effect of each type of living bacteria is different, so you cannot self-medicate. Only a doctor should prescribe gut probiotics.

Prebiotics are non-microbial compounds that stimulate the reproduction and growth of beneficial microflora in the body. These substances are not digested in the digestive system, but are fermented by beneficial microorganisms in the large intestine. Let's take a closer look at what prebiotics are, their types and how they work.

Positive properties

Prebiotics when entering the body are food for beneficial bacteria. In the process of restoring the microbial biocenosis, these elements activate complex biochemical reactions that optimally maintain conditions for the development of microflora, supply bacteria with the necessary substrates (anti-stress peptides, amino acids, vitamins), and supply energy to “friendly” microorganisms. In addition, prebiotics in the intestinal lumen “acidify” the environment, resulting in unfavorable conditions for the development of harmful organisms.

Biological properties:

In addition, prebiotic cultures reduce appetite, this promotes weight loss.

How are prebiotics different from probiotics?

The name of these two groups of funds quite similar, so they are often confused:

  • Prebiotics are chemical organic substances that have the ability to create good conditions for the development of normal intestinal microflora.
  • Probiotics are live microorganisms that belong to the normal intestinal microflora.

It must be said that the effect of probiotics and prebiotics is similar, since each of the groups of these drugs normalizes the intestinal microflora.

Kinds

Prebiotics are low molecular weight carbohydrates. Polymer molecules that are connected to each other by one or a series of beta-glycosidic bonds. Moreover, the simpler the saccharide, the faster it acquires pronounced bifidogenic properties and is fermented with the intestinal microflora.

Systematization of drugs by chain length:

Monomeric drugs have a bifidogenic effect already in the oral cavity and esophagus, polymeric drugs - along the entire length of the colon, oligomeric - in the upper parts of the large intestine, dimeric - in the small intestine and stomach. The combination of carbohydrates of different types creates complexity for beneficial bacteria balanced “feeding”.

If you use one series of prebiotics for a long time, then microorganisms become activated in a limited part of the gastrointestinal tract. Moreover, other strains of probiotics develop disproportionately. As a result, the positive effect of beneficial flora on the body is significantly reduced.

List of main representatives of prebiotics:

  • inulin (a natural polysaccharide that is present in Asteraceae plants);
  • lactulose (element of dairy products);
  • soluble fiber (psyllium, chitosan, guar gum, psyllium seeds);
  • breast milk oligosaccharides;
  • antioxidants (selenium, carotenoids, ubiquinone, glutathione, vitamins E, A, C);
  • fructooligosaccharides;
  • food insoluble fibers (hemicellulose, cellulose, bran, lignin);
  • sweeteners (raffinose, xylitol, sorbitol);
  • galactooligosaccharides, including lactose;
  • oligofructose (one of the components of inulin);
  • microbial and plant extracts (carrot, potato, pumpkin, corn, yeast, garlic, rice);
  • para-aminobenzoic acid;
  • amino acids (glutamic acid, valine);
  • polydextrose (a polysaccharide formed by glucose residues);
  • unsaturated fatty acids;
  • acacia resin;
  • algae extracts;
  • resistant starches;
  • lectins (protein structures that are able to bind complex sugars);
  • enzymes (bacterial beta-galactosidases, Saccharomyces proteases).

The above compounds are found in natural prebiotics, and are also used as a selection list for biologically active complexes and drugs.

Food sources

To maintain a healthy gut flora, include food sources of prebiotics in your daily diet. The minimum daily dose is 20-30 g. (of which lactulose invariably accounts for 5 grams, and pure inulin – 7 grams).

Choosing foods that contain prebiotics:

Among pharmacological drugs, the most popular prebiotic is lactulose (a synthetic disaccharide). This compound has a distinct bifidogenic effect. Therefore, medicines based on it are manufactured, both in pure form (under various brand names) and in combination with other substances.

Selection of drugs that contain lactulose:

Indications for the use of the drugs described above: putrefactive dyspepsia, intestinal dysbiosis, chronic constipation, hepatic encephalopathy, digestive system dysfunction, salmonellosis. In addition, lactulose is used to normalize stool during pregnancy and lactation.

Prebiotics in baby food

The intestinal microflora plays a primary role in the correct ontogenesis of the infant. The first microbacteria enter the child’s body during passage through the mother’s birth canal. But dense colonization of the intestines with microflora begins with the baby’s first breastfeeding.

The main representatives of the microflora of children– bifidobacteria, lactobacilli, gram-positive cocci, enterobacteria, clostridia. In addition to probiotic strains, breast milk contains oligosaccharides (“food” for bacteria). At the same time, 1 liter of mother concentrate contains 1.5 grams. prebiotic components. Receiving the required “feeding”, beneficial microbacteria multiply, and harmful ones die.

If an infant is bottle-fed, the baby’s flora suffers (there is a small content of beneficial organisms in the intestines). These babies often develop gastrointestinal diseases (constipation, dysbacteriosis, gas formation, colic), food allergies, and infectious infestations. To prevent the development of these problems, infant formula is enriched with prebiotic substances.

