More than 1 in 10 Americans take Antidepressants treat frustrated. In most cases, these medicines can get the job done. Your healthcare provider may need to adjust your dose or switch you to a different type to find the best fit, but most people will notice improvement around 6 weeks.
Like all other drugs, antidepressants can have side effects that affect some people, but not all. The most notable one was weight gain.
for equality, weight gain or loss may be any mood disorders, whether or not you take antidepressants. Some people lose their appetite and lose weight; others crave carbohydrates, eat more, exercise less, and gain weight.
So what can you expect and what options do you have?
Effects on weight may vary
If depression is reducing your appetite, weight gain may actually be a good thing.
“I’ve had people who feel better off their meds and are willing to work on losing weight and eating healthier because they feel better,” said Uma Naidoo, MD, a Harvard-trained psychiatrist, professional chef, nutritionist Teacher Biologist, Author This is your food brain“If they’re losing weight because of a lack of appetite, eating better may be a relief.”
If depression increases your appetite, the extra pounds could put your physical health at risk. But depression is a serious illness that requires treatment.
“For most people, the ultimate goal of antidepressant treatment is to relieve distressing depressive symptoms and return to a life that feels more connected and hopeful,” said Kelly N. Gable, PharmD, BCPP, Professor and Director of Welfare and Resilience at the SIUE School of Pharmacy and Psychiatric Pharmacist at Home Care Health Center in St. Louis, Missouri. “If antidepressant treatment is part of this journey, we must always ensure that side effects don’t overshadow the benefits along the way.”
Do all antidepressants cause weight gain?
No, it doesn’t happen to everyone.
“In general, weight gain is a possible side effect of most antidepressants, such as Zoloft, Prozac or Celexa, but everyone responds differently to antidepressants,” Naidoo said.
How much weight gain is typical? Naidoo estimates that one in four people taking antidepressants gained 10 pounds or more.
Are some types of antidepressants more likely to gain weight than others?
Yes. Antidepressants are grouped based on their interactions with certain chemical receptors in the brain. The most commonly specified types are:
- Selective serotonin reuptake inhibitors (SSRIs) include citalopram (Celexa), Escitalopram (Lexap), fluoxetine (Prozac), paroxetine (Pasir), paroxetine mesylate (Peseva), and Sertraline (Zoloft). They increase the level of serotonin in the brain.
- Serotonin and norepinephrine reuptake inhibitor (SNRI) Change the way neurotransmitters in the brain talk to brain cells.Examples include desvenlafaxine (Pristic), B (Cymbalta), L-milnacipran (Fetzima), and Venlafaxine (Effexor XR).
- tricyclic antidepressants Increases levels of serotonin and norepinephrine in the brain, including desipramine (norpramine), Imipramine (Tofrani), and nortriptyline (Pamel).
- atypical antidepressants, like bupropion (Wellbutrin) and mirtazapine (Remeron), not for the above groups, but, like the others, they alter your brain chemistry to treat depression.
“SSRIs as a category are all fairly comparable in terms of weight gain risk, paroxetine [Paxil] was the most likely in this group,” Gable said. “When comparing all antidepressants, bupropion [Wellbutrin] are least likely to cause weight gain, and in most cases remain neutral or cause weight loss over time.Alternatively, mirtazapine [Remeron] Side effects most widely related to weight gain. “
What are the potential side effects of antidepressants for weight gain?
Five pounds or less will not have a major impact on your overall health.But 10 pounds or more can change your cholesterol and blood pressureand increase the risk of diabetes.
That said, it’s important to keep your goals in mind. Depression is a serious disease. Gable points out that it is the leading cause of disability globally, affecting work, relationships, and even heart health.
“Any weight gain must be weighed against the possible negative outcomes of untreated depression,” Gable said.
If I gain weight, how should I manage it?
If you notice weight gain, or any antidepressant side effects related to you, talk with your healthcare provider first. It could be antidepressants, increased appetite when depression subsides, or something else.
“It’s important that mental health providers and primary care providers pay close attention when taking any medication, especially antidepressants,” Naidu said. “They will have the ability and knowledge to identify risk factors and screen for any conditions that may present a risk.”
If your current medication has other drawbacks, you may be better off with a different antidepressant.
“For some people who gain significant weight or find weight gain troublesome, switching antidepressants may be an option,” Gable said.
For example, she says if you’re taking an SSRI, “switch to fluoxetine [Prozac] Might be helpful.Consider trying bupropion [Wellbutrin] Might also be an option. But this must always be balanced against the positive side effects that can occur with the antidepressants in question, as not all antidepressants will have the same positive effects on everyone. If you find an antidepressant that works well for you, sticking with that treatment and trying some weight loss strategies may be your best bet. “
Can I prevent weight gain while taking antidepressants?
“Optimizing your nutritional intake with nutrient-dense, fiber-rich, plant-based whole foods, combined with physical activity that brings joy, can be very helpful in maintaining a healthy weight while taking antidepressants,” Naidoo said.
Remember to rule out other factors such as thyroid hormone changes, menstrual cycle changes, digestive problems or drinking more alcohol.