Lexapro and Weight Gain: What You Need to Know
Alright, let’s talk about something that’s probably on your mind if you’re taking Lexapro or considering it: weight gain. As a sexologist, I often hear concerns about how medications can affect body image and sexual confidence. So, let’s dive into this topic and see what’s really going on with Lexapro and those extra pounds.
Does Lexapro Cause Weight Gain?
Here’s the deal: Lexapro can indeed cause weight gain for some people. But before you freak out, it’s not a guaranteed side effect. Research shows that about half of the folks taking Lexapro might see their weight creep up by 7% or more. That’s not nothing, but it’s also not a certainty.
So why does this happen? Well, it’s not like Lexapro is stuffing donuts in your mouth while you sleep. The culprit is likely how it messes with your metabolism and appetite. Lexapro works by increasing serotonin levels in your brain, which is great for mood but can also slow down your metabolism. It’s like your body decided to take a lazy vacation without telling you.
Plus, some people find that Lexapro makes them crave carbs like they’re going out of style. Suddenly, that bag of chips is calling your name louder than ever. It’s not your fault – blame it on the serotonin!
Factors Influencing Weight Gain
Now, before you start blaming every extra ounce on your meds, let’s look at some other factors that could be playing a role:
- Duration of treatment: The longer you’re on Lexapro, the more likely you are to see some weight changes. It’s like a slow-motion snowball effect.
- Pre-existing conditions: If you were dealing with depression or anxiety before starting Lexapro, that could have affected your weight too. Maybe you weren’t eating much due to stress, and now that you’re feeling better, your appetite is back with a vengeance.
- Lifestyle factors: Let’s be real – if you’re spending more time on the couch than at the gym, that’s going to have an impact. Lexapro isn’t forcing you to order pizza every night (though I wish it would).
Managing Weight Gain
Diet and Exercise
I know, I know – you’ve heard this before. But seriously, it’s the best way to combat Lexapro-related weight gain. Here’s what you can do:
- Eat a balanced diet: Focus on whole foods, lean proteins, and plenty of veggies. It’s not sexy, but it works.
- Stay hydrated: Sometimes thirst masquerades as hunger. Drink water like it’s your job.
- Get moving: Find an exercise you actually enjoy. Maybe it’s dancing naked in your living room – hey, no judgment here!
Remember, exercise isn’t just good for your waistline – it’s great for your mental health and sexual performance too. It’s like hitting three birds with one stone (but please don’t actually throw stones at birds).
Medication Management
If you’re really struggling with weight gain on Lexapro, it might be time to chat with your healthcare provider. They might suggest:
- Adjusting your dose: Sometimes a lower dose can help with weight issues.
- Switching medications: There are other antidepressants out there that might be less likely to cause weight gain.
- Adding a weight loss medication: In some cases, your doctor might prescribe something to help counteract the weight gain.
Whatever you do, don’t just stop taking Lexapro cold turkey. That’s a recipe for disaster, and trust me, you don’t want to deal with those withdrawal symptoms. It’s like the worst hangover of your life, but without the fun night before.
FAQs
How much weight gain is common with Lexapro?
On average, people might gain about 4 pounds on Lexapro. But remember, everyone’s different – you might gain more, less, or nothing at all.
Will I lose weight after stopping Lexapro?
Maybe, but it’s not guaranteed. Some people find their weight goes back to normal after stopping, while others might need to put in some extra effort.
Which antidepressants are less likely to cause weight gain?
Bupropion (Wellbutrin) is often associated with less weight gain and sometimes even weight loss. But again, everyone’s different.
When should I see a healthcare provider about Lexapro weight gain?
If you’re gaining a lot of weight quickly, or if it’s affecting your self-esteem or sexual confidence, it’s time to have a chat with your doc.
Can I drink alcohol while taking Lexapro?
It’s generally not recommended. Alcohol can increase the side effects of Lexapro and may impact its effectiveness. Plus, those extra booze calories won’t help with weight management.
Does Lexapro affect sexual performance?
It can. Some people experience decreased libido or difficulty reaching orgasm. If this happens, talk to your healthcare provider about potential solutions.
How long does it take for Lexapro to start working?
Most people start to feel some improvement in 1-2 weeks, but it can take 4-6 weeks to feel the full effects.
Remember, your mental health is important, and sometimes dealing with a few extra pounds is worth it for the benefits Lexapro can provide. But if you’re really struggling, don’t be afraid to speak up. Your doctor wants you to feel good – both mentally and physically. And hey, a little extra cushion for the pushin’ never hurt anyone, right?