Metformin in prevention and treatment of antipsychotic induced weight gain: a systematic review and meta-analysis

Autor: Varuni Asanka de Silva, Chathurie Suraweera, Suhashini S. Ratnatunga, Madhubashinee Dayabandara, Nimali Wanniarachchi, Raveen Hanwella
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: BMC Psychiatry, Vol 16, Iss 1, Pp 1-10 (2016)
Druh dokumentu: article
ISSN: 1471-244X
DOI: 10.1186/s12888-016-1049-5
Popis: Abstract Background Most antipsychotics are associated with weight gain and other metabolic complications. Several randomized trials have shown metformin to be effective, but this still hasn’t been included in clinical guidelines on managing antipsychotic induced weight gain. Methods All double blind placebo controlled trials assessing the efficacy of metformin in the treatment of antipsychotic induced weight gain were included. Cochrane Central Register of Controlled Trials (CENTRAL) and MEDLINE were searched for the period January 2000-December 2015. Meta-analysis was carried out using the random effects model. Results Meta analysis of 12 published studies with a total of 743 patients found that in patients treated with antipsychotics, metformin treatment resulted in significantly better anthropometric and metabolic parameters than placebo. The mean change in weight was −3.27 kg (95 % CI −4.66 to −1.89) (Z = 4.64, p
Databáze: Directory of Open Access Journals