Usual dose: 50 to 150 mg/day. Tell your doctor if you have serious side effects of Zoloft including: very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, feeling like you might pass out; agitation, hallucinations, fever, overactive reflexes, tremors; Mar 26, 2019 · Why weight gain happens. Combining alcohol with sertraline can worsen side effects. Sertraline (Zoloft) belongs to a class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). Another potential side effect of Zoloft is weight gain. 2. Sertraline Pill Images. Make dietary changes as soon as you notice even slight weight gain. Jun 6, 2014 · The researchers chose citalopram as a reference, because earlier studies suggested that it is "average" when it comes to weight gain. Although the difference did not reach statistical significance, the average weight gain was lower for fluoxetine (1%) but higher for citalopram, fluvoxamine and paroxetine (2. One of the most widely prescribed antidepressants, sertraline, also known by brand names Zoloft and Lustral, was associated with an average gain of nearly 0. Symptoms can include excessive drowsiness or dizziness. The most related drug class with this side effect is the mood stabilizers []. Aug 21, 2020 · While the rates of weight gain vary, and are due to multiple factors such as depression and lack of exercise, the sertraline itself can make you gain 10 pounds in a year 6, more than twice the Oct 17, 2023 · Weight gain can be a common side effect of both acute and long-term usage of antidepressants. Sometimes, this has been deadly. Stomach issues: Stomach problems are a common side effect of sertraline. Sertraline is an SSRI antidepressant. Oct 4, 2018 · Preventing Sertraline Weight Gain. Changes in sex drive. It took me 2 years to lose the weight I gained on Sertraline. However, the dose is usually not more than 200 mg per day. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed antidepressants for the treatments of major depressive disorder, obsessive compulsive disorder, panic disorder, generalized anxiety disorder, posttraumatic stress Weight loss or gain and sertraline. A long-term study published in the British Medical Journal (BMJ) in 2018 found that for up to six years after starting treatment, people taking antidepressants such as Zoloft were 21% more likely to experience at least a 5% weight gain than those not taking the drugs. Shaking. But your doctor may start you on a lower dose, then increase it gradually to a maximum dose of 200mg a day. When It Comes to Weight Gain, Not All Antidepressants Are the Same Images. dry mouth, and. If you and your doctor decide to take you off sertraline, your doctor will recommend reducing your dose gradually to help prevent withdrawal side effects. Treatment choices are largely based on adverse effects, costs, and other factors. Initial dose: 25 mg orally once a day, increased after one week to 50 mg orally once a day. There is evidence that antidepressant drugs may induce a variable amount of weight Sertraline. Maximum dose: 200 mg/day (Ball 2005; Brawman-Mintzer 2006; Dahl 2005). Sep 22, 2023 · Common side effects of sertraline include: Stomach upset, including nausea, vomiting, constipation, or diarrhea. Your doctor may adjust your dose as needed. Video of the Day. Oct 28, 2021 · In a clinical study comparing antidepressant use and weight changes, Wellbutrin was found to cause weight loss and Zoloft was associated with weight gain. Verywell / JR Bee. Serious side effects and allergic reactions to sertraline are less common but may still occur. Jul 8, 2024 · Duloxetine was linked to 1. Whatever doctors say, I am 100 percent convinced that significant weight gain and slow metabolism are a side effect of this drug for a number of people. Similarly, not all medications for sleep cause weight gain; one that has been associated with weight gain is diphenhydramine (the active ingredient in Benadryl that is also used in many over-the-counter sleep aids). Breast feeding For sertraline Specialist sources indicate can be used. Bupropion was associated with A 30-month-long treatment with sertraline for OCD also resulted in no significant weight gain. It is also known by the trade name Lustral. Wellbutrin XL has a target dose of 300 mg daily, and it may be more suitable for certain patients due to its better side effect profile. yellow eyes and skin. 1% of cases. 5 pounds (0. 