J Vet Intern Med September 2020 PMID 32856349

Effects of metronidazole on the fecal microbiome and metabolome in healthy dogs.

Rachel Pilla, Frederic P Gaschen, James W Barr, Erin Olson, Julia Honneffer, Blake C Guard, Amanda B Blake, Dean Villanueva, Mohammad R Khattab, Mustafa K AlShawaqfeh, Jonathan A Lidbury, Jörg M Steiner, Jan S Suchodolski

Mentions

71
Peak: 8 in Sep 2020
across 6 sources since Aug 2020

Extended reach

24,791
potential audience

Total likes

16

Video views

416

Mentions per month

Aug 2020 – Dec 2025

Where it's discussed

  • Facebook50 posts
  • X / Twitter9 posts
  • News5 articles
  • Instagram4 posts
  • YouTube2 videos
  • LinkedIn1 posts

AI synopsis

What people are saying

The discussions demonstrate recognition of the study’s significance, citing examples such as mentions of the drug's four-week impact on the microbiome and calls for cautious use, with words like 'supporting a cautious approach' underscoring the perceived importance and potential influence of the findings.

AgreementModerate agreement

Most discussions agree that metronidazole has significant long-lasting effects on the gut microbiome, emphasizing caution in its use.

InterestModerate interest

Participants show moderate interest, commenting on specific findings like the four-week impact and potential health implications.

EngagementModerate engagement

Comments include references to the study, implications for veterinary practices, and calls for caution, indicating moderate depth of engagement.

ImpactModerate impact

The conversations highlight the importance of the research, with some discussing how it could influence prescribing habits and animal health protocols.

Abstract in brief

  • Metronidazole significantly alters the gut microbiome and metabolome in healthy dogs, causing decreases in beneficial bacteria and affecting bile acid and lactate levels.
  • These changes in the microbiome and metabolism do not fully recover within 4 weeks after stopping the drug, indicating long-lasting impacts.
  • Using a hydrolyzed protein diet alone does not cause these microbiome changes, suggesting that the antibiotic is the main factor affecting gut health in this context.

Top posts

Most liked on X and Bluesky
Microbiome Articles
@microbe_article · X

Effects of metronidazole on the fecal microbiome and metabolome in healthy dogs. - Pilla R et al. - https://t.co/lcV5ofFXcw #microbiome

Aug 29, 2020 · 5 likes · 7,155 followers View post →
Dr. Celeste Allaband
@LabAllaband · X

@AJVROA Just because metronidazole is not genotoxic to PBMCs does not mean it can’t have detrimental effects on health. https://t.co/fGR7ivtWdG We should be a bit more cautious with its use, especially in puppies.

Nov 11, 2022 · 2 likes · 429 followers View post →
Victor Algra
@Victor_Algra · X

Jun 18, 2024 · 1 like · 2 shares · 1,562 followers View post →
MissioneVeterinario
@ProfVeterinario · X

Effects of #metronidazole on the fecal microbiome and metabolome in healthy dogs | #ECM #Veterinaria https://t.co/j50DuVoCdx

Sep 2, 2020 · 1 like · 915 followers View post →
jacamp98
@jacamp98 · X

RT @Victor_Algra:

Jun 24, 2024 · 2 shares · 6,722 followers View post →
DrRPalmquist
@DrPalmquist · X

Effects of metronidazole on the fecal microbiome and metabolome in healthy dogs - Pilla - 2020 - Journal of Veterinary Internal Medicine - Wiley Online Library https://t.co/VhBssIi2S2

Oct 20, 2021 · 3,152 followers View post →

All mentions

jacamp98
@jacamp98 · X

RT @Victor_Algra:

Jun 24, 2024 · 2 shares · 6,722 followers View post →
Sweet Blasphemy
@SweetBlasphem13 · X

RT @Victor_Algra:

Jun 20, 2024 · 2 shares · 12 followers View post →
Victor Algra
@Victor_Algra · X

Jun 18, 2024 · 1 like · 2 shares · 1,562 followers View post →
Dr. Celeste Allaband
@LabAllaband · X

@AJVROA Just because metronidazole is not genotoxic to PBMCs does not mean it can’t have detrimental effects on health. https://t.co/fGR7ivtWdG We should be a bit more cautious with its use, especially in puppies.

