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Gut microbiota & Irinotecan

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Gut microbes also influence drugs that undergo enterohepatic recycling by reversing host enzyme metabolic processes and increasing exposure to toxic metabolites as exemplified by the chemotherapy agent irinotecan and non-steroidal anti-inflammatory drugs
Tsunoda et al. 2021

People have different gut bacteria, which can change how they react to drugs. For instance, not everyone experiences the same side effects from the cancer drug [irinotecan](brain://SMOjIU8MpUC00ksfc5CEgA/Irin…