Side effect weight gain. Please help me.

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Olanzapine is known very well to cause weight gain . Metformin is approved to reduce the symptoms of metabolic syndrome like weight gain , rise in blood sugar levels , rise in lipid levels. But it is adviced you address your concerns to your psychiatrist so that they will be able to add a drug that’s best for you. Unsupervised ingestion of metformin can cause hypoglycaemia ( fall in sugar levels ) which can cause more bad than good. Meanwhile you can try life style management techniques like dieting , exercise , portion control .

Discuss with your psychiatrist regarding side effects explained

Do not self medicate

In your medication records, Olanzapine 5 mg is associated with weight gain, rest medication does not cause weight gain There are medications such as topiramate, Metformin that are used for weight reduction, but you must consult your doctor and discuss weight management issues * One option is to taper the dose of Olanzapine and adjust the dose of aripiprazole, it also should be discussed in further follow up visit Along with it you must follow some life style modifications such as brisk walk ,  relaxation exercises, avoid tea or coffee more than 2 times,  include fibre rich diet as fruit, salad, Multi grain flour etc

do not bother, discuss above points with your doctor

You are currently on a strong psychiatric treatment plan that includes Arip MT which is aripiprazole, Olet which is olanzapine, Esta Plus which contains escitalopram, Trennil which is likely trihexyphenidyl, and Miramax which is mirtazapine. This combination is often used for stabilizing post psychotic depression and has good clinical effect in terms of mood, thought clarity, and emotional regulation. However, both olanzapine and mirtazapine are known to cause significant weight gain, particularly around the belly and waist. This happens not only due to increased appetite but also because of slowed metabolism, water retention, and changes in fat distribution. The discomfort you feel while sitting for long periods is likely due to pressure on the lower abdominal nerves and muscles from this central weight gain. While the emotional side is being treated well, your physical body is now showing signs of metabolic stress which must be addressed gradually and gently.

Adding metformin purely for weight loss is not the ideal solution unless there is evidence of elevated blood sugar or insulin resistance. Metformin is useful in people with diabetes or borderline sugar levels, but in someone who does not have those findings, it can cause unnecessary side effects like digestive upset or vitamin B twelve depletion. Your situation does not require another pill at this point. What you need is a consistent, metabolism friendly lifestyle that supports the medicine’s benefits while protecting your physical health. Do not stop or reduce your psychiatric medicines abruptly, as your recovery needs stability first. If your symptoms remain well controlled, your doctor may consider adjusting the dose of olanzapine or mirtazapine in the future to reduce the metabolic load, but this must be done step by step.

Start each day with a short walk in natural light for about fifteen minutes. This helps activate your body’s fat burning rhythm. For breakfast, include soaked almonds, black chana, paneer or a boiled egg with a small amount of ghee. Keep lunch warm and balanced with cooked vegetables, one or two rotis or rice, dal, and a spoon of ghee. Avoid curd late in the day and do not eat raw salad at night. Eat dinner before eight in the evening and choose light options such as vegetable soup or moong dal khichdi. Sip warm water infused with cinnamon or ajwain seeds to reduce bloating and support digestion. After meals, sit in vajrasana for ten minutes to reduce belly heaviness. In the morning, if possible, practice Surya Namaskar slowly to improve posture and core strength. At night, lie down and do deep breathing with eyes closed for five minutes to reset your nervous system. Apply warm sesame oil to your abdomen and lower back twice a week. This will relax muscle tension and improve circulation.