You should not take Wellbutrin if you currently have, or formerly had, an eating disorder. For some reason, people with a history of anorexia nervosa or bulimia seem to be more likely to experience Wellbutrin-related seizures.
Which antidepressant is contraindicated in anorexia nervosa?
Neurobiological changes due to starvation and AN itself complicate results interpretation. For safety, tricyclic antidepressants and monoamine oxidase inhibitors are not recommended, and bupropion is contraindicated.
Why is bupropion contraindicated in anorexia?
The use of bupropion is associated with weight alterations. Both weight gain and weight loss may occur, although the latter is much more common. Weight loss greater than 2.27 kg was reported in up to 28% of patients, which may be undesirable in patients suffering from anorexia, malnutrition, or excessive weight loss.
Which antidepressant is best for anorexia?
Prozac (fluoxetine) is an SRI and has proven to support treatment for people with anorexia and depression. Cyproheptadine – Is an antihistamine that stimulates appetite and may help relieve depression associated with appetite loss and improve appetite for people with anorexia.
Is sertraline good for anorexia?
The SSRI Sertraline (Zoloft) is also helpful in reducing perfectionist tendencies which are also common in those with eating disorders, particularly anorexia nervosa [5].
Is fluoxetine used for anorexia?
SSRIs such as fluoxetine (Prozac) have not been shown to treat weight loss or prevent relapses in anorexia. Nevertheless, they are sometimes used to treat symptoms of depression or anxiety in people with anorexia. The SSRI fluoxetine is FDA-approved to treat bulimia.
Does fluoxetine cause anorexia?
Fluoxetine is an anorexic agent known to reduce food intake and weight gain.
Does Zoloft cause anorexia?
Common side effects of Zoloft include: diarrhea, dizziness, drowsiness, dyspepsia, fatigue, insomnia, loose stools, nausea, tremor, headache, paresthesia, anorexia, decreased libido, delayed ejaculation, diaphoresis, ejaculation failure, and xerostomia.
Is mirtazapine used for anorexia?
Use of SSRIs—primarily fluoxetine and to some extent citalopram, sertraline, or mirtazapine—may aid in relapse prevention and improvement of psychiatric symptomatology in weight-restored anorexic patients.
What is the best kind of psychotherapy for patients with anorexia nervosa?
However, many people with anorexia do see an improvement with therapy. CBT and IPT are the most established treatments for binge eating disorder and bulimia nervosa. FBT is the most established type of therapy for children and adolescents with anorexia nervosa, and may also be beneficial for those with bulimia nervosa.
Which medication is used most frequently in patients with anorexia nervosa?
In addition to SSRI and SNRI drugs, atypical antipsychotics are also used in the treatment of anorexia [5]. Olanzapine, and Quetiapine are one of the most commonly prescribed drugs.
Does fluoxetine increase appetite?
If a patient’s appetite was low because of depression, or they had lost a desire to prepare or enjoy food, Prozac’s mood-balancing effect might lead to weight gain by helping to restore a better appetite and desire for food. Overall, Prozac does not typically lead to excessive weight gain.
Is OLANZapine good for anorexia?
Conclusions: Preliminary evidence supports the use of olanzapine for treatment of anorexia nervosa by demonstrating that olanzapine 2.5-15 mg daily promotes weight gain and has positive effects on associated psychological symptoms.
Why are antipsychotics used for anorexia?
Antipsychotics have also been considered in the treatment of individuals with anorexia nervosa, as the distorted body image characteristic of anorexia nervosa can be considered a symptom of psychosis and weight-gain is a known side-effect of this class of medications.
Does Prozac cause weight gain?
For some people who take an SSRI such as Prozac (fluoxetine) or Zoloft (sertraline), one of these possible side effects is weight gain. Research suggests that the amount of weight typically gained while on an SSRI is modest.
Does fluoxetine cause weight loss?
Conclusions: Acute therapy with fluoxetine is associated with modest weight loss. After remission of depressive symptoms, weight gain for patients taking fluoxetine for longer periods is not different from that for patients taking placebo and is most likely related to recovery from depression.
Is cyproheptadine used for anorexia?
Cyproheptadine was found to be effective in inducing weight gain in a subgroup of anorexia nervosa patients who (a) had a history of birth delivery complications, (b) had lost 41-52 per cent weight from norm and (c) had a history of prior outpatient treatment failure.
What are the effects of fluoxetine?
agitation, fever, sweating, confusion, fast or irregular heartbeat, shivering, severe muscle stiffness or twitching, hallucinations, loss of coordination, nausea, vomiting, or diarrhea. fast, slow, or irregular heartbeat. shortness of breath. dizziness or fainting.
Is there an antidepressant that causes weight loss?
Most antidepressant medications are more commonly associated with weight gain, but there are three that have been connected to weight loss: Bupropion (Wellbutrin) Fluoxetine (Prozac) Duloxetine (Cymbalta)
Why is Prozac used for bulimia?
Prozac is currently the only antidepressant medication approved by the Food and Drug Administration (FDA) for bulimia treatment, as it has been shown to decrease the frequency of binge eating and vomiting.
What are the side effects of SSRI drugs?
- feeling agitated, shaky or anxious.
- feeling or being sick.
- indigestion.
- diarrhoea or constipation.
- loss of appetite and weight loss.
- dizziness.
- blurred vision.
- dry mouth.
Does Zoloft suppress appetite?
As with all medications, Zoloft may cause certain unwanted side effects. 1 The most commonly experienced in those taking Zoloft include: Decreased appetite.
Does Zoloft cause weight loss?
Weight loss is a common side effect of Zoloft, affecting children and adolescents more frequently than adults, who need close monitoring when taking this drug. According to eMedTV, 7 percent of children taking Zoloft experienced weight loss of greater than 7 percent of their body weight.
Does sertraline cause weight loss?
Antipsychotic drugs, antidepressants , and mood stabilizers are common drugs that have the most potential to increase weight gain. All 12 of the leading antidepressants, including fluoxetine (Prozac), sertraline (Zoloft), and escitalopram (Lexapro), make gaining weight more likely.
How does bupropion affect eating disorders?
Conclusions: Bupropion was well tolerated and produced significantly greater-albeit quite modest-short-term weight loss in overweight and obese women with BED. Bupropion did not improve binge eating, food craving, or associated eating disorder features or depression relative to placebo.