Do SSRIs cause weight changes?

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses SSRIs and SNRIs and the common concern regarding the possibility of weight gain. In general these medications are weight neutral, but if they cause a fluctuation in appetite, changes in activity level, or changes in behaviors (for example, if someone has the side effect of dry mouth and they combat it by drinking high calorie sodas) individuals could have weight fluctuations after starting these medications. Finally, Dr. Pagnani does comment that while these medications typically are weight neutral, he has had patients where diet, exercise and behavioral changes did not fully explain weight fluctuations (he estimates about 10%).
Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.
Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.
These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.
Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.
This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.
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www.RittenhousePA.com
www.ChrisPagnaniMD.com

[@krisvilas767]

Finally! Someone speaks common sense and truth regarding meds and weight gain. Thank you!!

[@JamesVestal-dz5qm]

Yup, these medications cause increased appetite and lethargy so you exercise less.

[@marooka]

Thanks. So many people say that it affects metabolism, but that doesn't seem to be the case.

[@savingpeace8452]

Some medications do change metabolism like antipsychotics and mood stabilisers also mitazapine a tca can apparently do this. Ssris from what I can tell do not cause metabolic changes in the way that mood stabilisers and antipsychotics do. Increased hunger and lethargy obviously are going to lead to weight gain with ssri and snri but that is different than causing metabolic damage and disease like antipsychotic medications are unfortunately known to do

[@nathanlee6099]

Thank you! This makes sense.

[@parcalibulutlu]

Yes