학술논문

Semaglutide for the treatment of antipsychotic-associated weight gain in patients not responding to metformin – a case series
Document Type
article
Source
Therapeutic Advances in Psychopharmacology, Vol 13 (2023)
Subject
Therapeutics. Pharmacology
RM1-950
Psychiatry
RC435-571
Language
English
ISSN
2045-1261
20451253
Abstract
Metformin is the currently accepted first-line treatment for antipsychotic-associated weight gain (AAWG). However, not all patients benefit from metformin. Glucagon-like peptide-1 receptor agonists (GLP1-RA) have shown promise in the management of obesity in the general population, with preliminary evidence supporting efficacy in AAWG. Semaglutide is a weekly injectable GLP-1RA which received recent approval for obesity management and noted superiority over other GLP-1RAs. This study explored the efficacy and tolerability of semaglutide in AAWG among individuals with severe mental illness. A retrospective chart review of patients treated with semaglutide in the Metabolic Clinic at the Center for Addiction and Mental Health (CAMH) between 2019 and 2021 was conducted. Patients failing a trial of metformin (