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Re: Nortriptyline and weight gain

Posted by emmanuel98 on August 8, 2010, at 20:20:13

In reply to Re: Nortriptyline and weight gain » ed_uk2010, posted by Maxime on August 8, 2010, at 15:45:22

Atypical APs caused me to gain nearly 40 pounds and I wasn't eating more or exercising less. In fact, if anything, I exercised more because they really helped my depression. Since I started on parnate, I haven't gained any weight and I recently went on a strict diet and have been losing 2 pounds a week. So parnate isn't the culprit. On the other hand, parnate caused such severe insomnia, that I started taking a low dose of seroquel at night and gained another 7 pounds. I am now taking ativan and trazadone to sleep. They don't seem to cause weight gain.

You should tell your endocrinologist, who seems to think you're eating too much, that you've been taking psych meds which have caused you to gain weight for no apparent reason. They screw up some people's metabolism for some reason. I asked my p-doc how this worked and he said they really don't know, but when people gain weight on these meds, they tend to gain a lot and to gain it fast.

I had to have knee surgery for a torn meniscus and the doc told me I needed to lose weight to reduce the discomfort from the 2nd grade arthritis in my knee. I told him, because I was pissed by the assumption that I am an over-eater or something, that I had take APs for psychotic depression and they caused me to gain a ton of weight. All my life, I was a normal weight. Not thin, but a normal weight for my height.

Some people never gain weight on psych meds. I envy them. Some people lose the weight they gained as soon as they go off the med. That has not happened for me.

So I am very sympathetic. I also have been on a super low-calorie diet -- 600-1200 a day. I vary it to try not to put my body in famine mode where it just fights back to try and maintain the weight.

So be careful with 500 cal a day. Vary it. Some days 500 cal, next day 800, next day 1200, then once a week or so, go up to 1700 (a normal intake for an moderately active middle-aged woman), so your body doesn't just get used to 500 cal and drop your metabolism to avoid famine mode.

Good luck. I really feel for you.


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