Why is Wellbutrin 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.

What are 2 major complications from anorexia nervosa?

  • Anemia.
  • Heart problems, such as mitral valve prolapse, abnormal heart rhythms or heart failure.
  • Bone loss (osteoporosis), increasing the risk of fractures.
  • Loss of muscle.
  • In females, absence of a period.
  • In males, decreased testosterone.
  • Gastrointestinal problems, such as constipation, bloating or nausea.

What antidepressant is contraindicated in anorexia?

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.

What are 4 risks factors associated with anorexia nervosa?

These include a family history of anorexia nervosa,1-3 obesity,4 eating and weight concerns,5 affective disorder,1,6-12 substance abuse,9-11,13 and obsessive-compulsive disorder11,12,14; a history of exposure to adverse events and circumstances15-18; and the presence of certain traits such as perfectionism, …

Which medication is contraindicated in bulimia?

Bupropion is contraindicated because of the increased risk for seizures; patients should also be warned against its use for smoking cessation. Finally, drugs that can increase appetite or cause weight gain (e.g., olanzapine, mirtazapine, paroxetine) are not recommended.

What are three long-term effects of anorexia?

  • Bone weakening (osteoporosis).
  • Anemia.
  • Seizures.
  • Thyroid problems.
  • Lack of vitamins and minerals.
  • Low potassium levels in the blood.
  • Decrease in white blood cells.
  • Amenorrhea (absence of menstruation in females).

Which is the most serious health risk from anorexia nervosa?

Anorexia nervosa is a serious medical condition that can affect every organ system of the body. The most serious health risk of anorexia is increased mortality.

What is the most common medication for anorexia?

Medications. No medications are approved to treat anorexia because none has been found to work very well. However, antidepressants or other psychiatric medications can help treat other mental health disorders you may also have, such as depression or anxiety.

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.

What are 5 reasons that contribute to eating disorders?

  • age.
  • family history.
  • excessive dieting.
  • psychological health.
  • life transitions.
  • extracurricular activities.

What happens to the body in anorexia nervosa?

Untreated, anorexia nervosa can lead to: Damaged organs, especially the heart, brain, and kidneys. Drop in blood pressure, pulse, and breathing rates. Loss of hair.

Which psychological problem is often associated with anorexia nervosa?

Additionally, low self-esteem is also known to be one of the main causes of anorexia nervosa. These feelings often trigger individuals to obsess over how their bodies look to others, another symptom listed under the disorder.

What class of medication is best for anorexia nervosa?

ANOREXIA: Fluoxetine (Prozac) may help people with anorexia nervosa overcome their depression and maintain a healthy weight once they have gotten their weight and eating under control. Fluoxetine is in a class of drugs called selective serotonin uptake inhibitors (SSRIs).

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.

Can being anorexic cause seizures?

WHAT HEALTH PROBLEMS CAN ANOREXIA CAUSE? Serious health problems also can occur if a person who has been starving starts taking in too many calories too quickly (called refeeding syndrome). These problems can include heart failure, serious breathing problems, seizures, and even sudden death.

What are two long-term effects of anorexia?

Many individuals who struggle with anorexia have some form of osteopenia or osteoporosis, creating an increased risk of breaks and fractures. Yet other long-term effects for women include loss of normal menstruation, difficulties conceiving, infertility and more.

What is the life expectancy for anorexia?

A study by the National Association of Anorexia Nervosa and Associated Disorders (ANAD) reported the following eating disorder statistics: 5-10% of anorexics die within 10 years after contracting the disease and 18-20% of anorexics will be dead after 20 years.

Can the effects of anorexia be reversed?

Eating disorders damage nearly every system in the body, but people living with even the most extreme forms of anorexia or bulimia can recover with treatment.

What are some health risks of anorexia?

  • Irregular heartbeats.
  • Low blood sugar.
  • Loss of bone mass.
  • Kidney and liver damage.
  • Osteoporosis.
  • Insomnia.
  • Anemia.
  • Infertility.

Which medical complication is possible with the diagnosis of anorexia nervosa?

Anorexia nervosa is associated with numerous general medical complications that are directly attributable to weight loss and malnutrition [1,2]. The complications affect most major organ systems and often include physiologic disturbances such as hypotension, bradycardia, hypothermia, and amenorrhea.

How does anorexia affect the kidneys?

Anorexia nervosa can affect the kidney in numerous ways, including increased rates of acute kidney injury and chronic kidney disease, electrolyte abnormalities, and nephrolithiasis.

What blood tests are done for anorexia?

  • Complete blood count (CBC)
  • Checks for levels of albumin (a liver protein)
  • Measure of electrolytes.
  • Kidney function tests.
  • Liver function tests.
  • Measure of total protein.
  • Thyroid function tests.

What medication can be used to increase appetite in an anorexic patient?

Megestrol acetate Megestrol is a progesterone based medication that doctors can prescribe to boost appetite in people with anorexia, cancer, HIV, or AIDS.

Can anorexics take antidepressants?

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.

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.

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