Page last updated: 2024-10-25

citalopram and Obesity

citalopram has been researched along with Obesity in 18 studies

Citalopram: A furancarbonitrile that is one of the serotonin uptake inhibitors used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia.
citalopram : A racemate comprising equimolar amounts of (R)-citalopram and its enantiomer, escitalopram. It is used as an antidepressant, although only escitalopram is active.
1-[3-(dimethylamino)propyl]-1-(4-fluorophenyl)-1,3-dihydro-2-benzofuran-5-carbonitrile : A nitrile that is 1,3-dihydro-2-benzofuran-5-carbonitrile in which one of the hydrogens at position 1 is replaced by a p-fluorophenyl group, while the other is replaced by a 3-(dimethylamino)propyl group.

Obesity: A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).

Research Excerpts

ExcerptRelevanceReference
" One hundred and sixty patients with MDD and comorbid obesity will be randomised 1:1 to simvastatin or placebo as add-on to standard antidepressant medication with escitalopram."9.34Simvastatin add-on to escitalopram in patients with comorbid obesity and major depression (SIMCODE): study protocol of a multicentre, randomised, double-blind, placebo-controlled trial. ( Chae, WR; Ettrich, B; Friede, T; Gold, SM; Grabe, HJ; Hegerl, U; Hinkelmann, K; Hofmann, T; Janowitz, D; Junghanns, K; Kaczmarczyk, M; Kahl, KG; Klein, JP; Krueger, THC; Leicht, G; Lischewski, S; Märschenz, S; Nowacki, J; Otte, C; Piber, D; Prvulovic, D; Reif, A; Roepke, S; Schmidt, S; Schoettle, D; Strauss, M; Westermair, A, 2020)
"The purpose of this study was to evaluate the efficacy and safety of high-dose escitalopram in the treatment of binge-eating disorder (BED) associated with obesity."9.13High-dose escitalopram in the treatment of binge-eating disorder with obesity: a placebo-controlled monotherapy trial. ( Alessio, DD; Guerdjikova, AI; Hudson, JI; Keck, PE; Kotwal, R; Lake, K; McElroy, SL; Nelson, E; Welge, JA, 2008)
" One hundred and sixty patients with MDD and comorbid obesity will be randomised 1:1 to simvastatin or placebo as add-on to standard antidepressant medication with escitalopram."5.34Simvastatin add-on to escitalopram in patients with comorbid obesity and major depression (SIMCODE): study protocol of a multicentre, randomised, double-blind, placebo-controlled trial. ( Chae, WR; Ettrich, B; Friede, T; Gold, SM; Grabe, HJ; Hegerl, U; Hinkelmann, K; Hofmann, T; Janowitz, D; Junghanns, K; Kaczmarczyk, M; Kahl, KG; Klein, JP; Krueger, THC; Leicht, G; Lischewski, S; Märschenz, S; Nowacki, J; Otte, C; Piber, D; Prvulovic, D; Reif, A; Roepke, S; Schmidt, S; Schoettle, D; Strauss, M; Westermair, A, 2020)
" To compare changes in body weight during treatment with different antidepressants, body weight and height were measured at baseline and after 6, 8, 12 and 26 wk treatment with escitalopram or nortriptyline in 630 adults with moderate-to-severe unipolar depression participating in GENDEP, a part-randomized open-label study."5.15Changes in body weight during pharmacological treatment of depression. ( Aitchison, KJ; Dernovsek, MZ; Farmer, A; Gray, JM; Hauser, J; Henigsberg, N; Kalember, P; Keers, R; Kozel, D; Larsen, ER; Maier, W; McGuffin, P; Mendlewicz, J; Mors, O; Placentino, A; Rietschel, M; Souery, D; Strohmaier, J; Szczepankiewicz, A; Uher, R; Zobel, A, 2011)
"Higher BMI and obesity predicted poor response to nortriptyline but did not significantly influence response to escitalopram."5.14Body weight as a predictor of antidepressant efficacy in the GENDEP project. ( Aitchison, KJ; Dernovsek, MZ; Farmer, A; Gunasinghe, C; Hauser, J; Henigsberg, N; Kalember, P; Kozel, D; Larsen, ER; Leszczynska-Rodziewicz, A; Linotte, S; Maier, W; McGuffin, P; Mors, O; Pedrini, L; Perroud, N; Placentino, A; Rietschel, M; Souery, D; Strohmaier, J; Uher, R; Zobel, A, 2009)
"The purpose of this study was to evaluate the efficacy and safety of high-dose escitalopram in the treatment of binge-eating disorder (BED) associated with obesity."5.13High-dose escitalopram in the treatment of binge-eating disorder with obesity: a placebo-controlled monotherapy trial. ( Alessio, DD; Guerdjikova, AI; Hudson, JI; Keck, PE; Kotwal, R; Lake, K; McElroy, SL; Nelson, E; Welge, JA, 2008)
"Escitalopram was started at 10 mg/d with a dosage increase to 20 mg/d after 4 weeks; placebo dosing was identical."2.77Escitalopram for treatment of night eating syndrome: a 12-week, randomized, placebo-controlled trial. ( Gadde, KM; Gang, CH; Griffing, GT; Vander Wal, JS, 2012)
"Citalopram is a highly selective serotonin reuptake inhibitor antidepressant."2.71Citalopram in the treatment of binge-eating disorder: a placebo-controlled trial. ( Hudson, JI; Keck, PE; Malhotra, S; McElroy, SL; Nelson, EB; Welge, JA, 2003)
"Citalopram is a new, highly selective inhibitor of 5HT re-uptake."2.67Treatment of severe obesity with a highly selective serotonin re-uptake inhibitor as a supplement to a low calorie diet. ( Elsborg, L; Szkudlarek, J, 1993)
"In citalopram treated subjects, basal glucose and lactate concentrations were higher compared with controls or with the trimipramine treated group."1.35Metabolism in adipose tissue in response to citalopram and trimipramine treatment--an in situ microdialysis study. ( Adler, G; Alt, A; Ditschuneit, HH; Flechtner-Mors, M; Jenkinson, CP, 2008)
"Citalopram treatment had no effect on serum insulin levels in 15-week-old mice."1.31Effect of serotonin reuptake inhibitor on syndrome development in obese hyperglycemic mice (Umeå ob/ob). ( Lindström, P; Rooth, P; Thrybom, T, 2001)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (5.56)18.2507
2000's10 (55.56)29.6817
2010's4 (22.22)24.3611
2020's3 (16.67)2.80

