Type 2 & other diabetes

GLP ‐1 Receptor Agonists Use in Patients With Prior Psychotropic Treatment: A Nationwide Cohort Study

Diabetes Obes MetabPublished Nationwide cohort study

Authors' conclusion

In France, GLP-1RA use among psychotropic users remained primarily in T2DM, regardless of psychotropic class. Off-label use for psychotropic-induced weight gain appeared very limited. High persistence rates were notable, given the challenges of treatment adherence in mental health populations. These findings suggested a predominantly persistent use of GLP-1RAs within labelled indications in the psychiatric population.

Study context

Population
Prevalent users of psychotropic medications who initiated GLP-1RAs between 2017 and 2023 in Francepatients initiating GLP-1RAs after psychotropic use
Participants
102,709 users
Outcome
Indication for GLP-1RA
Methodological detailsgroup-based trajectory modelling, French National Health Data System
  • Group-based trajectory modelling
  • French National Health Data System

Main finding

As reported in the abstract

Identified with T2DM

95%

Lacked a clear indication for GLP-1RA

Less than 5%

Observational data: associations, not effects.

Further findings

Most frequently dispensed psychotropics

Anxiolytics/hypnotics
> 66%
Antidepressants
> 56%
Antipsychotics
> 15%

Trajectories of monthly GLP-1RA dispensings · 1 year

Predominant trajectory: high persistence with GLP-1RA treatment over 1 year
> 60%
Early disruption trajectory: proportion of T2DM (lowest)
80%
Early disruption trajectory: use of antiemetic drugs (highest)
8%

Original publication

GLP ‐1 Receptor Agonists Use in Patients With Prior Psychotropic Treatment: A Nationwide Cohort Study. Diabetes Obes Metab. Published 9 November 2026. doi:10.1111/dom.71503

Composed by AI from the published abstract and checked against it. How Briefs are made →

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