Nov 11, 2022 · 2 likes · 429 followers View post →
DrRPalmquist
@DrPalmquist · X

Effects of metronidazole on the fecal microbiome and metabolome in healthy dogs - Pilla - 2020 - Journal of Veterinary Internal Medicine - Wiley Online Library https://t.co/VhBssIi2S2

Oct 20, 2021 · 3,152 followers View post →
MissioneVeterinario
@ProfVeterinario · X

Effects of #metronidazole on the fecal microbiome and metabolome in healthy dogs | #ECM #Veterinaria https://t.co/j50DuVoCdx

Sep 2, 2020 · 1 like · 915 followers View post →
Stefano Cattaneo DVM
@Albinovet · X

effects of #metronidazole on the fecal microbiome and metabolome in healthy dogs. There is a a minimum 4‐week effect of metronidazole on fecal microbiome &metabolome, supporting a cautious approach to prescription of metronidazole in dogs. https://t.co/97YPlhQJBT https://t.co/CeTa8ad2vH

Aug 31, 2020 · 2,713 followers View post →
Symbiosis papers
@Symbiosispapers · X

Effects of metronidazole on the fecal microbiome and metabolome in healthy dogs. https://t.co/SDD2yk9PRE

Aug 29, 2020 · 1,104 followers View post →
Microbiome Articles
@microbe_article · X

Effects of metronidazole on the fecal microbiome and metabolome in healthy dogs. - Pilla R et al. - https://t.co/lcV5ofFXcw #microbiome

Aug 29, 2020 · 5 likes · 7,155 followers View post →
Javma-Javma 24 11 0716 | PDF | Urinary Tract Infection | Infection
News

doi:10.1111/jvim.15871 12. Fajt VR, Lehenbauer TW, Plummer PJ, et al; Members of the 30. Langlois DK, Koenigshof AM, Mani R. Metronidazole treat- AVMA ...

Dec 23, 2025 View →
Handbook Canine Feline Nutrition | PDF | Fatty Acid | Citric Acid Cycle
News

doi: 10.1111/j.1939-1676.2011.0703.x 10.1111/jvim.15871 23. Mohr, A. J., Leisewitz, A. L., Jacobson, L. S., Steiner, J. M., 14. Manchester, A. C., Webb ...

Dec 23, 2025 View →
Some of our most cherished antimicrobial dogma is not supported ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Dec 20, 2025 View →
New peer-reviewed study published in Journal of Small Animal ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Dec 11, 2025 View →
Get @reshare_app • @proactivepawsproducts New peer-reviewed ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Dec 11, 2025 View →
New peer-reviewed study published in Journal of Small Animal ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Dec 11, 2025 View →
Metronidazole is commonly being prescribed to dogs and cats for ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Dec 9, 2025 View →
Metronidazole accounted for 20% of antibiotics prescribed to US ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Nov 25, 2025 View →
Why prescribe antibiotics during pancreatitis flare?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Nov 3, 2025 View →
On #NationalCatDay, an important reminder on how veterinarians ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Oct 29, 2025 View →
Alternatives to dia gel and metronidazole for puppy?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Oct 27, 2025 View →
Regulating dog stool on antibiotics?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Oct 19, 2025 View →
Home remedy for dog diarrhea
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Oct 6, 2025 View →
If you've ever taken a dog with diarrhea to a conventional vet, no ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Sep 29, 2025 View →
Those of you who are newer to the page have probably heard ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Sep 24, 2025 View →
Metronidazolo e microbiota: che rapporto c'è? Il metronidazolo è un ...
Instagram

Photo by CONSULENZA NUTRIZIONALE E NATUROPATICA PETS on September 03, 2025. May be an.