List of complementary foods for children that contain oligosaccharides:

Prebiotics: reviews and best drugs

In medical practice and science there is no such definition as “best”; there is the concept of “optimal”, since different medicines are best suited for the treatment of specific diseases with their own characteristics and nuances. The same is completely true and applicable in relation to prebiotics and probiotics, since the different organic substances or strains and types of bacteria contained in them have the best effect on various functional diseases and disorders of the large intestine.

For example, to relieve diarrhea, the best probiotics are those that contain bacilli (Subtil, Bactisubtil, Biosporin, Bactisporin, etc.) or saccharomycetes (Enterol, etc.). To treat dysbiosis, you need to choose a medicine based on the results of a fecal examination, since the best probiotic in this case is the one that contains the bacteria that are most lacking in the intestines. Thus, in each specific case, the best probiotic will be different, taking into account the individual characteristics of the patient and the nuances of his illness.

If problems appear with the flora in the intestines, constipation and diarrhea begin, which are most easily treated with symptomatic means, but only temporarily. Most gastroenterologists and nutritionists still recommend using restorative drugs for microflora. Lacto- and bifidobacteria strengthen the immune system and improve the absorption of required substances. I liked the Protect Bakzdrav starter culture, which contains more than 10 varieties of beneficial microbacteria.

Vika 32 years old, Kirov

There is no way to buy food at work, so you need to survive on whatever you can. Once on the way I ate some nasty stuff. As a result, I suffered from diarrhea and intestines for several days. I drank at the same time as the Linex fixative. It did its job, but I can’t say it had a superb effect.

Maxim 34 years old, Kyiv

Maxilak is an excellent product, I bought it once. There is also normospectrum with a similar composition, as well as various substances and types of bacteria. It seems to me that today bifidumbacterin is of little use, given the antibiotics we take.

Lera 43 years old, Moscow

Not every person knows what probiotics are for. These medications help prevent the manifestation of dysbiosis and the death of beneficial bacterial agents that occur as a result of poor nutrition or long-term use of antibacterial agents.

Probiotics are based on live bacteria, which are natural flora for the digestive canal. In most cases, they are the ones who destroy pathogenic microbes.

What type of drugs are there to restore intestinal microflora? Let's consider. They are divided into several types.

Monocomponent probiotics

First generation gut probiotic. They contain only one type of bacterial agent. They are prescribed only for minor imbalances in the digestive flora.

There are several best probiotics for the gut.

    A drug that is available in the form of powder, suppository and tablets. Bifidumbacterin is a monocomponent probiotic that can have an antimicrobial effect against a number of bacteria. This medication has activity against E. coli, staphylococci, Shigella, and yeast fungi.

    Prescribed for adults and children from six months. The duration of the treatment course is fourteen days.

    There are a number of restrictions in the form of children under three years of age and increased susceptibility to the components of the medication. In addition to all this, the medicine is quite inexpensive. The average cost of tablets ranges around three hundred rubles, and suppositories and powder no more than one hundred rubles.

  1. Lactobacterin.

    This is a medicine that contains live lactobacilli. Once they enter the digestive canal, they begin to produce lactic acid and create conditions for the emergence of beneficial microbes. Also, such probiotics have increased activity against bacterial agents in the form of Protea, staphylococci and Escherichia coli.

    The medicine is sold in a pack containing ten bottles. It is allowed for children from birth. The lactobacilli included in the composition have increased resistance to the effects of antibacterial agents. Taken for intestinal dysbiosis for seven to ten days.

    There is a limitation in the form of vulvovaginitis. The average cost of the drug ranges from two hundred rubles.

Multicomponent probiotics

These are probiotics and prebiotics of the second generation. They contain many different living bacterial agents that can normalize the microflora of the intestinal canal.

A main list of medications is provided.

  1. Acipol.

    The active ingredients are kefir grains and lactobacilli acidophilus. This medication is similar to antibiotics. The active components that make up it create unfavorable conditions for the existence of microbes.

    Also, the effect of lactobacilli is aimed at accelerating metabolic processes, restoring immune functionality and the functioning of the intestinal canal.

    This drug can be taken for intestinal dysbiosis in adults and children from three months. Available in capsule form. Therefore, in order to avoid injury to the mucous membrane and make it easier for children to take the medicine, the drug is dissolved in water or milk.

    It has no restrictions other than increased susceptibility to the components of the medication. The duration of the treatment course is from fourteen to thirty days. The average cost is about four hundred rubles.

  2. Bifiform.

    An excellent medicine for intestinal microflora. It contains lactic acid bacteria. Their effect is aimed at suppressing the growth and ability of pathogenic microbes to reproduce. They also help restore the functionality of the digestive system.

    For the treatment of intestinal dysbiosis, it is prescribed to children over two years of age. Well tolerated by patients. But its cost is no less than three hundred and fifty rubles.

Sorption probiotics for the intestines

This group of medications is based on live bacteria and activated carbon. Therefore, they can be considered sorbents. Such medications help to instantly and effectively cleanse the intestinal tract of toxic substances, prevent intoxication and restore colonies of beneficial bacteria.

Their difference from regular probiotics is that they act on the body more effectively. The functioning of the intestinal canal is restored within a few days.

