I am traveling in a few days, and currently on Adalimumab 40mg. Thinking that it would be great to prevent gastrointestinal issues, I was about to pack a probiotic (Saccharomyces boulardii, specifically), that apparently has some weak evidence of preventing these.
However, there is also a warning that probiotics should be avoided in immunosuppressed patients.
Does it apply to those of us taking biologics? Is it correct to interpret that this refers only to seriously immunosuppressed patients (e.g. oncological, on a catheter...), or does it also apply generally to TNF-alpha inhibitors? Has any of you taken probiotics without problems? Did your rheum ever advised against them?
Thank you!
PS: Of course, the best would be to ask my rheumatologist, but it is a bit difficult to get an appointment in time and use it just for this question. I do not even understand how serious this warning is.