2 pounds of weight gain. Compared to citalopram, the weight gain linked to other antidepressants was small. While the rates of weight gain vary, and are due to multiple factors such as depression and lack of exercise, the sertraline itself can make you gain 10 pounds in a year 6, more than twice the Aug 25, 2022 · Paroxetine (Paxil) is the SSRI that’s most often connected to weight gain. 78 kilograms) at 24 months. Mar 3, 2016 · On Sertraline, nothing I did shifted the weight and I knew that was not normal for me so I just stopped taking it. Jul 1, 2024 · Sertraline is used to treat depression, obsessive-compulsive disorder (OCD), panic disorder, premenstrual dysphoric disorder (PMDD), posttraumatic stress disorder (PTSD), and social anxiety disorder (SAD). unusual bleeding or bruising; a seizure; vision changes, eye pain, redness, or swelling; low blood sodium --headache, confusion, problems with Sep 10, 2018 · Needed: A weight loss plan for those on medication. But it can also be used off-label to treat premature ejaculation in men. How and when to take it. Common side effects are dizziness, insomnia, nervousness, and sleepiness. Obsessive compulsive disorder: The starting dosage is 25 mg per day for those 6 to 12 years old and 50 mg per day for those 13 years old and older, with a maximum dosage of 200 mg per day. May increase by 25 mg at 1-week intervals; not to exceed 200 mg once/day. Drug interactions and pregnancy and breastfeeding safety information are included. Jul 1, 2024 · yellow eyes and skin. Sertraline belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). 55 kilograms) at six months and 1. These side effects may go away during treatment as your body adjusts to the medicine. Hall. 7 pounds (0. Nevertheless, antidepressants such as Zoloft are often prescribed for long-term use when healthcare providers believe their benefits The usual dose of sertraline is 50mg a day in adults. The average amount of weight gain for someone taking Zoloft is 10. For example: Untreated depression can lead to loss of appetite and unexpected weight loss. Sertraline Interactions. On the other hand, increased appetite, carbohy-drate craving, and weight gain can also be symptoms of depression, in particular among depressed patients with atypical features. Tips. Tiredness. It works by increasing the activity of For oral dosage forms (solution or tablets): For depression: Adults—At first, 50 milligrams (mg) once a day, taken either in the morning or evening. As an antidepressant, Zoloft helps improve mood, sleep, appetite, and overall feelings of well Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder Feb 25, 2024 · Yes, it's possible to gain weight from taking sertraline (Zoloft). With all SSRIs, infants should be monitored for drowsiness, poor feeding, adequate weight gain, gastro-intestinal disturbances, irritability, and restlessness. vomiting of blood. Most antidepressants have similar efficacy. Sex problems like lowered interest in sex or ejaculation problems. Oct 1, 2018 · About 18% had been prescribed antidepressants. It can help manage mental health conditions, such as depression May 13, 2024 · Trending Videos. Oct 10, 2023 · Summary. sexual problems, including decreased sex drive and Mar 31, 2023 · Antidepressants That Can Cause Weight Gain. o feeling agitated, restless, angry or irritable o trouble sleeping. 5% of cases. During clinical studies, some people reported weight loss instead after starting sertraline (Zoloft). Sweating. “In our study, the average weight at baseline was 84 kg Oct 17, 2022 · Zoloft isn’t known to cause weight gain. Dec 27, 2023 · Weight changes: Women may express more concern over weight gain or loss in comparison to men, says Dr. Lexapro. Increase potassium in your diet. Zoloft (sertraline) is a selective serotonin reuptake inhibitor (SSRI). 8% of people who took Prozac (fluoxetine), and 4. Liver problems have rarely happened with this medicine (sertraline tablets). 7 pounds, and Zoloft led to 3. Apr 8, 2020 · The recommended dosage for depression in adults is 50 or 100 mg once daily, increasing the dosage by 25 or 50 mg increments to a maximum of 200 mg. Jul 5, 2024 · Based on their estimation, researchers found that at the 6-month point, compared to sertraline, bupropion was associated with less weight gain. This leaflet should come with your Abstract. Antidepressant medications are the first-line treatment option for moderate to severe major depressive disorder. Avoid or Use Alternate Drug. Their infants had 6-month weight gains that were normal according to national growth standards and the mothers reported no abnormal effects in their infants. [luteal phase dosing] Dose: 50-100 mg PO qd during luteal phase; Start: 50 mg PO qd during luteal phase; Max: 100 mg/day; Info: if inadequate response w/ 50 mg PO qd, may give 50 mg PO ozanimod. Weight gain is a relatively common problem during both acute and long-term treatment with antidepressants, and it is an important contributing factor to noncompliance. Jun 6, 2024 · Weight Gain . Although some selective serotonin reuptake inhibitors (SSRIs) may cause weight loss during the early stages Sertraline can make you feel more or less hungry than usual, so you may gain or lose weight when you start taking it. Jan 23, 2024 · 2. The risk peaked in the second and third years. 