Cyproheptadine

Cyproheptadine

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Antihistamine High Weight Gain Risk
Sedating: Yes Driving: Avoid QT risk: Low Akathisia: None Metabolic: Low Prolactin: Low ACB: 2 t½: 8 h Tmax: 1.5 h

A strange one — an old antihistamine with the side effect of boosting appetite. Sometimes used in psychiatry for people struggling to gain weight (e.g. kids on stimulants, or severe anorexia cases). It’s also occasionally used to blunt serotonin syndrome because it blocks 5-HT2 receptors. Rarely seen these days, but it pops up in niche scenarios.

🩺 Main Uses

Allergy; appetite stimulant; serotonin syndrome (off-label).

🧪 The Science & Facts

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Half‑life (t½)

8 h

How long the drug hangs around. Longer half‑life = slower changes.

Time to Peak (Tmax)

1.5 h

Roughly when you feel the main effect after a dose.

What it hits (receptors)

Primary:

H1 (antagonist)5-HT2A (antagonist)M1 (antagonist)

Unique antihistamine with serotonin antagonism → appetite gain.

How your body processes it (metabolism)

Limited CYP metabolism; few interactions.

⚠️ Warnings

  • Heavy sedation / grogginess
  • May increase appetite and cause weight gain
  • Not usually a long-term solution

⏬ Taper & Withdrawal

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If you’re reducing

Not habit-forming; taper not usually needed.

Possible withdrawal

Rebound insomnia/appetite loss possible.

Info here is educational, not medical advice. Always taper with prescriber support if possible.

🧠 Trusted External Sources Last reviewed 22 Aug 2025, 21:34 by Connor O’Driscoll

🔗 Interaction Checker

Always verify drug interactions using the Drugs.com Checker.

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⚠️ Black Box Warning

None specific, but sedation and anticholinergic burden high.

This is a plain‑English summary of headline safety warnings. Talk to a clinician before changing any medication.