Bifidumbacterin Forte

This is a drug that is available in capsule and powder form. The active components that are included in the medication populate the digestive area and eliminate a number of dangerous microbes.

Activated carbon helps instantly remove toxic ingredients and limit the activity of dangerous agents.

Tablets for intestinal dysbiosis for adults and children over three years of age. The powder preparation can be given to babies from birth. They have a number of limitations such as lactose deficiency, increased susceptibility to the components of the product and the development of allergic reactions.

Synbiotics for the intestines

Medicines containing prebiotics and probiotics for the intestines. They have a complex effect and are therefore considered more effective.

The following drugs are available for intestinal dysbiosis.

  1. Maxilak.

    The active components are oligofructose, bifidobacteria, lactobacilli, lactococci and streptococci. This combination has a mutually reinforcing effect on metabolic processes in cellular structures.

    Active components help suppress the activity of harmful microbes and prevent their proliferation. Oligofructose makes it possible to create a favorable environment for the proliferation of beneficial bacterial agents.

    Such medications for dysbiosis are prescribed only to adults and adolescents over fourteen years of age. Can be used by younger children, but under strict medical supervision.

    It has no restrictions, but is well tolerated by patients. Its cost is also quite high and exceeds four hundred rubles.

  2. Bifiliz.

    The active ingredients are live bifidobacteria and lysozyme. The drug has an antibacterial and anti-inflammatory effect. Its effect is aimed at restoring beneficial flora and increasing beneficial bacteria.

    The duration of treatment is ten to twenty days. Has no contraindications. But its price exceeds four hundred and fifty rubles.

List of the best medications for the intestines

To restore the intestinal microflora, it is necessary to take a complex of medications. Based on the opinions of specialists and patients, several of the best drugs are identified:

  1. Linux. Available in capsule and powder form. It contains a mixture of lacto- and bifidobacteria, lactic acid enterococci, and prebiotics. Such a successful composition makes it the best drug among the rest. Moreover, it can be used both in adults and children from birth.
  2. Lactobacterin. An effective and safe component that is sold in the form of tablets, suppositories, and powder. Does not lead to the development of allergic reactions and side effects. Approved for use by young children and infants, pregnant and lactating women.
  3. Probifor. This is a new generation drug, which is an improved analogue of Bifidumbacterin. Sold in tablet and powder form. The medication is based on activated carbon and bifidobacteria. Thanks to this composition, an adsorbing effect is observed. This remedy can be used simultaneously with antibiotics.
  4. Primadophilus. A combined medication containing lacto- and bifidobacteria. Sold in capsule form. They can be given to children, adults and teenagers. Primadofilus has no restrictions, therefore it is acceptable for use by lactating and pregnant women. But it is quite expensive - around seven hundred rubles.
  5. Hilak Forte. A medicine that contains a prebiotic. Available in several forms: capsules, drops, powder. Such forms simplify its use and make it possible to treat small children without problems. This is the best drug for dysbiosis.
  6. Biobakton. A single drug that is sold in capsule form. Quite inexpensive, but can only be used for minor intestinal disorders. It is often prescribed during pregnancy and breastfeeding.

Probiotics for the intestines, the list of which is quite extensive, help stabilize the body's microflora. Your doctor can tell you which medication is best to choose, so we strongly advise you to consult a doctor.

Suppositories for dysbacteriosis

Beneficial bacteria can be used not only in tablets and powder, but also in the form of suppositories. They are divided into two types: rectal and vaginal.

Vaginal suppositories are used to treat bacterial vaginosis in the female half of the population. They perfectly restore the microflora in the vagina. This group includes Polygynax, Terzhinan and Betadine. Their effect is aimed at inhibiting pathogenic microbes and preventing other diseases. The only contraindication is the third trimester of pregnancy.

There are also such products as Labilakt, Atsilakt, Vagilakt, Gynoflor. These are suppositories that contain lacto- and bifidobacteria, as well as estriol and lactose. Their effect is aimed at restoring the flora after the use of antibacterial agents, with weakened immune function and excessive proliferation of pathogenic microbes due to hormonal imbalance.

Rectal suppositories also restore the flora of the intestinal canal, but can be used not only by women, but also by children, adults and the elderly.

Medicines such as Apis, Kipferon, Anuzol are available for sale. They contain a glucocorticosteroid component, which stops the inflammatory process. They are often prescribed for dysbiosis caused by a cold or flu infection. They cannot be used for more than seven days in a row.

Bifinorm, Laktonorm and Lactobacterin are also prescribed. Such suppositories make it possible to supply the digestive canal with beneficial bacterial agents. In some cases, they act faster and more effectively on the mucous membrane. The thing is that beneficial bacteria enter directly into the intestinal cavity without being destroyed by gastric juice.

The cost of probiotics varies. Moreover, each of them has its own testimony. If there is a slight malfunction of the digestive system, you can use inexpensive first-generation medications. If severe intoxication of the body and dehydration are observed, then it is better to use modern and expensive drugs. If unpleasant symptoms occur, you should visit a doctor and also find out which remedies are best for your treatment.