the Side Effects of Suvorexant in Depression Treatment - Psychiatry

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Suvorexant, marketed under the brand name Belsomra, is primarily used as a treatment for insomnia, but it can also have implications for individuals dealing with depression, particularly when sleep disturbances are a significant symptom. Understanding the side effects of Suvorexant is crucial, especially in the context of your experience with weight gain and the challenges you faced while on the medication.

Firstly, it’s important to note that Suvorexant works by blocking the action of orexin, a neurotransmitter that promotes wakefulness. By inhibiting orexin, Suvorexant helps to facilitate sleep. While this mechanism can be beneficial for those suffering from insomnia, it can also lead to various side effects, including drowsiness, dizziness, and in some cases, changes in appetite or weight.

In your situation, the weight gain you experienced after starting Suvorexant could indeed be a side effect of the medication. Although weight gain is not the most commonly reported side effect of Suvorexant, some individuals may experience changes in their appetite or metabolism, which can lead to weight gain. This is particularly relevant if you have noticed an increase in cravings or changes in your eating habits while on the medication.
Moreover, the fact that you have been actively trying to manage your weight through diet and exercise but have not seen any results could suggest that the medication may have impacted your metabolic rate or hormonal balance. It’s also worth considering that depression itself can lead to changes in weight and appetite, which can complicate the situation further.
If you have already discontinued the medication and are still experiencing weight issues, it may be beneficial to consult with a healthcare professional who specializes in endocrinology. An endocrinologist can evaluate your hormonal levels and metabolic function to determine if there are any underlying issues that need to be addressed. Additionally, a registered dietitian could provide guidance on nutrition and help you develop a personalized plan to manage your weight effectively.

It’s also essential to communicate with your psychiatrist about your experience with Suvorexant and the subsequent weight gain. They may consider alternative treatments for your depression that do not have the same side effects or may suggest strategies to mitigate weight gain while managing your mental health.
In summary, while Suvorexant can be effective for sleep issues, it may have side effects that impact weight and appetite. If you are experiencing significant weight gain or other concerning symptoms, it is advisable to seek further evaluation from an endocrinologist and maintain open communication with your psychiatrist regarding your treatment plan. This collaborative approach can help ensure that both your mental health and physical well-being are adequately addressed.