I started lamictal a bit over a year ago and now I’m at 350 XR and since I started I have gained over 100 pounds. I have improved my diet and increased my exercise since I started and the only thing that changed over the year was the addition of lamictal. I know “it doesn’t cause weight gain” and “it is weight neutral” but that’s not a 100% guarantee that it won’t cause you to gain weight. So I’m still on it and I need to lose weight. It is effecting my depression, isolation, self confidence, and self image and I don’t know what else I can do besides eat extremely healthy, exercise daily, sleep 8 hours, drink at least 8 cups of water, no alcohol or fried foods, and I don’t sit all day. My psychiatrist doesn’t understand how much this is effecting me, I won’t leave my house because of how disgusting I am. I quit school because I was going to be a dietitian and then depression hit and now my BMI puts me in morbidly obese class 3. I can’t be this fat and a dietitian. I obviously know how to eat healthy so that’s not my problem. I don’t know how to lose this weight or get my psychiatrist to actually hear me or take me seriously. I need help and suggestions but please don’t say it’s not supposed to make you gain weight, it’s not lamictal, eat vegetables, or exercise.
Hi, Fakingit! You're absolutely correct. ALL psychotropic drugs have the POTENTIAL to cause weight gain. Lamictal is considered weight neutral because it can cause weight gain OR weight loss:
Common (1% to 10%): Weight decrease, weight gain"
You can minimize the weight gain as you have done, but the metabolic changes are going to make losing any more nearly impossible. Your psychiatrist needs a reality check... 100lbs is more than medically significant, it's morbid obesity.
You need a change in medication and if your psychiatrist can't see that is there a possibility of getting a second opinion? Mind you, I'm not in the habit of second guessing a medical doctor... but you've got yourself a real problem both physically and emotionally. Could you see a GP who could, in turn, consult with your Pdoc?
I wish you the best of luck and please give us an update if you would, okay?
Best regards, Wildcat
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