Authors

AuthorsStudies
Puzhko, S1
Schuster, T1
Barnett, TA1
Renoux, C1
Munro, K1
Barber, D1
Bartlett, G1
Otte, C1
Chae, WR1
Nowacki, J1
Kaczmarczyk, M1
Piber, D1
Roepke, S1
Märschenz, S1
Lischewski, S1
Schmidt, S1
Ettrich, B1
Grabe, HJ1
Hegerl, U1
Hinkelmann, K1
Hofmann, T1
Janowitz, D1
Junghanns, K1
Kahl, KG1
Klein, JP1
Krueger, THC1
Leicht, G1
Prvulovic, D1
Reif, A1
Schoettle, D1
Strauss, M1
Westermair, A1
Friede, T1
Gold, SM1
Hersey, M1
Woodruff, JL1
Maxwell, N1
Sadek, AT1
Bykalo, MK1
Bain, I1
Grillo, CA1
Piroli, GG1
Hashemi, P1
Reagan, LP1
Kurhe, Y1
Mahesh, R1
Uher, R2
Mors, O2
Hauser, J2
Rietschel, M2
Maier, W2
Kozel, D2
Henigsberg, N2
Souery, D2
Placentino, A2
Perroud, N1
Dernovsek, MZ2
Strohmaier, J2
Larsen, ER2
Zobel, A2
Leszczynska-Rodziewicz, A1
Kalember, P2
Pedrini, L1
Linotte, S1
Gunasinghe, C1
Aitchison, KJ2
McGuffin, P2
Farmer, A2
Wolter, H1
Schneider, N1
Pfeiffer, E1
Lehmkuhl, U1
Keers, R1
Gray, JM1
Szczepankiewicz, A1
Mendlewicz, J1
Buyko, E1
Beisswanger, E1
Hahn, U1
Vander Wal, JS1
Gang, CH1
Griffing, GT1
Gadde, KM1
McElroy, SL2
Hudson, JI2
Malhotra, S1
Welge, JA2
Nelson, EB1
Keck, PE2
Maina, G1
Albert, U1
Salvi, V1
Bogetto, F1
Holzer, L1
Paiva, G1
Halfon, O1
Balon, R1
Flechtner-Mors, M1
Jenkinson, CP1
Alt, A1
Adler, G1
Ditschuneit, HH1
Guerdjikova, AI1
Kotwal, R1
Nelson, E1
Lake, K1
Alessio, DD1
Szkudlarek, J1
Elsborg, L1
Thrybom, T1
Rooth, P1
Lindström, P1
Ljung, T1
Ahlberg, AC1
Holm, G1
Friberg, P1
Andersson, B1
Eriksson, E1
Björntorp, P1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Simvastatin add-on to Escitalopram in Patients With Comorbid Obesity and Major Depression: A Multicenter, Randomized, Double-blind, Placebo-controlled Trial[NCT04301271]Phase 2160 participants (Anticipated)Interventional2020-08-13Recruiting
Escitalopram Treatment of Night Eating Syndrome: a Randomized Controlled Trial[NCT00636649]40 participants (Actual)Interventional2008-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Beck Anxiety Inventory (BAI) Score

