Anthropometric Measurements as Predictors of Low Birth Weight Among Tanzanian Neonates: A Hospital-Based Study
November 7, 2025
Brand Name :
Erceflora, Enterogermina
Synonyms :
Bacillus clausii
Class :
Gastrointestinal agents; Antidiarrheal drugs; Probiotics
Dosage forms & StrengthsÂ
CapsuleÂ
2 to 4 x 109 spores Â
SuspensionÂ
Oral powderÂ
Restoration Of Intestinal FloraÂ
Bacillus clausii can be used to restore the intestinal bacterial flora that gets wiped off after the antibiotic treatment and the adverse effects because of Helicobacter pylori therapy
It also treats the premature delivered neonates for upper respiratory infections and nasal allergies
The dose of Bacillus clausii is described as one capsule or suspension or powder orally two to three times a day
Each capsule consists of four billion spores for adult dosing
Restoration Of Intestinal FloraÂ
Bacillus clausii can be used to restore the intestinal bacterial flora that gets wiped off after the antibiotic treatment and the adverse effects because of Helicobacter pylori therapy
It also treats the premature delivered neonates for upper respiratory infections and nasal allergies
The dose of Bacillus clausii is described as one capsule or suspension or powder orally two to three times a day
Each capsule consists of four billion spores for adult dosing
Two billion spores per day in the form of the capsule are recommended for pediatric and breastfeeding infantsÂ
Refer to the adult dosingÂ
amoxicillin and clavulanate potassium
antibiotics may diminish the therapeutic effect of Bacillus clausii
lansoprazole, amoxicillin, and clarithromycin
antibiotics may diminish the therapeutic effect of Bacillus clausii
bismuth subcitrate, metronidazole and tetracycline
antibiotics may diminish the therapeutic effect of Bacillus clausii
antibiotics may diminish the therapeutic effect of Bacillus clausii
antibiotics may diminish the therapeutic effect of Bacillus clausii
may decrease the therapeutic effect when combined with bacillus clausii
may decrease the therapeutic effect when combined with bacillus clausii
may decrease the therapeutic effect when combined with bacillus clausii
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
imipenem/cilastatin/relebactamÂ
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
may decrease the therapeutic effect of antibiotics
neomycin/polymyxin B/gramicidin ophthalmicÂ
may decrease the therapeutic effect of Antibiotics
ciprofloxacin inhaled (Pending FDA approval)Â
may decrease the therapeutic effect of Antibiotics
antithymocyte globulin equineÂ
may increase the adverse effect of immunosuppressants
amoxicillin and clavulanate potassium
antibiotics decrease the efficacy of Bacillus clausii
lansoprazole, amoxicillin, and clarithromycin
antibiotics decrease the efficacy of Bacillus clausii
bismuth subcitrate, metronidazole and tetracycline
antibiotics decrease the efficacy of Bacillus clausii
antibiotics decrease the efficacy of Bacillus clausii
antibiotics decrease the efficacy of Bacillus clausii
Actions and Spectrum:Â
Some of the actions of Bacillus clausii include:Â
The spectrum of Bacillus clausii refers to the range of microorganisms it can affect. Bacillus clausii has a broad spectrum of activity and can inhibit the growth of a wide range of pathogenic bacteria, including Clostridium difficile, Salmonella, and Escherichia coli.Â
Black-Box Warning:Â
NoneÂ
Contraindication/Caution:Â
Pregnancy consideration: None reportedÂ
Breastfeeding warnings: No data on the excretion of Bacillus clausii in breast milk is availableÂ
Pregnant and lactating females can take this OTC product.Â
Pregnancy category:Â
Pharmacology:Â
Bacillus clausii is a probiotic bacterium commonly used to support gastrointestinal health. It has several pharmacological actions, including:Â
Pharmacodynamics:Â
The pharmacodynamics of Bacillus clausii refers to how the probiotic bacterium works in the body to produce its therapeutic effects.Â
Bacillus clausii exerts its pharmacological effects by colonizing the gut and interacting with the host’s immune system and microflora. It produces antimicrobial compounds, such as bacteriocins and lactic acid, which can inhibit the growth of pathogenic bacteria and promote the growth of beneficial bacteria, such as Bifidobacterium and Lactobacillus.Â
Bacillus clausii can also modulate the host’s immune system by stimulating the production of antibodies and cytokines, which can help fight against infections and enhance the immune response. Additionally, it can improve the integrity of the intestinal barrier by promoting the production of mucus and tight junction proteins, which can help prevent the entry of harmful bacteria and toxins into the bloodstream.Â
The pharmacodynamics of Bacillus clausii may vary depending on the individual and the condition being treated. It is essential to follow the instructions provided by the healthcare provider or the product label and to consult with a healthcare provider before using Bacillus clausii, especially if you have any pre-existing medical conditions, are pregnant or breastfeeding, or are taking other medications.Â
Pharmacokinetics:Â
The pharmacokinetics of Bacillus clausii has not been extensively studied, but it is known that it is not absorbed systemically and remains in the gastrointestinal tract. The spores of Bacillus clausii are resistant to gastric acid and bile, which allows them to reach the small intestine and colon intact. Once in the intestine, the spores germinate and multiply, producing beneficial bacteria that help to restore the normal intestinal flora.Â
Bacillus clausii has a short residence time in the gastrointestinal tract and is generally eliminated within 3-4 days of discontinuing treatment. It is generally well tolerated and does not appear to have any significant adverse effects.Â
Administration:Â
Bacillus clausii is typically administered orally as capsules, powder, or suspension. The specific dosage and duration of treatment may vary depending on the condition and individual patient.Â
For the treatment of acute diarrhea, the usual recommended dose of Bacillus clausii is 2 to 4 capsules or sachets per day, divided into two to three doses, for 5 to 7 days. In some cases, treatment may be continued for up to 10 days.Â
For the prevention of antibiotic-associated diarrhea, the usual recommended dose is 2 to 4 capsules or sachets per day, starting on the first day of antibiotic therapy and continuing for a period of 5 to 7 days after the completion of antibiotic therapy.Â
Bacillus clausii can be taken with or without food. The capsules or sachets should be swallowed whole with water, and the powder or suspension should be mixed with water before administration.Â
Patient information leafletÂ
Generic Name: Bacillus clausiiÂ
Pronounced: Bah-see-lus Clau-zeeÂ
Why do we use Bacillus clausii?Â
Bacillus clausii is typically administered orally as capsules, powder, or suspension. The specific dosage and duration of treatment may vary depending on the condition and individual patient.Â
For the treatment of acute diarrhea, the usual recommended dose of Bacillus clausii is 2 to 4 capsules or sachets per day, divided into two to three doses, for 5 to 7 days. In some cases, one may continue treatment for up to 10 days.Â
For the prevention of antibiotic-associated diarrhea, the usual recommended dose is 2 to 4 capsules or sachets per day, starting on the first day of antibiotic therapy and continuing for a period of 5 to 7 days after the completion of antibiotic therapy.Â
Bacillus clausii can be taken with or without food. The capsules or sachets should be swallowed whole with water, and the powder or suspension should be mixed with water before administration.Â