Hello,
Thank you for sharing your concerns. Quetiapine (Quitipin) is known to cause weight gain, even at lower doses, in some individuals. While it may help with sleep, the weight gain and other metabolic side effects can be concerning, especially if sustained long-term. Since sleep is your main concern and Nexito (escitalopram) is already being used for mood/anxiety, other non-weight gaining sleep
aids can be considered.
Possible alternatives include:
a. Melatonin (low dose, 2-5 mg at night)
b. Low-dose doxepin (3-6 mg), which is effective for sleep and has minimal metabolic impact
c. Trazodone (25-50 mg) - commonly used as an off-label sleep aid
d. Agomelatine – if available, can also help sleep with minimal weight effects
e. Cognitive Behavioural Therapy for Insomnia (CBT-I) - often more sustainable long-term
Next Steps
1. Consult another responsive psychiatrist, especially if current one is not available or helpful.
2. Ask about tapering off Quitipin gradually, not abruptly, to avoid withdrawal or rebound insomnia.
3. Discuss switching to non-weight gaining alternatives.
4. Consider a sleep diary and basic blood work (
lipid profile,
sugar,
thyroid) to monitor health.
Health Tips
Please note, medication should only be adjusted or switched under a psychiatrist’s supervision.