Hi Liz I hope you get a answer I have the powder and was wondering the same thing.

I take a maximal dose of the very similar VSL #3 DS (4 packets per day). Since I’m also on antibiotics the timing was tricky. I experimented with once per day dosing (of Cipro and Flagyl) and it seemed to work as well as split dosing, so I take my probiotic at breakfast and dinner, and my antibiotic at bedtime. Maybe ask your doctor if less frequent antibiotic dosing would be okay?

The capsules are a much lower dose then the packets. Most pouchers are taking one or two packets a day.  It's really what works for you. Most of us also seem to only end up on antibiotics twice a day, I would take mine morning and evening and the probiotic at lunch.

I take one packet a day for preventative maintenance and I up the dose to twice if I am feeling unwell and after antibiotics.

Hope this helps, good luck.

Thank you - that does help. Now to figure out what do do with the 2 bottles of capsules I have! I wonder if I can use those up - and just take high doses to equate to the powder packets. Then switch to the packets when used up. 

You can "add" up the capsules, I get capsules for traveling sometimes as they are easy to take.

You can certainly use the capsules in whatever dose is appropriate - it just get ridiculous at the higher doses.

Scott, you're murdering billions of pricy bacteria with the antibiotic bombardment I have my doubts if the bugs will be able to establish fulsome populations under those conditions.

Steven, I’ve done the test. The information, imperfect as it is, is that it helps in my circumstance. A J-pouch isn’t an ideal home for a thriving microbiome, anyway, so a daily push toward a healthier balance seems to be useful. I’ll just have to live with the guilt of that daily slaughter at bedtime.

Hi, I've just gotten some Visbiome packets (the extra strength kind). I've had off and on bouts of pouchitis for years, with flare ups twice a year. But lately it seems to come creeping back as soon as I finish the antibiotics.  I've just finished a regimen 250 mg of Cipro every other day for about 8 weeks.

Those of you that use Visbiome, are you using it to prevent pouchitis, or make it go away, or both? I'm not sure if I should just start taking it now to hopefully ward off the P, or wait and see if it comes back and then start taking Visbiome to make it go away.

Thanks for any advice!

Visbiome is better at preventing pouchitis than treating it. I used it (under its earlier name) successfully to delay needing antibiotics for about a year. I still use a closely related probiotic (VSL #3) along with antibiotics, but it does its job better without them.