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Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
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The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
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Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
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Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Updated: Jul 11, 2025

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Management of Medication-Induced Weight Gain.

Sarah R Barenbaum1, Rekha B Kumar2, Louis J Aronne1

  • 1Division of Endocrinology, Diabetes & Metabolism, NewYork-Presbyterian Hospital/ Weill Cornell Medical College, Comprehensive Weight Control Center, 1305 York Avenue, 4th Floor, New York, NY 10021, USA.

Gastroenterology Clinics of North America
|November 2, 2023
PubMed
Summary

Medications can cause weight gain, leading to serious health issues like obesity and related conditions. Choosing weight-neutral or weight-loss medications can help manage this risk.

Keywords:
Iatrogenic obesityMedication-induced obesityMedication-induced weight gainObesityTreatment of iatrogenic obesityTreatment of medication-induced weight gain

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Area of Science:

  • Pharmacology
  • Endocrinology
  • Public Health

Background:

  • Medication-induced weight gain is a significant clinical problem.
  • It can lead to or worsen obesity and associated comorbidities.
  • This weight gain is often preventable through careful drug selection.

Purpose of the Study:

  • To review common medication classes associated with weight gain.
  • To discuss alternative, weight-neutral or weight-reducing medications.
  • To inform clinical practice regarding medication-induced weight gain management.

Main Methods:

  • Literature review of common medications causing weight gain.
  • Identification and discussion of alternative therapeutic options.
  • Analysis of clinical implications for patient management.

Main Results:

  • Several drug classes frequently contribute to significant weight gain.
  • Weight gain is linked to increased risk of metabolic syndrome, cardiovascular disease, and other comorbidities.
  • Alternative medications with neutral or beneficial effects on weight are available for many indications.

Conclusions:

  • Clinicians should be aware of medications that promote weight gain.
  • Prescribing weight-neutral or weight-loss alternatives is crucial for patient health.
  • Proactive management can mitigate severe health consequences of medication-induced weight gain.