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Related Experiment Videos

Weight gain and antidepressants.

M Fava1

  • 1Depression Clinical and Research Program, Massachusetts General Hospital, Boston 02114, USA.

The Journal of Clinical Psychiatry
|August 5, 2000
PubMed
Summary
This summary is machine-generated.

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Antidepressant weight gain can be a side effect, not just a symptom. Tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) may pose a higher risk than selective serotonin reuptake inhibitors (SSRIs).

Area of Science:

  • Pharmacology
  • Psychiatry
  • Clinical Medicine

Background:

  • Weight gain during antidepressant therapy can be complex, potentially indicating treatment improvement or a persistent symptom.
  • Significant or persistent weight gain is often an antidepressant side effect, contributing to treatment noncompliance.

Purpose of the Study:

  • To review and compare the relative risk of weight gain associated with various classes of antidepressant medications.
  • To inform clinical practice regarding antidepressant-induced weight gain and its management.

Main Methods:

  • Literature review of studies examining antidepressant-associated weight gain.
  • Comparative analysis of weight gain risks across different antidepressant categories.

Main Results:

Related Experiment Videos

  • Tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) appear to have a higher risk of weight gain compared to selective serotonin reuptake inhibitors (SSRIs).
  • Mirtazapine's risk may fall between SSRIs and TCAs; paroxetine might increase weight gain risk more than other SSRIs long-term.
  • Bupropion and nefazodone may have a lower long-term weight gain risk than SSRIs, though further research is needed.

Conclusions:

  • Antidepressant-induced weight gain is a significant clinical concern impacting adherence.
  • Understanding the differential risks of weight gain among antidepressants (e.g., TCAs, MAOIs, SSRIs, mirtazapine, bupropion) is crucial for patient care.