Medication Inquiry
Dear Dr.
Wu,
I would like to confirm whether the medications prescribed by the Department of Psychiatry, such as antidepressants or sedatives, do not contain steroids.
Currently, I have the following medications on hand: 1.
Paroxetine HCl Hemihydrate (Paxil) 2.
MOCALM S.C.
3.
Bropan (Bupropion) as a backup 4.
Lorazepam (Ativan) as a backup.
I have read articles stating that psychiatric medications, particularly antidepressants, do not contain steroids.
However, I am curious why some individuals experience weight gain.
I thought it would be best to confirm this with you.
Thank you for your response.
Mi Ya, 40~49 year old female. Ask Date: 2022/03/11
Dr. Wu Enliang reply Psychiatry
Hello, netizens: It is indeed steroid-free.
There are many reasons for weight gain; it is important to first consider whether it is due to poor dietary control or insufficient exercise before evaluating if it is caused by medication.
Dr.
Wu Enliang
Reply Date: 2022/03/11
More Info
When it comes to psychiatric medications, particularly antidepressants and anxiolytics, it is important to clarify that these medications do not typically contain steroids. The medications you mentioned—Paroxetine (Paxil), MOCALM (which contains the active ingredient Mirtazapine), Bropan (Bupropion), and Lorazepam (Ativan)—are classified under different categories of psychiatric medications, and none of them are steroids.
Understanding Psychiatric Medications:
1. Antidepressants: Medications like Paroxetine and Bupropion are primarily used to treat depression and anxiety disorders. They work by altering the levels of neurotransmitters in the brain, such as serotonin and norepinephrine. Paroxetine is a selective serotonin reuptake inhibitor (SSRI), while Bupropion is a norepinephrine-dopamine reuptake inhibitor (NDRI). Neither of these medications has steroid properties.
2. Anxiolytics: Lorazepam is a benzodiazepine, which is commonly prescribed for anxiety. Benzodiazepines work by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA) in the brain, leading to a calming effect. Again, this class of medication does not include steroids.
Weight Gain and Psychiatric Medications:
You raised a valid point regarding weight gain associated with some psychiatric medications. While these medications do not contain steroids, certain classes of psychiatric drugs can lead to weight gain as a side effect. This is particularly true for some antidepressants, such as:
- SSRIs: While many SSRIs are weight-neutral, some individuals may experience weight gain over time, possibly due to changes in appetite or metabolism.
- Mirtazapine (MOCALM): This medication is known for its potential to increase appetite and lead to weight gain in some patients.
- Benzodiazepines: While not directly linked to weight gain, they can lead to sedation and decreased physical activity, which may indirectly contribute to weight changes.
Why Do Some People Gain Weight?
The reasons behind weight gain while on psychiatric medications can be multifactorial:
1. Metabolic Changes: Some medications may alter metabolism or how the body processes food, leading to weight gain.
2. Increased Appetite: Certain medications can stimulate appetite, causing individuals to consume more calories than they burn.
3. Sedentary Lifestyle: Medications that cause sedation or fatigue may lead to reduced physical activity, contributing to weight gain.
4. Psychological Factors: Depression and anxiety themselves can affect eating habits and lifestyle choices, which may also play a role in weight changes.
Conclusion:
In summary, the psychiatric medications you listed do not contain steroids. However, it is essential to monitor any side effects, including weight changes, and discuss them with your healthcare provider. If weight gain becomes a concern, your doctor may consider adjusting your medication regimen or recommending lifestyle changes to help manage your weight. Always consult with your healthcare provider before making any changes to your medication or treatment plan.
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