- For pouchitis, I was prescribed the capsules - 2 capsules 2x/day, but now see the Visbiome pamphlet seems to only recommend the powder packets for pouchitis. But, it says 2-4 packets/day for "maintenance or prevention" - what about for active pouchitis? Are the packets better - and how many a day? (side note - the Flagyl helped immediately and I'm feeling good at the moment...)
- I'm on Flagyl (3 times a day for 14 days), it says to not take Visbiome within 4 hours of antibiotics. That seems impossible when taking the antibiotic 3xday. I suppose I'll need to take a Visbiome dose in the middle of the night. Any other tips?
- For maintenance and prevention of pouchitis, do you all take the packets - 2-4/day?
Hi Liz I hope you get a answer I have the powder and was wondering the same thing.
I take a maximal dose of the very similar VSL #3 DS (4 packets per day). Since I’m also on antibiotics the timing was tricky. I experimented with once per day dosing (of Cipro and Flagyl) and it seemed to work as well as split dosing, so I take my probiotic at breakfast and dinner, and my antibiotic at bedtime. Maybe ask your doctor if less frequent antibiotic dosing would be okay?
The capsules are a much lower dose then the packets. Most pouchers are taking one or two packets a day. It's really what works for you. Most of us also seem to only end up on antibiotics twice a day, I would take mine morning and evening and the probiotic at lunch.
I take one packet a day for preventative maintenance and I up the dose to twice if I am feeling unwell and after antibiotics.
Hope this helps, good luck.
Thank you - that does help. Now to figure out what do do with the 2 bottles of capsules I have! I wonder if I can use those up - and just take high doses to equate to the powder packets. Then switch to the packets when used up.
You can "add" up the capsules, I get capsules for traveling sometimes as they are easy to take.
You can certainly use the capsules in whatever dose is appropriate - it just get ridiculous at the higher doses.
Scott, you're murdering billions of pricy bacteria with the antibiotic bombardment I have my doubts if the bugs will be able to establish fulsome populations under those conditions.
Steven, I’ve done the test. The information, imperfect as it is, is that it helps in my circumstance. A J-pouch isn’t an ideal home for a thriving microbiome, anyway, so a daily push toward a healthier balance seems to be useful. I’ll just have to live with the guilt of that daily slaughter at bedtime.