2019
DOI: 10.1007/s00213-019-5185-8
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Psychotropics and the Microbiome: a Chamber of Secrets…

Abstract: The human gut contains trillions of symbiotic bacteria that play a key role in programming different aspects of host physiology in health and disease. Psychotropic medications act on the central nervous system (CNS) and are used in the treatment of various psychiatric disorders. There is increasing emphasis on the bidirectional interaction between drugs and the gut microbiome. An expanding body of evidence supports the notion that microbes can metabolise drugs and vice versa drugs can modify the gut microbiota… Show more

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Cited by 118 publications
(87 citation statements)
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References 168 publications
(250 reference statements)
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“…Due to the limited number of studies evaluating the composition of the gastrointestinal microbiota in our results, the heterogeneity of techniques used, variance in findings, and issues around drug use, it is difficult to draw any firm conclusions regarding microbiome alterations in this patient population. This Pandora's box is of intricate complexity (49), such that meaningful results would possibly be best obtained by studying these factors in a much larger, drug-naïve cohort. To date, no extensive analysis has been undertaken to simultaneously evaluate the composition of the gastrointestinal tract microbiota, its metabolites, luminal neurotransmitters and brain neurochemistry in people with fibromyalgia.…”
Section: Gut Microbiotamentioning
confidence: 99%
“…Due to the limited number of studies evaluating the composition of the gastrointestinal microbiota in our results, the heterogeneity of techniques used, variance in findings, and issues around drug use, it is difficult to draw any firm conclusions regarding microbiome alterations in this patient population. This Pandora's box is of intricate complexity (49), such that meaningful results would possibly be best obtained by studying these factors in a much larger, drug-naïve cohort. To date, no extensive analysis has been undertaken to simultaneously evaluate the composition of the gastrointestinal tract microbiota, its metabolites, luminal neurotransmitters and brain neurochemistry in people with fibromyalgia.…”
Section: Gut Microbiotamentioning
confidence: 99%
“…It is important to note that the growing evidence suggests the intestinal microbiome could be involved in the treatment response. Moreover, gut microorganisms might be necessary to the occurrence of adverse effects such as weight gain (20).…”
Section: Introductionmentioning
confidence: 99%
“…The pathways and mechanism by which these associations are manifest remain to be fully elucidated. However, recent developments in genome sequencing, metabolomics, functional imaging and computational biology have increased our understanding considerably [3][4][5][6].…”
Section: Introductionmentioning
confidence: 99%