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Antidepressants & Weight Gain

By: Janet Kinosian

Any woman who takes antidepressant medication for more than eight weeks knows one thing well: Feeling healthy again usually means extra unwanted pounds that seem particularly resistant to shedding. The medical reasons for this are still being debated. What isn't up for debate is that most women want to drop that weight.

"It's multi-factorial, but the main guilty party appears to be the capacity of some antidepressants to block the histamine receptor, and once histamine is not working, we get appetite centers to go on, and we get hungry and eat," says Dr. Samuel Mowerman, a psychopharmacologist who is considered an expert in psychotropic medications and their side effects.

Medical literature generally agrees that Paxil, Zoloft, Remeron and Luvox appear to cause the most weight gain, with Prozac and Welbutrin sometimes causing weight decrease. However, many people still gain weight with any of the classes of antidepressant drugs. Rule of thumb: The higher the dosage of medication, the more likely weight gain will be an issue. Of course, this is not the case for every woman, and you should consult your own doctor about the side effects of any medication.

Here, a bevy of experts ‑- from MDs and PhDs to nutrition experts, exercise physiologists, trainers and stress managers ‑- offers up solutions to the dilemma.

Dr. Magdalena R. Naylor, MD, PhD, director, MindBody Medicine Clinic, University of Vermont College of Medicine:

"If you're on a specific antidepressant and you're in remission, try to decrease the dose. Often, higher doses are responsible for more weight gain. If after a decrease of dose the weight continues as a problem, or depressive symptoms return, try to change the medication. There are some antidepressants within the same class that cause less weight gain, such as Prozac, which can often be substituted for Paxil or Zoloft. The newer antidepressant Cymbalta is advertised as not causing weight gain. We'll see in practice."

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