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Updated: Jan 31, 2026

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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
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Risk Factors and Management Strategies for Antipsychotic-Induced Weight Gain: A Prescriptive Review for Clinicians.
Nicolette Stogios1, Akash PrasannaKumar1, Kamna Mehra1
1Schizophrenia Division, Centre for Addiction and Mental Health, Toronto.
Summary
Antipsychotic-induced weight gain (AIWG) is a serious side effect of antipsychotic medications (APs). Early intervention, lifestyle changes, and novel therapies are crucial for managing and preventing AIWG in individuals with serious mental illness.
Area of Science:
- Pharmacology
- Metabolic Health
- Psychiatry
Background:
- Antipsychotic-induced weight gain (AIWG) significantly increases morbidity and mortality in patients with serious mental illness.
- Addressing metabolic side effects of antipsychotic medications (APs) is critical for patient well-being.
Purpose of the Study:
- To review risk factors and predictors of AIWG.
- To provide an overview of nonpharmacological and pharmacological therapies for AIWG.
- To emphasize the importance of prevention and system-level reforms.
Main Methods:
- Literature review of AIWG risk factors.
- Summary of evidence-based nonpharmacological and pharmacological interventions.
- Analysis of current clinical guidelines and emerging therapies.
Main Results:
- Age, prior AP exposure, and AP type are key AIWG determinants.
- Metabolic monitoring and lifestyle changes are primary interventions.
- Metformin is recommended off-label; novel agents show promise.
Conclusions:
- Prevention of AIWG may be more beneficial than treatment due to reversal challenges.
- System-level reforms in education and clinical services are essential for proactive monitoring and early intervention.
- Integrating evidence-based practices is vital for mitigating metabolic risks associated with APs.
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