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Reversal of olanzapine-induced weight gain in a patient with schizophrenia by switching to asenapine: a case report

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Aims Antipsychotics are effective for treating schizophrenia, but atypical antipsychotics can cause several adverse side effects including weight gain, hyperprolactinemia, and extrapyramidal symptoms. Moreover, weight gain increases the risk of… Click to show full abstract

Aims Antipsychotics are effective for treating schizophrenia, but atypical antipsychotics can cause several adverse side effects including weight gain, hyperprolactinemia, and extrapyramidal symptoms. Moreover, weight gain increases the risk of metabolic diseases. Methods We treated a case of olanzapine-induced weight gain in a 41-year-old man with schizophrenia by switching his medication from olanzapine to asenapine. Results The weight gain improved after switching the medication, from 80.3 to 75.0 kg, a weight loss of 6.6%, and there was no significant worsening of psychological symptoms or other adverse effects. Conclusions Asenapine might be effective for treating patients with schizophrenia who experience olanzapine-induced weight gain.

Keywords: schizophrenia; induced weight; olanzapine induced; gain; weight gain

Journal Title: Neuropsychiatric Disease and Treatment
Year Published: 2017

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