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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by jay on April 1, 2002, at 10:23:07
Dr. Kramer:Having been on a combination of Effexor XR, 150mg and Zyprexa, 2.5mg's for a long period of time, I have gained more than a healthy amount of weight.
Yes, my mental health is most important, and has been majorly helped by these good medications, but my weight is unhealthy for a 32 year old male.Now, I don't wish to go the stimulant or amphetamine route to lose weight, as I don't want to risk upseting my anxiety, as well as a possible bipolar II condition. What are your thoughts on the medication Topomax, and are the weight-loss effects "long term", from your experience? (Unlike the SSRI medications, which have a short-term weight loss period.)
My doctor doesn't feel Topomax will provide that needed help for long-term weight loss. I have started exercise, including a healthy cardio daily routine, and am working on my diet. Do you have any further suggestions for possible medication assistance with weight gain, and any long-term thoughts on Topomax?
Thanks very much..
Jay in Canada
Posted by Dr. Kramer on April 2, 2002, at 6:02:06
In reply to Dr. Kramer: Weight gain and medication..., posted by jay on April 1, 2002, at 10:23:07
I've prescribed a lot of Topamax. It certainly doesn't cause weight gain, but I'm not sure it actually causes much weight loss. You're already doing the important stuff - diet, weight loss - that will help.
As far as your meds go, it's the Zyprexa that is the most likely culprit. If there is anything you could do with them, it's getting rid of/changing that. You may want to talk to your doctor about that.
Posted by JohnX2 on April 2, 2002, at 7:38:11
In reply to Dr. Kramer: Weight gain and medication..., posted by jay on April 1, 2002, at 10:23:07
Jay,I gained some weight while taking Zyprexa. When I augmented it with Topamax I stopped gaining weight. I don't think the topamax causes weight loss, but it causes me to not feel hungry. I'm not sure if the zyprexa induced weight gain was from increase in hunger or slowdown in metabolism. My pdoc claims it is from the hunger.
I switched from Zyprexa to Serzone, another medicine which I gained a lot of medicine in the past on, and this time with Topamax no weight gain.
Geodon is supposedly a good substitute for Zyprexa on the weight gain.
John
Posted by Ted C. on January 21, 2003, at 11:49:07
In reply to Re: Dr. Kramer: Weight gain and medication..., posted by Dr. Kramer on April 2, 2002, at 6:02:06
I was put on Topamax (75 mg) in addition to Zoloft (150 mg.) for binge eating disorder and depression. After about 6 weeks on topamax I gained 12 pounds. I had to stop going to the gym because I couldn't get up in the morning. I was late for work 20 times. I felt like I couldn't move, didn't want to get out of bed. I was more depressed than I'd ever been before being on meds. I called my doctor in tears and told him I couldn't take the topamax anymore, I felt like it was killing me. Two weeks after stopping it I feel 100% better.
This is the end of the thread.
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