WHAT CAN BE DONE ABOUT THE WEIGHT GAIN? Ask The Doctor Dr. Leland Heller Biological Unhappiness
WHAT CAN BE DONE ABOUT THE WEIGHT GAIN?
Question: Hello, I have been going to a Psychiatrist for some time now, for Manic Depression / Bipolar Disorder/Disease. The Cymbalta seems to have really made a huge difference. But, any of the other medications he has prescribed to go with the Cymbalta has had the horrible side affect of weight gain!! I finally went off of Depakote, which did stop the weight gain, but no matter what diet I try, I cannot get rid of the 30 pounds I have put on in a matter of 3 months! He also has me on Remeron for sleep, which has also been a problem with my weight gain. So, I went down to 1/2 of the 45mg, and all it did was stop my sleep pattern, which has been bad for YEARS, but was much better with the Remeron. So, I went back on the whole tablet at night, and I am sleeping much better, but now I have gained another 5 pounds in only one week!!! Can you tell me what other medications are out there that I can use that might possibly have an appetite suppressant effect from it? My Dr. just won’t give me a prescription for a DIET PILL……….. OVER THE EDGE, IN FLORIDA…………….. Dr. Heller’s Answer: Assuming you have bipolar and thats it, a reasonable option is Topamax (topiramate), which frequently causes weight loss. It can sometimes help with sleep as well. Both Remeron (mirtazapine) and Depakote (valproic acid or valproate) can cause weight gain. Remeron (mirtazapine) has no peer when it comes to PTSD (post traumatic stress disorder) induced insomnia. Diet pills have their risks in those with bipolar.
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