Florasan-D – alternatives

A reader wrote about this probiotic: ” with a special probiotic that i buy in Russia , i was having great results amazing “. He provided a link to it.

A research group at the First Moscow State Medical University has reported that they have identified a probiotic that eradicates eradicates small intestinal bacterial overgrowth (SIBO) in patients who also have irritable bowel syndrome (IBS).  The probiotic, available only in Russia, combinated four strains of bacteria and is named Florasan-D. Florasan-D includes a combination of Bifidobacterium bifidum,Bifidobacterium longum, Bifidobacterium infantis and Lactobacillus rhamnosus.

The findings revealed that both IBS-C and  IBS-D patients treated with the probiotic experienced statistically significant improvements in several measures (abdominal pain and stool frequency) after 28 days, compared with baseline.

Gut-Chek Blog

This did not cure SIBO/IBC-C/IBS-D. It improved it for some. He is likely one of the lucky ones. He is facing a problem because he is no longer able to buy it and asked for my help.

The research study is here (American Journal of Clinical Medicine Research, 2015 3 (2), pp 18-23.) And this chart may clarify “improves” and does not cure.

I was unable to find anything on the strains in this mixture nor their relative percentage. I found a Russian Reference that the dosage was 250 mg/day.


We are wishing the following:

  • Bifidobacterium bifidum,
  • Bifidobacterium longum,
  • Bifidobacterium infantis and 
  • Lactobacillus rhamnosus


They have a 5 strain bifidobacteria containing the 3 above (with B. Lactis and B.Breve being the additional ones). They also sell pure Lactobacillus rhamnosus or use Culturelle (L. Rhamnosus GG).

They also have D-Lactate Free Probiotic Powder containing all of these, plus two more. IMHO — this would be my preferred substitution

  • L. Rhamnosus, Strain LR-32 -MATCH
  • L. Salivarius, Strain LS-33
  • B. Lactis, Strain BL-04
  • B. Bifidum, Strain Bb-06 – MATCH
  • B. Infantis, Strain Bi-26 – MATCH
  • B. Longum, Strain BL-05 – MATCH

Lifted Naturals Bifidus Mood Super Strains

This contains the same bifiobacteriums PLUS B. Breve and LGG.


L. rhamnosus (GG), B. longum, B. bifidum, B. lactis, B. breve, B. infantis

Bottom Line

In general, I do not recommend combinations probiotics because each species/strains has different impacts making the net effect fuzzy. Finding a reasonable replacement for the combination that helped this person is possible. My number 1 choice would be:

D-Lactate Free Probiotic Powder

Then Bifidus Mood Super Strains