Europe — EMA
Mutaflor (Escherichia Coli Strain Nissle 1917)
GNH USA supplies Mutaflor (Escherichia coli Nissle 1917), a probiotic for ulcerative colitis, inflammatory bowel disease and IBS.
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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 1×10^9 CFU per sachet oral lyophilized powder for oral use. It is employed to support maintenance of remission in ulcerative colitis and to aid overall gastrointestinal health in related disorders.
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 indicated for several gastrointestinal conditions.
- Ulcerative colitis: helps maintain remission and reduces the frequency of disease flares. - Inflammatory bowel disease: supports gut microbiota balance and may contribute to symptom control. - Irritable bowel syndrome: modulates intestinal flora to alleviate abdominal discomfort and irregular bowel habits.
What are the side effects of Escherichia Coli Strain Nissle 1917?
Adverse reactions to Mutaflor are generally mild and infrequent.
Common Side Effects: - Abdominal discomfort: mild bloating or cramping. - Flatulence: increased gas production. - Diarrhea: transient loose stools. - Nausea: occasional feeling of queasiness.
Serious or Rare Side Effects: - Sepsis: rare systemic infection, particularly in immunocompromised individuals. - Allergic reaction: rash, itching, or swelling. - Bacteremia: presence of bacteria in the blood, extremely uncommon.
What precautions apply to Escherichia Coli Strain Nissle 1917?
Before prescribing Mutaflor, consider the following precautions.
- Immunocompromised patients: assess infection risk before use. - Recent antibiotic therapy: may diminish probiotic colonisation. - Pediatric use: safety not established; use under specialist guidance. - Pregnancy and lactation: safety unknown; weigh potential benefits against risks. - Underlying severe gastrointestinal disease: monitor for signs of bacterial translocation. - Store at ambient temperature: keep sachets in original packaging, protect from moisture and direct sunlight.
What does Escherichia Coli Strain Nissle 1917 interact with?
Mutaflor may interact with certain medications or substances.
Major Interactions (Avoid): - Broad‑spectrum antibiotics: can eradicate the probiotic strain, reducing efficacy. - Immunosuppressive therapy: increased risk of systemic infection.
Moderate Interactions (Monitor Closely): - Antifungal agents: may alter gut flora balance. - Antidiarrheal agents (e.g., loperamide): could affect probiotic transit time. - Live vaccines: theoretical risk of bacterial translocation in immunocompromised hosts.