2 kilograms) at six months. Prozac (fluoxetine) caused weight gain in 37. This includes information on what the medication is for, how to take it, possible side effects and safety information. Another study also concludes that Paxil (paroxetine) may be most likely to cause greater weight gain than other SSRIs Jul 2, 2024 · Duloxetine was associated with an average gain of 1. Paxil. For some people, Prozac has fewer side effects than Zoloft (like weight gain or sexual dysfunction). The reason for weight loss could be loss of appetite. Side effects. Weight gain appears to be more likely when taking higher doses or for people taking the antidepressant drug for extended periods. Eating better, increasing your physical activity, and sleeping better can help prevent weight gain while taking Zoloft. 4. Find out how sertraline treats depression and other mental health conditions, and how to take it. Oct 12, 2021 · Sertraline (Zoloft) is an antidepressant medication. Antidepressants and weight gain are discussed more in another GoodRx Health article. It’s not the only SSRI linked Mar 27, 2020 · Regarding sertraline, the bottle should be tightly closed, kept out of the reach of children, and stored at room temperature, 68°F to 77°F (20°C to 25°C). I started at 110 pounds, 5'1 Female while barely exercising, started taking that poison and my weight skyrocketed to 155 pounds in just 5 months, while dieting and exercising more than ever. Decreased appetite is a common side effect of this drug that may lead to weight loss. Bupropion, sold under the brand name Wellbutrin, is the only antidepressant that leads to long-term weight loss . While gaining weight on antidepressants is far from inevitable (it all depends on how your body responds to that particular medication), it would be remiss to ignore the possibility. In this study, the weight gain experienced by people taking citalopram averaged one to two pounds. Other antidepressants contributed to users gaining more than 5% of their baseline weight at just the six-month mark. Hair loss is among the side effects of psychotropic drugs []. While the short term risk of weight gain has been well described, 5 the longer term risk (>1 year) remains poorly investigated. If you experience nausea, you can try things to settle your stomach, such as: Eating bland foods and avoiding foods that are fatty, spicy, and/or greasy. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Zoloft (Sertraline) is commonly used to treat several mental health conditions, including depression, anxiety disоrders, obsessivе-compulsive disorder (OCD), panic disоrder, post-traumatic stress disordеr (РTSD), and social anxiety disorder. Mar 26, 2024 · Key takeaways. Of the sertraline group, 4. o new or worse depression o new or worse anxiety or panic attacks. Brand name: Lustral. Jan 18, 2024 · Common Side Effects. It has a role as an antidepressant and a serotonin uptake inhibitor. Sertraline can make you feel more or less hungry than usual, so you may lose or gain weight when you start taking it. ozanimod increases toxicity of sertraline by sympathetic (adrenergic) effects, including increased blood pressure and heart rate. 25 mg orally once every 6-12 hours; initiate treatment on day 16-18 of menses (not to exceed 3-4 mg/day); taper dose over 2-3 days once menses occurs. Whether it worked for a close relative. Worth it though, Sertraline has literally saved my life. But sertraline (Zoloft) is less likely to cause weight gain compared to some other SSRIs, such as paroxetine (Paxil). 