Sulfa drugs include:
Taking sulfa drugs may deplete good bacteria and vitamin B9
There are many types of good bacteria that live in your intestine. They help keep your digestive system healthy. Two of these bacteria are Lactobacillus acidophilus and Bifidobacterium bifidum.
Good bacteria help you to:
Use of some medicines may deplete good bacteria. If you do not have enough probiotics in your gut, you may have:
Some foods called probiotics contain good bacteria, and can help return your gut to normal.
Low levels of folic acid in the body may be linked to:
Symptoms may include:
The information presented here covers some of the nutrients that may be affected when you take certain medicines. If you have any of these signs and symptoms, it does not always mean you have low levels of these nutrients.
Factors that affect the level of nutrients are:
Please talk to your health care provider. They can best address your health care needs and see if you are at risk for low levels of any nutrients.
Chen LA, Sears CL. Prebiotics, probiotics, and synbiotics. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 3.
Gold Standard Drug Database: Drug Monograph: Sulfasalazine 2016. www.clinicalkey.com/#!/content/drug_monograph/6-s2.0-582. Accessed July 18, 2016.
Gold Standard Drug Database: Drug Monograph: Sulfisoxazole 2016. www.clinicalkey.com/#!/content/drug_monograph/6-s2.0-583. Accessed July 18, 2016.
Harrison GJ. Probiotics. In: Cherry JD, Demmler-Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin and Cherry's Textbook of Pediatric Infectious Diseases. 7th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 242.
Sachdev HPS, Shah D. Vitamin B complex deficiencies and excess. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 49.
Shenkin A, Roberts NB. Vitamins and trace elements. In: Burtis CA, Ashwood ER, Bruns DE, eds. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 5th ed. St. Louis, MO: Elsevier Saunders; 2012:chap 31
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