Managing the clinical effects of drug-induced intestinal dysbiosis with a focus to antibiotics: Challenges and opportunities.


Journal

European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences
ISSN: 1879-0720
Titre abrégé: Eur J Pharm Sci
Pays: Netherlands
ID NLM: 9317982

Informations de publication

Date de publication:
01 Sep 2023
Historique:
received: 03 04 2023
revised: 23 06 2023
accepted: 26 06 2023
medline: 15 8 2023
pubmed: 29 6 2023
entrez: 28 6 2023
Statut: ppublish

Résumé

The term "intestinal dysbiosis" is used for indicating change(s) of the intestinal microbiota which have been associated with the development of diseases and the deterioration of disease treatments in humans. In this review, documented clinical effects of drug-induced intestinal dysbiosis are briefly presented, and methodologies which could be considered for the management of drug-induced intestinal dysbiosis based on clinical data are critically reviewed. Until relevant methodologies are optimized and/or their effectiveness to the general population is confirmed, and, since drug-induced intestinal dysbiosis refers predominantly to antibiotic-specific intestinal dysbiosis, a pharmacokinetically-based approach for mitigating the impact of antimicrobial therapy on intestinal dysbiosis is proposed.

Identifiants

pubmed: 37380062
pii: S0928-0987(23)00140-9
doi: 10.1016/j.ejps.2023.106510
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

106510

Informations de copyright

Copyright © 2023. Published by Elsevier B.V.

Auteurs

Lea Gnatzy (L)

Department of Pharmacy, National and Kapodistrian University of Athens, Zografou, Greece.

George Ismailos (G)

Experimental, Research and Training Center ELPEN, ELPEN Pharmaceuticals, Pikermi, Greece; National Antimicrobial Testing Committee, Athens, Greece.

Maria Vertzoni (M)

Department of Pharmacy, National and Kapodistrian University of Athens, Zografou, Greece.

Christos Reppas (C)

Department of Pharmacy, National and Kapodistrian University of Athens, Zografou, Greece. Electronic address: reppas@pharm.uoa.gr.

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Classifications MeSH