News Release

Antibiotics may increase risk for opioid abuse

The common drug duo may be worsening the opioid crisis

Peer-Reviewed Publication

Society for Neuroscience

Antibiotics May Increase Risk for Opioid Abuse

image: Confocal microscopy image of neurons activated during withdrawal from oxycodone in the central amygdala (CeA) and basolateral amygdala (BLA). Cell nuclei are labeled in blue (DAPI), activated neurons (cFOS) are labeled in red, and receptors for microbiome metabolites, GPR41/43,are labeled in the green channel. view more 

Credit: Simpson et al., <em>eNeuro</em> 2020

Taking antibiotics alongside opioids may increase the risk of opioid abuse, according to research in rats recently published in eNeuro.

Opioid abuse and addiction plague over 2 million Americans. Many factors play a role in the opioid crisis, but one may have a larger role than previously thought: the gut microbiome. The world of bacteria in the gut influences brain health and plays a role in a slew of brain disorders, including addiction.

After surgery, doctors typically prescribe both opioids and antibiotics to treat pain while fighting off infection. This strategy also kills bacteria in the microbiome. Simpson et al. decided to explore the relationship of the two drugs given the prevalence of the combination.

The team administered antibiotics to rats for two weeks, depleting their gut microbiome, and then gave them the opioid oxycodone. Compared to rats that only received oxycodone, the microbiome-depleted rats displayed profound changes in how their brains responded to opioids. The rats showed altered opioid sensitivity in brain areas implicated in addiction: the depleted microbiome exacerbated the effects of intoxication and weakened the effects of withdrawal.

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Manuscript title: Antibiotic Depletion of the Microbiome Alters the Recruitment of Neuronal Ensembles of Oxycodone Intoxication and Withdrawal

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About eNeuro

eNeuro is an online, open-access journal published by the Society for Neuroscience. Established in 2014, eNeuro publishes a wide variety of content, including research articles, short reports, reviews, commentaries and opinions.

About The Society for Neuroscience

The Society for Neuroscience is the world's largest organization of scientists and physicians devoted to understanding the brain and nervous system. The nonprofit organization, founded in 1969, now has nearly 37,000 members in more than 90 countries and over 130 chapters worldwide.


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