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.
Can fluoxetine be 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.
Why is fluoxetine prescribed for anorexia?
Anorexia Nervosa 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.
Which medication is recommended in the treatment of anorexia?
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 medication is used most frequently in patients with anorexia nervosa?
The selective serotonin reuptake inhibitors (SSRIs) seem to be favored over the tricyclic antidepressants (TCAs) because of their side-effect profile, lower chance of overdose, and higher tolerability. Studies have been conducted evaluating tricyclic antidepressants in the treatment of anorexia.
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.
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.
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.
How does fluoxetine treat anxiety?
Fluoxetine belongs to a class of drugs called selective serotonin reuptake inhibitors (SSRIs). Since low serotonin activity is thought to be a contributing factor to anxiety, it makes sense that a drug that works on the serotonin system would be used in the treatment of anxiety.
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. It may also treat breast cancer and endometrial cancer.
Can anorexics take antidepressants?
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 a biological treatment for anorexia nervosa?
Serotonin–Norepinephrine Reuptake Inhibitors and Norepinephrine Reuptake Inhibitors.
Does fluoxetine help bulimia?
Discussion: Fluoxetine 60 mg was effective in treating bulimia nervosa, regardless of the presence or absence of comorbid depression. Fluoxetine’s efficacy in treating bulimia nervosa is not simply a secondary effect of its antidepressant properties.
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.
Which eating disorder is most likely to be helped by antidepressant medications?
A primary goal of treatment for bulimia nervosa is stopping the bingeing and purging. Selective serotonin reuptake inhibitors (SSRI antidepressants) are the most studied medication for the treatment of bulimia nervosa and are generally well-tolerated by patients.
Is fluoxetine an appetite suppressant?
Clinical trials in overweight, depressed patients and in nondepressed obese subjects have shown the ability of fluoxetine to reduce body weight in humans. Fluoxetine may represent a new appetite suppressant drug that will be useful in the management of obesity.
Does fluoxetine 20mg cause weight gain?
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.
Does fluoxetine slow metabolism?
Does Prozac affect metabolism? Prozac does not directly change the way that metabolism works. The weight gain associated with Prozac is not because it suppresses metabolic function.
How much weight can you lose on fluoxetine?
Prozac is linked to weight loss, especially early in treatment. Studies show that when people begin treatment with Prozac, they could experience a modest weight loss of about one pound. This weight loss will be observable about one month after beginning treatment.
Does fluoxetine give you energy?
Does Prozac (fluoxetine) give you energy? Prozac (fluoxetine) is considered to be more energizing than some of the other similar drugs.
What is best antidepressant for 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)
What can you not mix with fluoxetine?
What Other Medications May Interact With Fluoxetine? Fluoxetine should not be taken with or within 6 weeks of taking monoamine oxidase inhibitors (MAOIs). These include phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), rasagiline (Azilect®), and selegiline (Emsam®).
Is 20 mg of fluoxetine a lot?
Dosage. The usual dose of fluoxetine for adults is 20mg a day. However, you may start at a lower dose and gradually be increased to a maximum dose of 60mg a day. Some people might need to take a lower dose of fluoxetine.
What are Prozac eyes?
The common occurrence of slow-rolling eye movements during non-rapid eye movement (NREM) sleep in patients taking Fluoxetine has led to this finding being referred to as “Prozac Eyes” . The oculomotor movements in patients on Fluoxetine are accompanied by an increase in myoclonic activity.
What interventions are effective for individuals with anorexia?
Once the malnutrition has been addressed and weight gain begins, psychotherapy, often cognitive-behavioral therapy (CBT) or one-on-one and group psychotherapy, can help people with anorexia overcome low self-esteem and address distorted thought and behavior patterns that have led to their harmful eating behaviors.