Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/2/2025

Medication-Related Weight Changes

Antidepressants and Weight Gain

  • Among antidepressants, paroxetine has the highest risk of weight gain within the SSRI class, while fluoxetine and sertraline are typically associated with initial weight loss followed by weight neutrality with long-term use 1
  • Bupropion is the only antidepressant consistently shown to promote weight loss 2

Beta-Blockers and Weight Gain

  • Beta-blockers, particularly non-selective ones, can promote weight gain by decreasing metabolic rate and affecting energy metabolism 2

REFERENCES

1

Citalopram and Weight Gain [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025