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What are the most effective strategies for managing weight gain associated with antipsychotic medications?
Answer from: at Community Practice
In my experience, the following things have worked.
Reassurance that it is a medication side-effect.
Consider switching the anti-psychotic (or at least try and decrease the dose of the antipsychotic). Aripiprazole, Caplyta (Lumateperone), and Vraylar (Cariprazine) have shown benefits vis a vis w...
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Answer from: at Community Practice
When counseling for lifestyle modification is insufficient, I've experienced with the four different medications:
Metformin - I've had the best results with this.
Topiramate - I've used it when there may be a benefit for comorbidity, such as migraines or binge eating disorder (I have had good lu...
Answer from: at Community Practice
Dietary consult to work on diet.
Metformin to help with glucose tolerance. Weight loss is very minimal but I like to use this in hopes that weight gain is minimal.
I have heard great results from using GLP-1 agonists and some patients lose 25-30 lbs especially clozapine where weight gain is very...
Answer from: at Community Practice
While I have had great results using Abilify in bipolar patients, it has been consistently a problem concerning weight gain. The increased "hunger" especially for sweets has caused almost all my patients to gain significant weight leading to poorer self-image and increased depression especially mark...