Pooja Kumari Pooja Kumari Asked 9 months ago

Does mirtazapine cause weight gain in everyone?

I've just started taking mirtazapine for my mood, and I'm really concerned about the possibility of weight gain. Does mirtazapine cause weight gain in absolutely everyone who takes it, or is it more of a rare side effect?

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8 answers

Suresh Mehta Suresh Mehta Joined Apr 2026 6 months ago
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Not in everyone, but the cravings can be really strong. I made sure to stick to high-protein vegetarian options like paneer and sprouts to stay full, which helped keep the extra weight off.

Priyanka Nair Priyanka Nair Joined Jan 2026 9 months ago

Actually no, it depends on your metabolism and routine. I had a busy work schedule and barely saw any major weight difference, though the initial sleepiness was real. Just keep tracking your daily food intake.

Varun Dhawan Varun Dhawan Joined May 2026 5 months ago

Haha, not everyone turns into a midnight fridge-raider, but it is a very common superpower of this medicine! Just hide the gulab jamuns and you should be fine, yaar.

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Consult a dietary specialist

Aditya Verma Aditya Verma Joined Jan 2026 9 months ago

It really comes down to your daily energy balance. If your doctor allows, aim for a brisk 45-minute walk daily to burn off any extra calories you might eat due to the increased appetite.

Druti Bannerjee Druti Bannerjee Joined Feb 2026 8 months ago

When I consulted my specialist at Apollo, they told me it doesn't happen to literally everyone. They monitored my parameters closely from day one. You should definitely ask your doctor to evaluate your risk.

Roshan Dsouza Roshan Dsouza Joined Mar 2026 7 months ago

It is definitely not a fixed rule for everyone, but side effects vary wildly. Better to get your thyroid and lipid levels checked before starting so you can track things safely with your general physician.

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Kiran Joshi Kiran Joshi Joined Apr 2026 7 months ago

According to the psychiatrist I visit, the weight gain is mostly due to histamine receptor blocking, which increases appetite. He said about 15 to 20 percent of patients might not experience any weight change at all.

Sumit Arora Sumit Arora Joined Jun 2026 5 months ago

Honestly, I was terrified of this before starting it and kept checking my scale three times a day. Some people don't gain anything at all, so please don't let the internet scare you. Just monitor it slowly.

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