Aug 22, 2025 View →
Anti META - (Sandala) Brown with her puppy at the beach, reading ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Jul 27, 2025 View →
Is metronidazole safe for dogs? Uses, dosage, side effects?
News

https://doi.org/10.1111/jvim.15871; Tauro, A., Beltran, E., Cherubini, G. B., Coelho, A. T., Wessmann, A., Driver, C. J., & Rusbridge, C. J. ...

Jul 22, 2025 View →
What can be used to resolve diarrhea in diabetic dogs with ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Jun 28, 2025 View →
My vet prescribed Amoxicillin but I'm seeing here that Metronidazole ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Jun 14, 2025 View →
Jurnal Internasional 3 | PDF | Dog Breeds | Dogs
News

https://doi.org/10.1111/jvim.15871 PMID: 32856349 55. Ribeiro É de M, Peixoto MC, Putarov TC, Monti M, Pacheco PDG, Loureiro BA, et al. The ...

Jun 11, 2025 View →
What can I give my 72lb dog for digestive upset?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Jun 1, 2025 View →
Five Steps of Canine Acute Diarrhea Treatment Infographic No ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Feb 11, 2025 View →
What do you use for your baby's diarrhea?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Feb 6, 2025 View →
Also known as Metrogyl here. Very popular antibiotic and adverse ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Rodney Habib and I will do a quick FB Live ...

Dec 31, 2024 View →
Can anyone recommend any alternatives to anti biotics? My pup ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Dec 3, 2024 View →
German Shepherd food allergy symptoms
Facebook

com/doi/epdf/10.1111/jvim.15871. 1 yr · 3 · Essie Schiele-Ruban. your pup is gorgeous, fellow shepherd owner here, get rid of the kibble. I ...

Nov 4, 2024 View →
Witajcie Wiem, że regularność na moim profilu to temat raczej ...
Instagram

... 10.1111/jvim.15871 #zdrowiezwierzat #zdrowiezwierząt #dietetykazwierząt #żywieniezwierząt #żywieniepsa #kot #pies #zywieniemaznaczenie ...

Oct 6, 2024 View →
ENOVAT Guidelines for Antimicrobial Use in Canine Acute Diarrhea ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Oct 5, 2024 View →
What can I do to help my dog with digestive issues and potential ...
Facebook

com/doi/epdf/10.1111/jvim.15871. 1 yr. Elvira Sanchez. Metronidazole https://www.facebook. com/share/p/fjKeyQCRWucLBfzb/?mibextid =CTbP7E. 1 yr ...

Oct 1, 2024 View →
My 11 month old dog started having diarrhea yesterday and it's not ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Sep 29, 2024 View →
Hoje celebramos o Dia do Médico Veterinário! É um privilégio unir ...
Instagram

Cada diagnóstico, tratamento e gesto de carinho faz parte de uma jornada que busca melhorar a saúde e o bem-estar dos animais e de seus tutores.

Sep 9, 2024 View →
Who's happier in these scenarios: The pet owner or the pet ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Jul 1, 2024 View →
Atticus has been prescribed a 2 week course of Metronidazole to ...
Facebook

com/doi/epdf/10.1111/jvim.15871 · No photo description available. Jamie Starcrunch. 1 reaction. Karen Mitchell ▻ Bravecto Nexgard Comfortis ...

Jun 29, 2024 View →
Myth Buster Series Think metronidazole is a quick fix for dogs' acute ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Jun 20, 2024 View →
Dangers of metronidazole for dog diarrhea
Facebook

com/doi/epdf/10.1111/jvim.15871 · No photo description available. Jamie Starcrunch. 1 reaction.

Jun 6, 2024 View →
What is the best fresh dog food for a 65lb doodle that doesn't break ...
Facebook

com/doi/10.1111/jvim.15871. onlinelibrary.wiley.com. Journal of Veterinary Internal Medicine | ACVIM Journal |. 1 yr. Profile photo of Alisha.

