Obesity

Dosing of antidepressants in relation to body weight in children and adolescents with overweight

Int J Obes (Lond)Published Cohort study

Authors' conclusion

We conclude that the doses of fluoxetine and sertraline were essentially similar in individuals with overweight or obesity, but the weight-normalized doses were clearly lower.

Study context

Population
Children and adolescents with a prescription of fluoxetine or sertraline and a weight measurement; BMI Epidemiology Study (BEST) Gothenburg cohort and National Prescribed Drug Registerfluoxetine n = 347
Exposure
Overweight or obesity vs normal weight
Outcome
Antidepressant doses in relation to body weight
Methodological detailsregister-based
  • Register-based

Main finding

As reported in the abstract

Fluoxetine and sertraline doses and weight-normalized doses
Fluoxetine: weight-normalized dose lower with overweight or obesity vs normal weight in first and iterated prescriptions
p < 0.01
Sertraline: pronounced differences in dose per kg body weight in first and iterated prescriptions
p < 0.01

Observational data: associations, not effects.

Original publication

Dosing of antidepressants in relation to body weight in children and adolescents with overweight. Int J Obes (Lond). Published 14 November 2024. doi:10.1038/s41366-024-01677-2

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