Medications Have Long-Lasting Effects on Gut Microbiome, Study Finds
Our gut is home to a vast array of microorganisms that play crucial roles in digestion, immunity, and overall health. These microbial communities, which include bacteria, fungi, and viruses, form a complex ecosystem that is essential for our well-being.
However, a recent study led by genomicist Oliver Aasmets from the University of Tartu has revealed that common medications can have a significant and long-lasting impact on the gut microbiome. The study, which analyzed data from 2,509 participants in the Estonian Biobank project, found that the effects of certain drugs could still be detected years after their use.
According to the research, not only antibiotics but also other medications such as psycholeptics, antidepressants, proton pump inhibitors, and beta-blockers were associated with changes in fecal microbiome samples. The study identified a total of 186 drugs, with 167 of them showing an impact on gut microbe diversity.
One surprising finding was the comparison between benzodiazepines, commonly used for anxiety. The study revealed that some benzodiazepines, like alprazolam (Xanax), had a similar impact on the gut microbiome as broad-spectrum antibiotics, known for their disruptive effects.
Furthermore, the researchers noted that the cumulative effects of medication use could compound over time. They emphasized the need to consider past drug use when analyzing microbiome data, as it can be a significant factor in explaining individual differences.
Prior studies in mice have suggested that long-term antibiotic use can disrupt the gut’s mucosal lining, potentially leading to weight gain. The researchers underscored the importance of further research to understand the consequences of prolonged exposure to different drug classes.
In conclusion, this study highlights the lasting impact of medications on the gut microbiome and emphasizes the need to consider medication history when interpreting microbiome data. The findings, published in the journal mSystems, provide valuable insights into the complex relationship between drugs and gut health.