5%). About sertraline. Sertraline is a popular antidepressant medication commonly known as a selective serotonin reuptake It happens rarely (in less than 1 in 100 people), but some people may have serious side effects when taking sertraline. Weight gain is also associated with the atypical antidepressant Remeron (mirtazapine). Because the active metabolite of ozanimod inhibits MAO-B in vitro, there is a potential for serious adverse reactions, including hypertensive crisis. You can find detailed information about this drug in the official Patient Information Leaflet (PIL). Changes in appetite or weight. Health professionals are advising the next steps to avoid sertraline weight gain: Before starting on Zoloft, get weighed and report about all the changes to the doctor. unusual behavior. Jun 13, 2023 · Sertraline commonly causes weight gain as the patient is unable to stop the urge to eat. Headaches, nausea, diarrhea, weight loss, insomnia, tremors, and sexual dysfunction are the most common side effects reported. Oct 3, 2023 · Sertraline is an effective antidepressant with less potential for drowsiness than other antidepressants. Sertraline is the generic name for this drug. It is in the SSRI class of medications. Decreased appetite is a common side effect of . Sep 17, 2015 · 1. On the other hand, weight loss from sertraline has also been reported. While the rates of weight gain vary, and are due to multiple factors such as depression and lack of exercise, the sertraline itself can make you gain 10 lbs in a year 6, more than twice the weight May 15, 2023 · Major depressive disorder: The starting dosage is 50 milligrams (mg) per day with a maximum of 200 mg per day. Introduction. 2 pounds (0. And this could lead to weight Nov 17, 2020 · Zoloft is a common antidepressant, but there are some side effects you should be aware of, like minor weight gain, headaches, and sleep and sex drive changes. In one recent large study, involving nearly 300,000 people, people who had used an antidepressant for more than a year were found to be at Jul 18, 2022 · However, many antidepressants are also used for the treatment of anxiety, and may cause weight gain as discussed above. This activity outlines the indications, actions, and contraindications for sertraline as a valuable agent in the treatment of major Does sertraline (Zoloft) cause weight gain? Sertraline may cause weight gain, although most people don’t experience this. difficulty having an orgasm. A potassium-rich diet is While the rates of weight gain vary, and are due to multiple factors such as depression and lack of exercise, the sertraline itself can make you gain 10 pounds in a year 6, more than twice the May 22, 2023 · One of the most commonly prescribed alternatives to Zoloft is Prozac (fluoxetine). In contrast, escitalopram, duloxetine, Feb 9, 2023 · You may report side effects to FDA at 1-800-FDA-1088. Common side effects are drowsiness, dyspepsia, nausea, headache, increased sweating, increased appetite, weight gain and sexual dysfunction. Update your doctor regularly on any weight changes. weight loss. Feb 13, 2023 · Sertraline is a medication used to manage and treat the major depressive disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, and social anxiety disorder. Even though weight gain is now seen as an almost inevitable side effect of many antidepressants and mood stabilizers, strategies for preventing Jun 10, 2024 · In general, the odds of weight gain are higher with older antidepressants like TCAs and monoamine oxidase (MAOIs) than newer antidepressants like selective serotonin reuptake inhibitors unpleasant breath odor. change in sleep habits, including increased sleepiness and insomnia. Some side effects may occur that usually do not need medical attention. Those subjects who completed 34 weeks of sertraline treatment (10 weeks in a placebo controlled trial + 24 weeks open label, n=68) had weight gain that was similar to that expected using data from age-adjusted peers. Nov 17, 2018 · Some antidepressants may cause weight gain, but other factors can also contribute. Treatment for Social Anxiety Disorder. 4 mg daily breastfed their infants exclusively for 4 months and breastfed at least 50% during months 5 and 6. Jul 7, 2022 · nausea, loss of appetite, diarrhea, and indigestion. Dizziness. unusual tiredness or weakness. Oct 21, 2022 · sertraline generic drug is a prescription drug used to treat depression, obsessive-compulsive disorder, panic disorder, PTSD, social anxiety disorder, and PMDD. Here's what to expect and how to avoid them. Waiting too long will make the weight more difficult to lose. What should you eat if you're on SSRIs? Oct 25, 2016 · The subjects continuing in the open label study began gaining weight compared to baseline by week 12 of sertraline treatment. This weight gain was observed in placebo-treated animals, while sertraline prevented significant increases in body weight and adiposity. May 23, 2018 · The risk of weight gain associated with antidepressant treatment has received particular