May 28, 2024 View →
Is it safe to give metrolag to a dog with diarrhea?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Apr 6, 2024 View →
https://www.facebook.com/share/3ZJhDNCqPdgKuHcG/?mibextid ...
Facebook

com/doi/10.1111/jvim. 15871?utm_campaign=2020+-+38- ++Metronidazole&utm_content=Important+ Study+-+Metronidazole+- +the+most+common+diarrhea ...

Feb 11, 2024 View →
What pre and probiotic supplements are recommended for dogs ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Jan 23, 2024 View →
Please just some remedies for dog's diarrhea. And should we fred ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Nov 23, 2023 View →
Has anyone's dog had seizures from metronidazole?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Oct 21, 2023 View →
Replacing popular meds with safer alternatives! Metronidazole the ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Jul 23, 2023 View →
Metronidazole is a medication that is commonly used to treat ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

May 4, 2023 View →
Trish, my dog has frequent diarrhea. What do you recommend for that?
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Feb 7, 2023 View →
#topdownloadedarticle | Rachel Pilla
LinkedIn

... JVIM! #TopDownloadedArticle. ... Close menu. https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.15871 ...

Jun 16, 2022 View →
WSAVA Nov 2021 Proceedings | PDF | Dogs | Causes Of Death
News

https://doi.org/10.1111/jvim.15871 circumstances. The use of amoxicillin and clavulanic acid in dogs with acute hemorrhagic diarrhea ...

Nov 13, 2021 View →
The jury's still out on metronidazole, an antibiotic that's long been ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Apr 24, 2021 View →
Rethinking metronidazole's role in veterinary medicine
Facebook

com/doi/epdf/10.1111/jvim.15871 · No photo description available. Jamie Starcrunch. 1 reaction. Karen Mitchell ▻ Bravecto Nexgard Comfortis ...

Mar 3, 2021 View →
Metacam, Deramaxx, Rimadyl, Previcox, Onsior, Etogesic, Galliprant ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Feb 25, 2021 View →
Stonepine Australian Shepherds
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick ...

Oct 21, 2020 View →
Why does my vet want to give my puppy Flagyl for diarrhea caused ...
Facebook

com/doi/full/10.1111/jvim.15871?af=R. onlinelibrary.wiley.com. Effects of metronidazole on the fecal microbiome and. 5 yrs. 5. Profile photo of ...

Oct 6, 2020 View →
"Metronidazole is the most prescribed antimicrobial for treatment of ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Sep 19, 2020 View →
Dangers of metronidazole in dogs article
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Sep 8, 2020 View →
What everyone should know before giving metronidazole to their ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and the Holistic Vet will ...

Sep 7, 2020 View →
THE NOT TALKED ABOUT SIDE EFFECTS OF THE MOST ...
Instagram

... 10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Dr. Karen Becker and I will have a quick discussion about ...

Sep 4, 2020 View →
THE “NOT TALKED ABOUT” SIDE EFFECTS OF THE MOST ...
Facebook

com/doi/epdf/10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Rodney Habib and I will do a quick FB Live ...

Sep 4, 2020 View →
Dr. Karen Becker - THE “NOT TALKED ABOUT” SIDE EFFECTS OF ...
Facebook

... 10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Rodney Habib and I will do a quick FB Live about this new ...

Sep 4, 2020 View →
The Blue Vet - THE “NOT TALKED” ABOUT SIDE EFFECTS OF THE ...
Facebook

... 10.1111/jvim.15871 Has your pet been on this medication? This Sunday at 10am ET, Rodney Habib and I will have a quick discussion about this ...

Sep 4, 2020 View →
Has anyone had problems with metronidazole for dogs?
Facebook

com/doi/epdf/10.1111/jvim.15871 · No photo description available. Jamie Starcrunch. 1 reaction.

Feb 18, 2020 View →