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Which drugs actually cause weight gain?

“Does this make you gain weight?” is asked of nearly every drug — and answered online with folklore. Here is what each drug’s FDA label actually reports from its trials, grouped by the real direction of the effect.

The useful truth most listicles miss: a real, labeled weight-gain effect belongs to a few classes (gabapentinoids, mirtazapine, some antipsychotics), while most SSRIs report no established weight effect, and bupropion and stimulants can cause weight loss. “No established effect” is an honest answer, not a dodge.

By the pharmaranks editorial teamReviewed against the FDA drug labels (DailyMed) sourcesUpdated Jul 21, 2026How we research

Can cause weight gain

Mixed / dose-related

No established weight effect

Can cause weight loss

Each entry is what that drug’s FDA-approved label reports. General reference information, not medical advice; weight change is individual, and a drug not listed simply may have no weight statement on its label. Do not start or stop a medication to change weight without your prescriber.