GNH USA

Europe — EMA

Mutaflor (Escherichia Coli Strain Nissle 1917)

GNH USA supplies Mutaflor (Escherichia coli Nissle 1917), a probiotic for ulcerative colitis remission, irritable bowel syndrome and antibiotic‑associated

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What is Escherichia Coli Strain Nissle 1917?

Escherichia coli Nissle 1917, the active ingredient in Mutaflor, is a probiotic presented as a 10^9 CFU per capsule for oral use. It is employed to support maintenance of remission in ulcerative colitis and to aid gastrointestinal health in other conditions. GNH USA supplies Mutaflor as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

What is Escherichia Coli Strain Nissle 1917 used for?

Mutaflor is a probiotic that acts on the gastrointestinal microbiota to improve disease outcomes. - Ulcerative colitis: helps maintain remission and reduce flare‑ups. - Irritable bowel syndrome: may alleviate abdominal discomfort and irregular bowel habits. - Antibiotic‑associated diarrhea: assists in preventing diarrhea that can follow broad‑spectrum antibiotic therapy.

What are the side effects of Escherichia Coli Strain Nissle 1917?

Mutaflor is generally well tolerated, but adverse reactions can occur.

Common Side Effects: - Bloating: mild abdominal distension reported by some users. - Flatulence: increased intestinal gas may be experienced. - Nausea: occasional feeling of queasiness. - Diarrhea: transient loose stools in the initial treatment period.

Serious or Rare Side Effects: - Sepsis: rare bloodstream infection, primarily in severely immunocompromised patients. - Bacteremia: presence of the probiotic strain in blood, reported in vulnerable individuals. - Severe allergic reaction: anaphylaxis or angioedema in hypersensitive patients. - Infection of central lines: possible colonisation of indwelling devices in high‑risk settings.

What precautions apply to Escherichia Coli Strain Nissle 1917?

Before prescribing Mutaflor, clinicians should consider patient‑specific factors and follow safe handling practices. - Immune status assessment: evaluate for severe immunosuppression before use. - Caution in critical illness: avoid in patients with uncontrolled sepsis or organ failure. - Monitor for infection signs: watch for fever, chills, or gastrointestinal bleeding. - Concomitant antibiotics: be aware that broad‑spectrum antibiotics may diminish probiotic efficacy. - Store at room temperature: keep in the original pack, protect from moisture.

What does Escherichia Coli Strain Nissle 1917 interact with?

Mutaflor may interact with other agents that alter gut flora or immune function.

Major Interactions (Avoid): - Broad‑spectrum antibiotics: can eradicate the probiotic strain, reducing benefit. - Immunosuppressants: may increase risk of opportunistic infection. - Antifungal agents (e.g., fluconazole): potential alteration of microbial balance.

Moderate Interactions (Monitor Closely): - Proton pump inhibitors: altered gastric pH may affect bacterial survival. - Non‑steroidal anti‑inflammatory drugs (NSAIDs): may increase gastrointestinal irritation. - Live vaccines: probiotic may modulate immune response to vaccination.

Frequently asked questions

What is Mutaflor used for?+
Mutaflor is a prescription probiotic containing Escherichia coli Nissle 1917. It is used to maintain remission in ulcerative colitis, to help manage symptoms of irritable bowel syndrome, and to prevent diarrhea that can occur after taking broad‑spectrum antibiotics.
How does Escherichia coli Nissle 1917 work?+
The Nissle 1917 strain colonises the intestinal tract, where it competes with harmful bacteria for nutrients and attachment sites. It also produces substances that inhibit pathogens and interacts with gut immune cells, helping to restore a balanced microbiota and support normal intestinal function.
What is the usual dose of Mutaflor?+
The exact dosing regimen for Mutaflor is determined by the prescribing clinician based on the patient’s condition, age, and overall health. Physicians typically prescribe one capsule containing 10^9 CFU daily, but the final dose and duration should follow the prescriber’s instructions.
Is Mutaflor safe during pregnancy or breastfeeding?+
Safety data for Mutaflor in pregnancy and lactation are limited, and the product’s pregnancy category is listed as unknown. Healthcare providers should weigh potential benefits against possible risks before prescribing it to pregnant or nursing individuals.
How do I order Mutaflor from GNH USA?+
To order Mutaflor, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.
How does Mutaflor compare with other probiotics or standard treatments?+
Mutaflor contains a single, well‑studied strain (E. coli Nissle 1917) with documented efficacy in ulcerative colitis remission, whereas many over‑the‑counter probiotics contain mixed strains with variable evidence. Compared with conventional anti‑inflammatory drugs, Mutaflor offers a microbiota‑focused approach with a different safety profile.
How should Mutaflor be stored and handled?+
Mutaflor capsules should be stored at room temperature, below 25 °C, in their original packaging. They must be kept away from moisture and direct sunlight to preserve bacterial viability throughout the shelf life.
How is Mutaflor administered?+
Mutaflor is taken orally as a capsule. The capsule is swallowed whole with water, usually once daily, unless the prescriber advises a different schedule. It is not intended for sublingual or chewable use.
What are the most serious risks to watch for while using Mutaflor?+
The most serious risks include rare cases of sepsis or bacteremia, especially in patients with severe immunosuppression, central venous catheters, or critical illness. Anaphylactic reactions, though uncommon, may also occur and require immediate medical attention.
Who should not use Mutaflor?+
Mutaflor should be avoided in individuals with known hypersensitivity to Escherichia coli Nissle 1917 or any capsule excipients, and in patients who are severely immunocompromised, have uncontrolled sepsis, or possess indwelling medical devices that could be colonised by the probiotic strain.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Escherichia Coli Strain Nissle 1917
Route
Oral Use
Manufacturer
Ardeypharm Gmbh
Origin
EU

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