attention because of the increased risk of chronic disease and mortality related to being overweight and obese. Other selective serotonin reuptake inhibitors (SSRIs) that might cause weight gain include: Prozac. Lexapro (escitalopram) caused weight gain in 41% of cases. If you start to have problems with your weight while taking sertraline, talk to your doctor or pharmacist. However, increased appetite was reported in rare cases. Celexa. Learn how to manage your weight while taking antidepressants and when to talk to your doctor. It works by preventing the reuptake of serotonin, a neurotransmitter that affects mood. What does Sertraline hydrochloride look like? Feb 18, 2019 · Sertraline is an antidepressant medication used to treat depression, panic disorder, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). by 50 mg/day w/ each menstrual cycle; Max: 150 mg/day; Info: taper dose gradually to D/C; do not open cap. On top of that, worsening depression and sleep changes are also possible. These conditions generally required several months or longer of sustained pharmacological Jun 7, 2018 · According to the study, patients using antidepressants were 21 percent more likely to experience weight gain compared with those not taking them. Children—Use and dose must be determined by your doctor. Nov 2, 2023 · Zoloft (sertraline) caused weight gain in 49. weight gain. It derives from a hydride of a tetralin. Generalized anxiety disorder (GAD) (off-label use): Oral: Initial: 25 mg once daily; may increase dose based on response and tolerability in increments of 25 to 50 mg at intervals ≥1 to 2 weeks. It is FDA approved for depression, social anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder. Read more on sertraline’s uses and benefits. Jun 26, 2014 · On the basis of a head-to-head comparative study of MDD patients (n=284) treated with sertraline or paroxetine, the paroxetine group showed a significantly higher weight gain (measured as the proportion of patients with a weight increase of >7% from baseline) than the sertraline group (Fava et al. Pregnancy, breastfeeding and fertility. It is a conjugate base of a sertraline (1+). Many individuals have the experience of weight gain while receiving treatment with an antidepressant, and often wonder if selective serotonin reuptake inhibitors (SSRIs) are associated with weight gain. 5. The first step to prevent an increase in patients’ mass is by monitoring the scale and waist circumference regularly. Jun 6, 2024 · Find patient medical information for Sertraline (Zoloft) on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings Weight gain; Restlessness or Step 1. Antidepressants like Zoloft can cause weight gain or weight loss, depending on the individual. By preventing reuptake, Zoloft can increase the amount of serotonin available in the brain. Discuss possible major side effects with your health care provider or pharmacist. Taking sertraline with other medicines and herbal supplements. However, most antidepressants have numerous documented adverse events, including cardiometabolic effects and weight gain, which are major public health concerns. This side effect wasn’t reported in clinical trials of the drug. In the study, 25. Zoloft may cause changes in your periods, such as heavy bleeding Weight gain is one of the most common side effects of these medications. Eating a potassium-rich diet may help people looking to lose weight gained because of medication — potassium flushes out sodium. In clinical studies, 26% of people who took Zoloft experienced nausea. Who can and cannot take it. But scientists still have little idea of how these Weight gain following antidepressant treatment may, therefore, be a sign of re-covery from depression and may be viewed positively by patients. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Objective: Psychotropic drugs often induce weight gain, leading to discomfort and discontinuation of treatment and, more importantly, increasing the risk of obesity-related illnesses such as diabetes mellitus, hypertension, and coronary heart disease. If you have liver problems, your doctor might give you a lower dose. Additionally, use of Sertraline may also lead to weight loss, though it occurs rarely. Sertraline may improve your sex life. With more than 2 in 3 adults nationwide overweight or obese, the long-term effects of these medicines on weight is a significant public health concern. 