Indian Journal of Private Psychiatry

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VOLUME 15 , ISSUE 1 ( January-June, 2021 ) > List of Articles

REVIEW ARTICLE

Management of Drug-induced Weight Gain in Persons Receiving Psychotropic Drugs

Vikas Menon, Samir K Praharaj

Keywords : Metabolic syndrome, Obesity, Psychotropic drugs, Severe mental illness, Weight gain

Citation Information : Menon V, Praharaj SK. Management of Drug-induced Weight Gain in Persons Receiving Psychotropic Drugs. Ind J Priv Psychiatry 2021; 15 (1):10-16.

DOI: 10.5005/jp-journals-10067-0071

License: CC BY-NC 4.0

Published Online: 14-10-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Weight gain is common in patients with severe mental illness and contributes to cardiovascular risk. Medications, such as antipsychotics, antidepressants, and mood stabilizers, are commonly associated with weight gain. In addition, antidiabetic drugs (insulin, sulfonylureas, and thiazolidinediones), antihypertensives (beta-blockers), and corticosteroids, which are commonly used to treat comorbid medical conditions, contribute to weight gain. In clinical practice, simple measures, such as body weight, body mass index, and waist circumference, can be used to monitor the metabolic risk of psychotropic drugs. Lifestyle modifications, including dietary advice and exercise, help in preventing weight gain. The clinician can choose relatively weight-neutral drugs for the treatment of psychiatric disorders. For the patients having weight gain with psychotropic drugs, several nonpharmacological and pharmacological management strategies are available.


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