PsychoTropical Research - Dr Ken Gillman, Serotonin Syndrome, Mirtazapine, Dual Action Drugs. Antidepressants - Weight gain

PsychoTropicalResearch, serotonin and serotonin syndrome research.

Antidepressants - Weight gain

Antidepressants - Weight gain

Date Created: 26/03/1999   Last Modified: 15/06/2000   Last Checked: 21/10/2002

The old tricyclic psychotropics cause marked weight gain. That includes the tricyclic antidepressants, the neuroleptics and the old antihistamines. Most of the new neuroleptics also retain this usually disadvantageous propensity.

The reason is almost certainly because they all block post-synaptic histamine receptors (H1). This produces carbohydrate craving and weight gain.

The degree to which they do that is to related to their potency as H1 blockers (antihistamines), which is also why they are sedative.

For all those three classes of drugs the potency as H1 blockers correlates with both the degree of sedation and with the degree of weight gain.