This video is 3:44 minutes in duration.
We have recently seen many individuals who have been placed on antipsychotics and have gained weight. On further evaluation we find they have triggered the metabolic syndrome or even diabetes 2. I feel this is so common an outcome and so frequent that I feel this is a new epidemic.
The use of the new antipsychotic drugs may just reflect a sampling of new patients’ who find the ballooning of abdominal fat must be treated quickly. But it seems to be a new phenomenon that must be quickly and appropriately treated to prevent progression that leads to the complications of the full blown Cardiometabolic Syndrome.
1: Acta Psychiatr Scand. 2009 Mar;119(3):171-9
Among the second-generation antipsychotics, clozapine and olanzapine are associated with the highest risk of substantial weight gain, similar to the weight gain potential associated with low-potency first-generation antipsychotics such as thioridazine or chlorpromazine. There seems to be an individual variation in the susceptibility to develop the metabolic syndrome but I have found the off label use of Byetta to be quite useful in controlling the situation.
Scattered reports on improvement of the psychological problems have been noted with the generous use of Vitamin D if additional management is needed.
Thursday, February 05, 2009
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5 comments:
Is wellbutrin one of these drugs?
No, Wellbutrin tends to cause weight loss.
My son has not gained weight on Geodon (antipsychotic) but surely did when on Zyprexa and Risperdal. Is it possible that 50,000 IUS of Vit. D3 daily could eventually help wean him off Geodon for obsessive, racing thoughts? (with guidance from Dr.)
There have been some reports that this may be so for some people.
I have been on lexapro for a number of years and have gained weight not just in the belly. Is there a special diet for those who take antidepressants?
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