The Beck Anxiety Inventory (BAI) is a 21-item self-report measure of anxiety. Scores range from 0 to 63, with higher scores indicative of higher levels of anxiety. (NCT00636649)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Escitalopram-1.5
Placebo-1.8

Change in Beck Depression Inventory II (BDI-II) Score

The BDI-II is a 21-item self-report questionnaire designed to measure cognitive, somatic, and behavioral aspects of depression. Scores range from 0 to 63, with higher scores indicating a higher level of depressive symptoms. (NCT00636649)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Escitalopram-2.4
Placebo-3.5

Change in Glucose

(NCT00636649)
Timeframe: Baseline, 12 Week

Interventionmg/dL (Mean)
Escitalopram3.9
Placebo7.6

Change in Perceived Stress Scale (PSS)

The Perceived Stress Scale (PSS) measures the overall level of stress. This instrument contains 14 items accessing overall appraisals of stress in the past month. Minimum score (best value)=0. Maximum score (worst value)=56. A higher score indicates greater stress. (NCT00636649)
Timeframe: 12 weeks

Interventionunits on a scale (Mean)
Placebo-0.55
Escitalopram-2.11

Change in Weight

(NCT00636649)
Timeframe: Baseline, 12 week

Interventionkg (Mean)
Escitalopram-0.43
Placebo1.12

Night Eating Questionnaire

The Night Eating Questionnaire (NEQ) is a 14-item self-report scale designed to assess the symptoms of NES including nocturnal ingestions, evening hyperphagia, morning anorexia, and mood/sleep. Scores range from 0-56, with higher scores indicative of greater severity. The NEQ has an acceptable internal consistency reliability (.70). A cut-score of 25 has been shown to yield a positive predictive value of .62. (NCT00636649)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
Escitalopram-13.0
Placebo-10.6

Number of Participants Who Had a 50% Reduction in NEQ Scores

The Night Eating Questionnaire (NEQ) is a 14 item self-report scale designed to assess the symptoms of NES including nocturnal ingestions, evening hypcrphagia, morning anorexia, and mood/slccp. Scores range from 0 to 56, with higher scores indicative of greater severity. (NCT00636649)
Timeframe: Week 12

Interventionparticipants (Number)
Escitalopram7
Placebo6

Number of Participants Who no Longer Meet the NESHI Criteria

The Night Eating Syndrome History and Inventory (NESHI) is an unpublished, semistructured interview used to confirm a diagnosis of NES. It assesses a typical 24-hour food intake, including a recall of all meals and snacks, and sleeping patterns. Based on the recall of all meals and snacks, the interviewer judged whether ≥25% of the daily caloric intake was eaten after the evening meal and how often nocturnal ingestions occurred. The NEQ items were reviewed and informed by the dietary recall during the interview, and a new total score was tallied. A final score of ≥25 for the NEQ items, as reviewed during the NESHI, was used as the criterion for NES. (NCT00636649)
Timeframe: Week 12

Interventionparticipants (Number)
Escitalopram16
Placebo12

Number of Participants With a Clinical Global Impression - Improvement (CGI-I) Score ≤ 2

