Affordable Access

A potential role for adjunctive vitamin D therapy in the management of weight gain and metabolic side effects of second-generation antipsychotics.

Authors
  • Nwosu, Benjamin U
  • Meltzer, Bruce
  • Maranda, Louise
  • Ciccarelli, Carol
  • Reynolds, Daniel
  • Curtis, Laura
  • King, Jean
  • Frazier, Jean A
  • Lee, Mary M
Type
Published Article
Journal
Journal of pediatric endocrinology & metabolism : JPEM
Publication Date
Jan 01, 2011
Volume
24
Issue
9-10
Pages
619–626
Identifiers
PMID: 22145446
Source
Medline
License
Unknown

Abstract

Second-generation antipsychotic (SGA) medications introduced about 20 years ago are increasingly used to treat psychiatric illnesses in children and adolescents. There has been a five-fold increase in the use of these medications in U.S. children and adolescents in the past decade. However, there has also been a parallel rise in the incidence of side effects associated with these medications, such as obesity, dyslipidemia, insulin resistance, and diabetes mellitus. Despite the severity of these complications and their financial impact on the national healthcare budget, there is neither a clear understanding of the mechanisms contributing to these side effects nor the best ways to address them. Studies that examined lifestyle modification and pharmaceutical agents have yielded mixed results. Therefore, clinical studies using agents, such as vitamin D, which are inexpensive, readily available, with low side effects profile, and have mechanisms to counteract the metabolic side effects of SGA agents, are warranted. Vitamin D is a prohormone with skeletal and extraskeletal properties that could potentially reduce the severity of these metabolic side effects. Its role as an adjunctive therapy for the management of metabolic side effects of SGA agents has not been adequately studied. Effective strategies to curb these side effects will improve the overall health of youths with psychiatric illnesses who receive SGAs. Herein we present a pilot study on the use of vitamin D in patients on treatment with SGAs.

Report this publication

Statistics

Seen <100 times