A synbiotic is a product that combines live probiotic bacteria with a prebiotic fiber (such as inulin or FOS) that feeds them.
Also known as: synbiotic, probiotic plus prebiotic, probiotic and fiber blend.
Each trial used a different mix of bacteria and fiber, so we do not list one amount.
It is sold in the US as a dietary supplement. Under the 1994 dietary supplement law (DSHEA), FDA does not approve dietary supplements before they are marketed, and the maker, not FDA, is responsible for safety and labeling.
What studies show: a 2022 meta-analysis of adult chronic constipation found 4 synbiotic trials did not improve stool output or symptoms, while some probiotics alone (notably Bifidobacterium lactis) did, and concluded there is not enough evidence to recommend synbiotics for constipation (van der Schoot 2022). A 2018 meta-analysis for irritable bowel syndrome found data on synbiotics were sparse (Ford 2018).
Safety: adverse events were no more common with probiotics than placebo in the IBS analysis (Ford 2018). The sources here do not describe drug interactions.
Synbiotics act in the gut (live bacteria plus fiber they ferment) rather than being absorbed into the blood, so a half-life or time to peak does not apply.
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