Recent studies indicate that the rampant use of antibiotics presents a concealed risk in India by interfering with the gut-brain axis, an essential connection between gut microbiota and mental health

Antibiotic medications
They are drugs utilized to combat bacterial infections by destroying bacteria or preventing their proliferation.

They can be administered orally, applied topically, or given through injections.
India is one of the top consumers of antibiotics in the world. Various systemic and behavioral elements contribute to this trend.
Reasons for Antibiotic Overuse in India
Availability without prescriptions: Antibiotics are frequently accessible without doctor orders, particularly in rural and semi-urban regions.
Self-medication mindset: Insufficient knowledge and dependency on immediate solutions results in widespread usage.
Unregulated pharmacies: Numerous function beyond legal boundaries, providing powerful medications without supervision.
Financial motivations: Fee-for-service structures might promote excessive prescribing to meet patient desires.
Effects on Mental Well-Being
Improper use of antibiotics leads to antimicrobial resistance (AMR) and interferes with the gut-brain connection, resulting in an imbalance of gut microbiota (dysbiosis).
This disturbance is more and more associated with mental health issues such as depression, anxiety, and cognitive deterioration.
Neuroinflammation: The gut microbiome contributes to the production of essential neurotransmitters (such as serotonin and dopamine), and its imbalance impacts brain function via inflammation, alterations in the immune system, and decreased beneficial metabolites.
Studies from NIMHANS and AIIMS also strengthen this link between gut health and mental well-being.
Conclusion and Future Steps

The expanding area of psychobiotics emphasizes the mental health advantages of probiotics and prebiotics; however, public knowledge, particularly in rural India, stays minimal despite prevalent antibiotic overuse.
Psychobiotics refer to probiotics that provide mental health advantages to the host when consumed in a specific amount by interacting with beneficial gut bacteria.
Consequently, a comprehensive approach is vital—emphasizing public awareness, policy changes, clinical incorporation of gut health, encouragement of traditional fermented products, and funding for local microbiome studies.

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