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.



