Our expert says:
Thank you for your kind words about my service, much appreciated. Something that is important to remember, is that depression on its own can also cause weight gain in some patients. I checked the anti-depressants you list in my copy of MIMS and found Cipramil and Efexor - the Cipralex is not listed. Both Cipramil and Efexor list BOTH weight loss or weight gain as side-effects. Thus some patients will gain weight on these medications, while other patients will lose weight. This is evidently an individual reaction, so you need to discuss this problem with the prescribing dr because as a dietitian I cannot recommend such medications to you. Ask the dr if you can perhaps also take a mild diuretic to assist with the water retention. If you are eating a low-fat diet which contains plenty of fresh fruit and vegetables (for their potassium content which counteracts water retention), wholewheat or unsifted grains and cereals, and low-fat milk and dairy products then this should also help to counteract water retention. Increase your liquid intake by 3-4 cups a day (NOT more) by drinking tap, soda or bottled water to assist your kidneys to also remove some of the retained fluid. Gentle exercise like going for a 30 minute walk a day will also help to counter your depression, keep your weight under control and counteract the water retention.
I do hope you manage to discuss this problem with your prescribing dr as he/she is the only one who can help you decide which antidepressant will a) be suitable for your specific condition b) will not cause undesirable weight gain which will also make you depressed.
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