The CGI-I scale is a clinician rating of overall therapeutic effect ranging from 1 (very much improved) to 7 (very much worse) since commencing treatment. (NCT00636649)
Timeframe: 12 weeks

Interventionparticipants (Number)
Escitalopram12
Placebo7

Change in Coping Inventory for Stressful Situations (CISS)

TASK = task-oriented coping; EMOT = emotion-oriented coping; AVD = avoidance-focused coping; Avoidance-focused coping may be divided into two subtypes: DIS = distraction-oriented coping; SOC = social diversion-oriented coping. CISS is a 48 item self-report measure used to measure responses to stressful situations rated for frequency on a 5 point Likert scales ranging from1, not at all to 5, very much. This measure assesses three coping styles: Task-Oriented, Emotion-Oriented, and two types of Avoidance-Oriented coping (Social Diversion and Distraction). There are 16 items on each of the primary scales (task, emotion, avoidance) and 5 on social diversion and 8 on distraction. Scores are summed for each subscale and then converted to gender-corrected t-scores with a mean of 50 and a standard deviation of 10. T-scores on the CISS range from a low of 25 (1st percentile) to 75 (99th percentile). Higher scores indicate more adaptive levels of coping. (NCT00636649)
Timeframe: Baseline, 12 weeks

,
Interventiont-scores (Mean)
CISS-TASKCISS-EMOTCISS-AVDCISS-DISCISS-SOC
Escitalopram1.75-1.452.601.952.15
Placebo2.351.2503.40-2.45

Change in Lipid Panel

(NCT00636649)
Timeframe: Baseline,12 weeks

,
Interventionmg/dL (Mean)
HDLLDLTriglyceridestotal cholesterol
Escitalopram-2.8-3.927.5-4.5
Placebo-2.22.8-14.0-2.3

Change in Three Factor Eating Questionnaire (TFEQ)

"The TFEQ (also known as the Eating Inventory) measures dimensions of eating behavior including cognitive restraint of eating, disinhibition, and hunger using a combination of dichotomous questions, 4-point likert scales, and one 5-point likert scale. Restraint is comprised of the responses to 21 questions with possible scores ranging from 0 to 21 (Low scores for all scales indicate an uninhibited eating behavior.). Disinhibition is comprised of the responses to 16 questions with possible scores ranging from 0 to 16 (High scores indicate an uninhibited eating behavior strongly depending on external cues). Hunger is comprised of the responses to 14 questions with possible scores ranging from 0 to 14 ( Low scores indicate an eating behavior strongly depending on feelings of hunger.).~RES = Restraint Subscale; DIS = Disinhibition Subscale; HUN = Hunger Subscale" (NCT00636649)
Timeframe: Baseline, 12 weeks

,
Interventionunits on a scale (Mean)
TFEQ-RESTFEQ-DISTFEQ-HUN
Escitalopram1.85-1.50-1.75
Placebo2.95-0.85-1.60

Reviews

1 review available for citalopram and Obesity

ArticleYear
Mood, anxiety, and physical illness: body and mind, or mind and body?
    Depression and anxiety, 2006, Volume: 23, Issue:6

    Topics: Anxiety Disorders; Autoimmune Diseases; Citalopram; Comorbidity; Health Status; Heart Diseases; Huma

2006

Trials

9 trials available for citalopram and Obesity

ArticleYear
Simvastatin add-on to escitalopram in patients with comorbid obesity and major depression (SIMCODE): study protocol of a multicentre, randomised, double-blind, placebo-controlled trial.
    BMJ open, 2020, 12-01, Volume: 10, Issue:12

    Topics: Berlin; Citalopram; Depression; Depressive Disorder, Major; Double-Blind Method; Humans; Multicenter

2020
Body weight as a predictor of antidepressant efficacy in the GENDEP project.
    Journal of affective disorders, 2009, Volume: 118, Issue:1-3

    Topics: Adult; Affect; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Appetite;

2009
Changes in body weight during pharmacological treatment of depression.
    The international journal of neuropsychopharmacology, 2011, Volume: 14, Issue:3

    Topics: Adult; Aged; Antidepressive Agents, Tricyclic; Body Mass Index; Body Weight; Citalopram; Depressive

2011
Escitalopram for treatment of night eating syndrome: a 12-week, randomized, placebo-controlled trial.
    Journal of clinical psychopharmacology, 2012, Volume: 32, Issue:3