2% of people who took Zoloft (sertraline) gained more than 7% of body weight. Zoloft (sertraline) side effects—weight changes, decreased libido, drowsiness—should go away after a few weeks. Antidepressant agents provide varying risk of associated weight gain Nov 21, 2023 · Zoloft is a medication sometimes prescribed to treat depression, anxiety, and other conditions. It’s best to completely avoid alcohol while taking sertraline. There was no evidence of weight gain after seven years. The prevention of an 8% increase in body weight by sertraline treatment translates to a noticeable and clinically relevant difference of about 12 lbs for a 130 lb woman, and could be responsible for the Antidepressants and Weight Gain - MGH Center for Women's Mental Health. ChEBI. Sep 20, 2019 · Sertraline, a selective serotonin reuptake inhibitor (SSRI), is one of the most common drugs used to treat symptoms of depression and anxiety. Thankfully, these weight changes are typically minor. The usual dose of sertraline for children aged 6 to 12 is 25mg a day, but this may be increased to 50mg a day after Dec 14, 2023 · A big weight gain or loss. Sertraline Hydrochloride 50 mg (A 1 7) View larger images. increased sweating. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. 5% gained a large amount of weight (defined Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. 5 pounds over two years. o acting aggressive or violent o thoughts about suicide or dying. Treatment for Premenstrual Syndrome (Off-label) 0. Dose: 50-150 mg PO qd; Start: 50 mg PO qd, may incr. This is an excellent, complex, and clinically important question. Talk to your GP or pharmacist if you start to have problems with your weight while taking sertraline. Weight gain is one common side effect of certain classes of antidepressants including selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs). Additionally, the likelihood that a patient would Mar 5, 2023 · Weight gain is not a reported side effect of Zoloft in studies. This drug works similarly to Zoloft by increasing serotonin levels in the brain, which can regulate moods. Grapefruit Juice. [1] While each person responds to antidepressants differently, some antidepressant medications are more likely to cause weight gain than others. Maintenance dose: 50 to 200 mg orally once a day. o an increase in activity or talking more than what is normal for you o other unusual changes in behavior or mood. Monitor your weight as soon as you begin taking Zoloft. Jan 3, 2023 · In fact, the medication’s labeling recommends avoiding alcohol. It is an SSRI (Selective Serotonin Reuptake Inhibitor), which means that it works by increasing the level of serotonin in the brain. Sex and sertraline. Oct 12, 2020 · Without Weight Gain – Bupropion (Wellbutrin) Many antidepressants, such as sertraline, are associated with weight gain. Apr 3, 2023 · Body weight gain can be a side effect of antidepressant use beyond just Zoloft. Bothersome side effects, such as dry mouth, nausea, weight gain or sexual side effects, can make it difficult to stick with treatment. Multi-ingredient medications may also be listed when applicable. Twenty-five mothers who took an average sertraline dosage of 82. , 2000a). It is a member of tetralins, a secondary amino compound and a dichlorobenzene. Menstrual cycle changes: It is not uncommon for women to observe changes in the regularity of periods or differences in the intensity of menstrual flow,” says Dr. I don't care what anyone else says, Zoloft made me fat. Book an appointment with your doctor if you get: changes in your periods, such as heavy bleeding, spotting or bleeding between periods; weight gain or weight loss without trying; Call a doctor or call 111 now if: Jan 19, 2023 · Paxil (paroxetine) caused the most weight gain. Comments: Dose adjustments may be made at intervals of at least one week. This article will review the literature with regard to the relative risk for weight gain of antidepressants. During the study period, people who took antidepressants had a 21% higher risk for a 5% or greater weight gain, compared with people who didn't take antidepressants. Side effects of antidepressants vary from one medicine to another and from person to person. But it’s important to remember that several factors can contribute to weight gain. 5% of people who took Paxil, 6. Feb 9, 2023 · Usual Adult Dose for Panic Disorder. The long-term side effects of antidepressants such as Zoloft can include emotional numbness, sexual problems, weight gain, reduced positive feelings, and/or suicidal thoughts. May be taken with or without food; however, this needs to be consistent. Most cases, though, have been in kids and adolescents. ay oa sb iv qy gl ei md fk bm