Psychotropic medications and metabolic side effects

Psychiatric medication is vital in the treatment of a wide range of mental and behavioral health conditions, but has moderate metabolic consequences. The common side effects are weight gain, dyslipidemia, increased adiposity, elevated body mass index, increased insulin resistance, and metabolic alterations. Metabolic risk is lower with antidepressants than with antipsychotics. The side effects are linked to the metabolic syndrome, increasing the risk of heart disease, stroke, and type 2 diabetes. Cardiovascular diseases, dysglycemia and diabetes, atherogenic dyslipidemia, and metabolic syndrome are common complications associated with the use of antipsychotics. Therefore, it is essential to comprehend the metabolic alterations and develop strategies for early detection and intervention to mitigate these effects. This review discusses the metabolic alterations associated with common antipsychotic medications, followed by strategies to attenuate the effects.

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Publication Details

Journal
Exploration of Endocrine and Metabolic Diseases
Published
2025-11-24
DOI
https://doi.org/10.37349/eemd.2025.101450
Primary Topic
Schizophrenia research and treatment
Type
article
Field-Weighted Citation Impact
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article

Psychotropic medications and metabolic side effects

Vikrant Rai, S. N. Nigam, Michael Natalizio
Exploration of Endocrine and Metabolic Diseases
Schizophrenia research and treatment
article

Psychotropic medications and metabolic side effects

Vikrant Rai, S. N. Nigam, Michael Natalizio
article en

Abstract

Psychiatric medication is vital in the treatment of a wide range of mental and behavioral health conditions, but has moderate metabolic consequences. The common side effects are weight gain, dyslipidemia, increased adiposity, elevated body mass index, increased insulin resistance, and metabolic alterations. Metabolic risk is lower with antidepressants than with antipsychotics. The side effects are linked to the metabolic syndrome, increasing the risk of heart disease, stroke, and type 2 diabetes. Cardiovascular diseases, dysglycemia and diabetes, atherogenic dyslipidemia, and metabolic syndrome are common complications associated with the use of antipsychotics. Therefore, it is essential to comprehend the metabolic alterations and develop strategies for early detection and intervention to mitigate these effects. This review discusses the metabolic alterations associated with common antipsychotic medications, followed by strategies to attenuate the effects.

Exploration of Endocrine and Metabolic DiseasesVol. 2
Western University of Health Sciences (US)
Openalex Percentile: Top 58%
Schizophrenia research and treatment
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