• Prog. Neuropsychopharmacol. Biol. Psychiatry · Jun 2021

    Review

    Nutritional and therapeutic approaches for protecting human gut microbiota from psychotropic treatments.

    • Yasmina Ait Chait, Walid Mottawea, Thomas A Tompkins, and Riadh Hammami.
    • NuGut Research Platform, School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario K1N 6N5, Canada.
    • Prog. Neuropsychopharmacol. Biol. Psychiatry. 2021 Jun 8; 108: 110182.

    AbstractEmerging evidence highlighted the essential role played by the microbiota-gut-brain axis in maintaining human homeostasis, including nutrition, immunity, and metabolism. Much recent work has linked the gut microbiota to many psychiatric and neurodegenerative disorders such as depression, schizophrenia, and Alzheimer's disease. Shared gut microbiota alterations or dysbiotic microbiota have been identified in these separate disorders relative to controls. Much attention has focused on the bidirectional interplay between the gut microbiota and the brain, establishing gut dysbiotic status as a critical factor in psychiatric disorders. Still, the antibiotic-like effect of psychotropic drugs, medications used for the treatment of these disorders, on gut microbiota is largely neglected. In this review, we summarize the current findings on the impact of psychotropics on gut microbiota and how their antimicrobial potency can trigger dysbiosis. We also discuss the potential therapeutic strategies, including probiotics, prebiotics, and fecal transplantation, to attenuate the dysbiosis related to psychotropics intake.Copyright © 2020 Elsevier Inc. All rights reserved.

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