    Topics: Academic Medical Centers; Adult; Antidepressive Agents, Second-Generation; Body Mass Index; Citalopr

2012
Citalopram in the treatment of binge-eating disorder: a placebo-controlled trial.
    The Journal of clinical psychiatry, 2003, Volume: 64, Issue:7

    Topics: Adolescent; Adult; Body Mass Index; Bulimia; Citalopram; Depressive Disorder; Double-Blind Method; D

2003
Weight gain during long-term treatment of obsessive-compulsive disorder: a prospective comparison between serotonin reuptake inhibitors.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:10

    Topics: Adult; Ambulatory Care; Citalopram; Clomipramine; Female; Fluoxetine; Fluvoxamine; Follow-Up Studies

2004
High-dose escitalopram in the treatment of binge-eating disorder with obesity: a placebo-controlled monotherapy trial.
    Human psychopharmacology, 2008, Volume: 23, Issue:1

    Topics: Adolescent; Adult; Bulimia Nervosa; Citalopram; Dose-Response Relationship, Drug; Double-Blind Metho

2008
Treatment of severe obesity with a highly selective serotonin re-uptake inhibitor as a supplement to a low calorie diet.
    International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1993, Volume: 17, Issue:12

    Topics: Adolescent; Adult; Aged; Citalopram; Combined Modality Therapy; Diet, Reducing; Double-Blind Method;

1993
Treatment of abdominally obese men with a serotonin reuptake inhibitor: a pilot study.
    Journal of internal medicine, 2001, Volume: 250, Issue:3

    Topics: Body Constitution; Catecholamines; Citalopram; Cross-Over Studies; Double-Blind Method; Glucose Tole

2001

Other Studies

8 other studies available for citalopram and Obesity

ArticleYear
Difference in patterns of prescribing antidepressants known for their weight-modulating and cardiovascular side effects for patients with obesity compared to patients with normal weight.
    Journal of affective disorders, 2021, 12-01, Volume: 295

    Topics: Adult; Antidepressive Agents; Canada; Citalopram; Female; Humans; Mirtazapine; Obesity

2021
High-fat diet induces neuroinflammation and reduces the serotonergic response to escitalopram in the hippocampus of obese rats.
    Brain, behavior, and immunity, 2021, Volume: 96

    Topics: Animals; Citalopram; Diet, High-Fat; Hippocampus; Humans; Obesity; Rats; Selective Serotonin Reuptak

2021
Ondansetron attenuates co-morbid depression and anxiety associated with obesity by inhibiting the biochemical alterations and improving serotonergic neurotransmission.
    Pharmacology, biochemistry, and behavior, 2015, Volume: 136

    Topics: Animals; Anxiety; Behavior, Animal; Body Weight; Brain; Citalopram; Corticosterone; Depression; Diet

2015
Diagnostic crossover from obesity to atypical anorexia nervosa - a case report.
    Obesity facts, 2009, Volume: 2, Issue:1

    Topics: Adolescent; Amenorrhea; Anorexia Nervosa; Antidepressive Agents, Second-Generation; Behavior Therapy

2009
The extraction of pharmacogenetic and pharmacogenomic relations--a case study using PharmGKB.
    Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing, 2012

    Topics: Aryl Hydrocarbon Hydroxylases; Breast Neoplasms; Citalopram; Computational Biology; Cytochrome P-450

2012
Quetiapine-induced weight gain and escitalopram.
    The American journal of psychiatry, 2005, Volume: 162, Issue:1

    Topics: Adolescent; Antipsychotic Agents; Citalopram; Depressive Disorder; Dibenzothiazepines; Drug Synergis

2005
Metabolism in adipose tissue in response to citalopram and trimipramine treatment--an in situ microdialysis study.
    Journal of psychiatric research, 2008, Volume: 42, Issue:7

    Topics: Adipose Tissue; Adrenergic Uptake Inhibitors; Body Mass Index; Cholesterol; Citalopram; Depressive D

2008
Effect of serotonin reuptake inhibitor on syndrome development in obese hyperglycemic mice (Umeå ob/ob).
    Metabolism: clinical and experimental, 2001, Volume: 50, Issue:2

    Topics: Aging; Animals; Blood Glucose; Citalopram; Eating; Energy Metabolism; Feces; Female; Hyperglycemia;

2001