Endocrinology Book

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Medications Associated with Weight Gain

Aka: Medications Associated with Weight Gain, Medications that exacerbate Obesity
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  1. Preparations: Endocrine Agents
    1. Diabetes medications
      1. Most weight gain: Insulin, Sulfonylureas (Glyburide, Glipizide), Meglitinides, Thiazolidinediones
      2. Least weight gain: Acarbose, Exenatide, glimepiride, Glucophage, Miglitol, Pramlintide
    2. Tamoxifen
    3. Steroid hormones
    4. Glucocorticoids and Corticosteroids
    5. Progestational steroids
  2. Medications: Psychotropics
    1. Selective Serotonin Reuptake Inhibitors (SSRI), Tricyclic Antidepressants and atypicals
      1. Weight gain is associated with Histamine H1 receptor blockade
      2. Most weight gain: Tricyclic Antidepressants, Remeron, Paxil
      3. Least weight gain: Bupropion, Prozac
    2. Monoamine Oxidase Inhibitors (Phenelzine)
      1. Consider Tranylcypromine instead
    3. Phenothiazines
    4. Tricyclic Antidepressants (Amitriptyline, Imipramine, Nortriptyline)
      1. Consider Desipramine or protriptyline instead
    5. Atypical Antipsychotics (Clozapine, Olanzapine, Risperidone)
      1. Consider Aripiprazole (Abilify) or Ziprasidone (Geodon) instead
    6. Lithium
  3. Medications: Neurologic Agents
    1. Anticonvulsants
      1. Most weight gain: Valproic Acid, Gabapentin, Carbamazepine
      2. Least weight gain: Lamotrigine, Topiramate, Zonisamide
  4. Medications: Cardiovascular Agents
    1. Alpha adrenergic blockers
      1. Consider Doxazosin instead
    2. Beta adrenergic blockers (esp. Propranolol)
      1. Consider ACE Inhibitors, Angiotensin Receptor Blockers, Calcium Channel Blockers, selective Beta Blockers instead
  5. Preparations: Miscellaneous
    1. Highly active Antiretroviral therapy
  6. References
    1. Malone (2005) Ann Pharmacother 39(12): 2046-55

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