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Clozapine: weight gain in a pair of monozygotic twins concordant for schizophrenia and mild mental retardation. | LitMetric

AI Article Synopsis

  • Clozapine, an atypical antipsychotic, is associated with significant weight gain in patients.
  • A study involving monozygotic twins with schizophrenia treated with clozapine over 5.5 years revealed substantial weight increases in both twins (53.1 kg and 48.2 kg).
  • The findings imply that genetic factors may play a significant role in the weight gain caused by clozapine treatment.

Article Abstract

Clozapine is an atypical antipsychotic known to cause considerable weight gain. The extent to which genetic factors determine weight gain is unknown. Here we report on a pair of female monozygotic twins concordant for schizophrenia and mild mental retardation who were treated with clozapine over 5.5 years. One twin gained a total of 53.1 kg and had a weight of 107.5 kg (BMI=38.1 kg/m2) at the end of the observation period. The other twin gained a total of 48.2 kg and finally had a weight of 100.4 kg (BMI=33.8 kg/m2). Because both patients experienced considerable weight gain during treatment, our observation suggests that the antipsychotic-induced weight gain is under strong genetic control.

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Source
http://dx.doi.org/10.1016/j.psychres.2004.02.018DOI Listing

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