Medications That Can Cause Weight Gain

For many people, psychiatric medications play a vital role in managing mental health conditions and improving quality of life. However, some medications can lead to unexpected weight gain as a side effect, which can be a concern if you’re aiming to feel your best. 

At Cornerstone Psychiatry, experienced psychiatrist Rebecca Harvey, DNP, understands that side effects can feel frustrating, and we’re here to help you manage them effectively. Let’s start by exploring some common medications that may lead to weight gain and offer strategies to help keep you on track with your wellness goals. 

Antidepressants 

Antidepressants, especially selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs), are commonly prescribed for depression and anxiety. These medications may lead to weight gain. Here’s what you need to know: 

Common culprits

Medications like paroxetine (Paxil), sertraline (Zoloft), citalopram (Celexa), Fluoxetine (Prozac).  and amitriptyline (Elavil) are linked with weight gain. 

How it happens 

Antidepressants can alter your metabolism and appetite, causing your hunger to increase and your ability to burn calories to decrease. 

What you can do 

If you notice that you’re gaining weight while taking antidepressants, we can explore other medications or adjust dosages. Counseling on nutrition and lifestyle changes can also be helpful in managing weight. 

Antipsychotics 

Antipsychotic medications are used to treat conditions like bipolar disorder, schizophrenia, and severe depression. These medications, while highly effective, can lead to weight gain. Consider the following: 

Common culprits 

Olanzapine (Zyprexa), clozapine (Clozaril), and risperidone (Risperdal) are commonly associated with this symptom. 

How it happens 

Antipsychotics can increase sugar levels, fat storage, and appetite. 

How we can support you 

Our team can provide regular monitoring and advice on nutrition and exercise routines to counteract these effects. In some cases, alternative medications may be an option. 

Mood stabilizers 

Mood stabilizers, often prescribed for bipolar disorder and mood regulation, can also contribute to weight gain. Here’s what you need to know: 

Common culprits

Lithium and valproic acid (Depakote) are popular mood stabilizers that may cause weight gain. 

How it happens

Mood stabilizers can impact your metabolism and increase  fluid retention, leading to gradual weight increase over time. 

Our approach 

Dr. Harvey can monitor your progress and adjust treatment if weight changes become concerning. Lifestyle counseling and regular check-ins help ensure your comfort and success on these medications. 

Anxiolytics and sedatives 

Certain medications for anxiety or sleep disruptions may contribute to weight gain, although there doesn’t seem to be as big a connection as with others. Alprazolam (Xanax) can cause metabolic changes and increased appetite in some individuals. 

With regular follow-ups and lifestyle guidance from our team, we can help you manage any symptoms as well as explore alternative therapies to find what best supports your mental health and overall wellness goals. 

Hormonal medications 

If you take hormonal medications, you may already be familiar with some of their effects, including feeling bloated and gradually gaining weight over time. 

Culprits

Progestin-only contraceptives, like the Depo-Provera shot, can contribute to weight gain by increasing appetite and causing fluid retention.

How we help

If you’re concerned with these symptoms, we’re here to discuss alternative options or coordinate with your gynecologist to create a balanced plan tailored to your needs.

The long game

In the end, while weight gain is a potential side effect of certain medications, it’s important to remember that managing your mental health is the priority. Our team is here to support you in finding a balance that works best for your mental and physical health. If you’re concerned about weight changes, we can work together to adjust your treatment plans, provide lifestyle guidance, and make sure you feel supported every step of the way. 

If you’re ready to learn more,  call us today at 801-823-4224 or use our online booking tool to request your appointment at Cornerstone Psychiatry in Lindon, Utah.