Doctor insights on:
Ssris And Weight Gain
Does ssri cause weight gain because your appetite increases or because your metabolism changes? I stress eat. Could they help curb that?
Why do some ssris cause weight gain and others don't? Do they alter metabolism or calorie absorbtion different?
Good question: Ssris work by blocking the reuptake of serotonin from neural synapses, making serotonin more available for all different types of serotonin receptors. Some of those receptors impact appetites, which is one of the reasons that decrease in sexual appetite is a common side effect. Another serotonin receptor impacts the sense of satiety. Individual response depends on relative contributions of these. ...Read moreSee 1 more doctor answer
All?: That is a little bit of an exaggeration i feel although there are frequent side effects with most pharmacotherapies and your frustration with this is palpable. I would offer you the perspective that maybe not all antidepressants cause weight gain and some do not consistently prolong the qtc interval. In fact, there is some research to suggest that bupropion causes shortening of the qtc interval. ...Read more
What is the best ssri to use to avoid weight gain and maintain my personality yet help negative intrusive thoughts from ocd?.
I was wondering about ssris. Why do some cause weight gain and others don't? They both affect serotonin. Does it affect metabolism? Thyroid?
It depends : Different ssris have different chemical structures can affect not only the serotonin reuptake but other hormonal patterns including the thyroid function norepinephrine uptake Dopamine uptake or other hormones in the body. Hence different ssris effect weight differently. Zoloft and Effexor are usually weight neutral and Paxil and prozac's cause some weight gain. ...Read more
What type of ssri is has been know best to not cause weight gain any sexual side effects in women?
Celexa/Citalopram: There's good and bad news regarding your question. Few people gain weight on ssri 's other than paroxetine. The reports of weight gain include individuals who were unable to eat due to depression who regain their appetites after their depression improves. Unfortunately, sexual side effects occur with all of the ssri's. But not in all individuals. ...Read moreSee 1 more doctor answer
Last week started shifting from ssri (cipralex) to inositol due to weight gain but started to feel anxious and negative thoughts attacked is normal?
Not normal but...: Inositol can be helpful for anxiety but research shows you need a dose of 12 grams a day. Ssri withdrawal can cause your current symptoms- best to taper slowly with help from your doc. Inositol may not be enough- other treatments like 5-htp, st. John's wort, holy basil, ashwagandha, b vits., meditation & homeopathy might help.It's best to work with a holistic doctor knowledgeable in these matters. ...Read more
Looking to get on an antidepressant. Out of the ssri family which one has been known to not cause weight gain?
All might: Especially in long (>6mths) term use all have been known to, but Wellbutrin, Effexor and Serzone are less so and Zoloft is a bit less than the most reported - Paxil is the worst by reports. CBT therapy has no side effects and can help you minimize or avoid drugs - consider it as an adjunct so you can avoid long term use. Best! ...Read more
What class is pristiq in ssri's? And isnt pristiq a fairly new depression med.Nd can it cause weight gain?
Pristiq: In a nutshell, Pristiq is a revamped version of Effexor and Effexor xr, although the delivery system is different. Pristiq is a seretonin norephinepine reuptake inhibitor (snri). Of those in its class (remeron, cymbalta), Pristiq has not neen shown to cause weight gain. It also does does not interfere with sexual libido or ability to reach climax. Drawback is its discontinuation syndrome if stop s. ...Read moreSee 2 more doctor answers
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