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CNS Drugs

, Volume 24, Issue 9, pp 741–753 | Cite as

The Association between Conventional Antidepressants and the Metabolic Syndrome

A Review of the Evidence and Clinical Implications
  • Roger S. McIntyre
  • Ka Young Park
  • Candy W. Y. Law
  • Farah Sultan
  • Amanda Adams
  • Maria Teresa Lourenco
  • Aaron K. S. Lo
  • Joanna K. Soczynska
  • Hanna Woldeyohannes
  • Mohammad Alsuwaidan
  • Jinju Yoon
  • Sidney H. Kennedy
Review Article

Abstract

Major depressive disorder is a prevalent recurrent medical syndrome associated with inter-episodic dysfunction. The metabolic syndrome is comprised of several established risk factors for cardiovascular disease (i.e. abdominal obesity, dyslipidaemia, dysglycaemia and hypertension). The criterion items of the metabolic syndrome collectively represent a multi-dimensional risk factor for cardiovascular disease and type 2 diabetes mellitus. Extant evidence indicates that both major depressive disorder and the metabolic syndrome, albeit distinct, often co-occur and are possibly subserved by overlapping pathophysiology and causative mechanisms. Conventional antidepressants exert variable effects on constituent elements of the metabolic syndrome, inviting the need for careful consideration prior to treatment selection and sequencing. Initiating and maintaining antidepressant therapy should include routine surveillance for clinical and/or biochemical evidence suggestive of the metabolic syndrome.

Keywords

Metabolic Syndrome Major Depressive Disorder Bupropion Major Depressive Disorder Bulimia Nervosa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

Dr McIntyre has served on advisory boards for Astra Zeneca, Bristol-Myers Squibb, France Foundation, GlaxoSmithKline, Janssen-Ortho, Solvay/Wyeth, Eli Lilly, Organon, Lundbeck, Biovail, Pfizer, Shire, Schering-Plough and Merck; has served on speaker’s bureaux for Janssen-Ortho, Astra-Zeneca, Eli Lilly, Lundbeck, Biovail and Merck; has been involved in CME activities for Astra Zeneca, Bristol-Myers Squibb, France Foundation, I3CME, Solvay/Wyeth, Physicians’ Postgraduate Press, CME Outfitters, Optum Health, Schering-Plough, Merck and Eli Lilly; has received research grants from the Stanley Medical Research Institute, the National Alliance for Research on Schizophrenia and Depression (NARSAD), Eli Lilly, Janssen-Ortho, Shire, Astra-Zeneca and Pfizer; and has received travel funds from Bristol-Myers Squibb. Dr Kennedy has received grant funding and/or consultant fees from ANS, AstraZeneca, Biovail, Boehringer Ingelheim, Canadian Institutes of Health Research, Canadian Network for Mood and Anxiety Treatments, Eli Lilly, GlaxoSmithKline, Janssen-Ortho, Lundbeck, Merck Frosst, NARSAD, OMHF, OPGRS, Organon, Pfizer, Servier, the Stanley Foundation and Wyeth. Ms Soczynska has received honoraria from Organon and Wyeth. Dr Alsumaidan currently holds equity in sanofi-aventis. Drs Lo, Law, Lourenco, Park and Yoon, and Ms Woldeyohannes, Sultan and Adams, have no conflicts of interest that are directly relevant to the content of this review. No funding was received for the preparation of this review.

Supplementary material

40263_2012_24090741_MOESM1_ESM.pdf (271 kb)
Supplementary material, approximately 278 KB.

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Copyright information

© Adis Data Information BV 2009

Authors and Affiliations

  • Roger S. McIntyre
    • 1
    • 2
    • 3
    • 4
  • Ka Young Park
    • 5
  • Candy W. Y. Law
    • 3
  • Farah Sultan
    • 3
  • Amanda Adams
    • 3
  • Maria Teresa Lourenco
    • 3
  • Aaron K. S. Lo
    • 3
  • Joanna K. Soczynska
    • 3
    • 4
  • Hanna Woldeyohannes
    • 3
  • Mohammad Alsuwaidan
    • 1
    • 3
  • Jinju Yoon
    • 3
  • Sidney H. Kennedy
    • 1
    • 3
    • 4
  1. 1.Department of PsychiatryUniversity of TorontoTorontoCanada
  2. 2.Department of PharmacologyUniversity of TorontoTorontoCanada
  3. 3.Mood Disorders Psychopharmacology UnitUniversity Health NetworkTorontoCanada
  4. 4.Institute of Medical ScienceUniversity of TorontoTorontoCanada
  5. 5.Department of Family and Community MedicineUniversity of TorontoOntarioCanada

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