Bulimia nervosa
- CBT is first-line psychotherapy
- Fluoxetine 60 mg/day has strongest medication evidence
- Treat electrolyte + cardiac complications
- Avoid bupropion because seizure risk is increased
- Monitor purging/laxative misuse
- Weight-loss drugs are not the treatment goal
Use at a glance
- CBT is first-line psychotherapy
Practical pearls
- Fluoxetine 60 mg/day has strongest medication evidence
Treatment options
- Treat electrolyte + cardiac complications
- Weight-loss drugs are not the treatment goal
Monitoring / follow-up
- Avoid bupropion because seizure risk is increased
- Monitor purging/laxative misuse
Self-check
- What should be treated in Bulimia nervosa?
electrolyte + cardiac complications.
- What is first-line treatment for Bulimia nervosa?
CBT.
Drugs used for this (1)
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