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
- Which drug should be avoided in bulimia because of seizure risk?
Bupropion. - What is first-line psychotherapy for bulimia?
CBT.
Drugs used for this (1)
All clinical uses · Open Bulimia nervosa in the interactive console ↗