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Q: medications for anorexia ( Answered,   2 Comments )
Subject: medications for anorexia
Category: Health > Conditions and Diseases
Asked by: petey72-ga
List Price: $5.00
Posted: 19 Mar 2003 15:13 PST
Expires: 18 Apr 2003 16:13 PDT
Question ID: 178417
Are there any medications/drugs prescribed to anorexic patients that
increase appetite or otherwise help these patients gain weight and if
so which are the most popular?

Request for Question Clarification by pinkfreud-ga on 19 Mar 2003 15:20 PST
Are you referring to anorexia nervosa, or to the anorexia that may
occur as a side-effect of other illnesses, such as AIDS and various
Subject: Re: medications for anorexia
Answered By: jeanwil-ga on 19 Mar 2003 17:25 PST
Hi petey72-ga,

Here are some websites with the information that you seek.

Weight Gain

The Effects of Pharmacological Treatment on Anorexia Nervosa

"Dr. Orian Truss reports one case of cured anorexia in his book, The
Missing Diagnosis. He used non-absorbed, non-toxic, anti-yeast
medication called nystatin....... The best way to treat anorexic
patients is to give them nystatin and to feed them foods from Stage 4
of the diet recommended in Feast 
<>Without Yeast
<>. "

"Drug therapy is often used with anorexia, and has proven to be fairly
effective in treating the disorder. Given the high co-morbidity of
anorexia with depression and anxiety disorders, it is not surprising
that antidepressant medications are the most commonly used
pharmacotherapy for anorexia. Information on the effectiveness of
Selective Serotonin Re-uptake Inhibitors such as fluoxetine
hydrochloride (Prozac) has been mixed. Some sources report that SSRI’s
may help to elevate mood and ameliorate some of the obsessive symptoms
of anorexia (Well-Connected, 1999; Tannenhaus, 1992). However, one
study by Ferguson, La Via, Crossan, and Kaye (1999) on 35 patients
with restricting anorexia showed that SSRI medication had no
significant effect on weight, core eating disorder symptoms,
depression, or anxiety.
Tricyclics and Monoamine Oxidase Inhibitors have also been used, but
tend to have more side-effects than other drugs, which may discourage
continued use. For example, TCA’s may cause confusion, dizziness, and
increase the client’s appetite for sweets and carbohydrates which
could be terrifying for a person with anorexia. MAOI’s interact with
many drugs and foods and thus must be monitored carefully, lest a
potentially life-threatening reaction occur. Other drugs such as
lithium carbonate have been shown to induce weight gain in anorexics
as well as elevate mood. Metoclopramide had proven beneficial in
stimulating movement of the digestive tract and helping anorexics to
tolerate food. In addition, some physicians recommend cyproheptadine,
an antihistamine, to stimulate appetite."

Drug Therapy for Anorexia
"The effects of starvation intensify side effects and reduce the
effectiveness of antidepressant drugs. In addition, most
antidepressants suppress appetite and contribute to weight loss. SSRI
antidepressants (see above) are now recommended as the first line of
treatment for obsessive-compulsive disorder and may help some people
with anorexia who also have OCD. In one study, however, Prozac, the
most commonly prescribed SSRI, offered no long-term benefits compared
to intensive and sustained team efforts. Some physicians recommend
cyproheptadine (Periactin), an antihistamine, that may stimulate
appetite. There is no evidence to date, however, that any drug
treatment has particular benefit for anorexia nervosa, and, in most
cases, depression and thought disorders improve with weight

"....In one controlled trial, weight-restored patients with anorexia
nervosa who took fluoxetine (average 40 mg/day) after hospital
discharge had less weight loss, depression, and fewer
rehospitalizations for anorexia nervosa during the subsequent year
than those who received placebo......."

Antidepressant medications commonly used to treat bulimia include
desipramine <../drug/p30-n03.html>, imipramine <../drug/p30-t03.html>,
and fluoxetine <../drug/p30-p05.html>. For anorexia, preliminary
evidence shows that some antidepressant medications may be effective
when combined with other forms of treatment. Fluoxetine has also been
useful in treating some patients with binge eating disorder. These
antidepressants may also treat any co-occurring depression.


Hope this helps.

Best regards,

search words 'medications for anorexia' 'drugs for anorexia'

Request for Answer Clarification by petey72-ga on 20 Mar 2003 08:25 PST
I'm referring to anorexia as a side effect. Thanks

Clarification of Answer by jeanwil-ga on 22 Mar 2003 12:59 PST
Hi petey72-ga,

I must apologise for the long delay in answering your question. 
However I am not able to locate any other information with regards to
drugs for anorexia as a side effect. Maybe another researcher will be
better able to assist.

Sorry that I can't be of more help.


Subject: Re: medications for anorexia
From: cynthia-ga on 19 Mar 2003 15:47 PST
Hi petey72-ga,

I don't have time to finish researching this right now, so I thought I
would pass this along to you:

Anorexia Treatment
..."Certain selective serotonin reuptake inhibitors (SSRIs) have been
shown to be helpful for weight maintenance and for resolving mood and
anxiety symptoms associated with anorexia....The acute management of
severe weight loss is usually provided in an inpatient hospital
setting, where feeding plans address the person's medical and
nutritional needs. In some cases, intravenous feeding is recommended.
Once malnutrition has been corrected and weight gain has begun,
psychotherapy (often cognitive-behavioral or interpersonal
psychotherapy) can help people with anorexia overcome low self-esteem
and address distorted thought and behavior patterns. Families are
sometimes included in the therapeutic process..."

Hope this helps get you (or a researcher) started...


Search terms used at Google:
anorexia and medication
anorexia and treatment
Subject: Re: medications for anorexia
From: voila-ga on 19 Mar 2003 20:46 PST

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