Our expert says:
Have you discussed this with your psychiatrist / prescribing doctor ? We vary somewhat in how we react to individual drugs, but many people do indeed experience stubborn and annoying weight-gain on some of these drugs. If your psychiatrist has arrived at this particular combination of meds carefully, assessing your reactions to each, it may be that this specific combination has been expertly planned for your maximum benefit. If its more his usual combo, there may be more room for varying one of more of the components to see if this will reduce the weight problem without losing control of the bipolar problems.
YOu need to discuss this with your doc, especially the issue of Xenical. It works by interfering with the absorption of fat etc from your food, from the gut ; some people find it helpful, others have intolerable side-effects from it, including diarhoea. I have never used it in combination with any of the drugs you are on, and would wonder whether it might possibly interfere with the absorption of any of them and thus interfere with your treatment
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