The reason why the antipsychotic medication olanzapine often causes weight gain in patients is because it activates brain circuitry known to respond to food rewards,
suggests a neuroimaging study conducted on healthy subjects and published recently in the Archives of General Psychiatry. The subjects took olanzapine for only a week, but nonethelesss it caused a marked increase in food consumption and weight. The lead researcher was Jose Mathews, M.D., of Washington University.
However, olanzapine's propensity to cause weight gain may have a silver lining—helping individuals with anorexia nervosa put on much-needed weight. To learn more about this topic, see
Psychiatric News
.
Comprehensive information for clinicians on how to deal with antipsychotic-provoked weight gain and other sequelae of psychoactive medication use, including responding to emergency situations, can be found in a new book from American Psychiatric Publishing titled
Managing the Side Effects of Psychotropic Medications
.
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