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Re: Prozac and Bulimia

Posted by SalArmy4me on July 28, 2001, at 0:30:08

In reply to Prozac and Bulimia, posted by KARAsweet on July 27, 2001, at 10:22:00

Walsh, B. Timothy M.D.. Agras, W. Stewart M.D.. Devlin, Michael J. M.D.. Fairburn, Christopher G. D.M., F.R.C.Psych.. Wilson, G. Terence Ph.D.. Kahn, Caroline M.A.. Chally, M. Kristin M.D.. Fluoxetine for Bulimia Nervosa Following Poor Response to Psychotherapy. American Journal of Psychiatry. 157(8):1332-1334, August 2000:

"...The patients were randomly assigned to receive fluoxetine (60 mg/day) or placebo in double-blind fashion. They were seen weekly by a psychiatrist to assess response and side effects, but they received no formal psychological treatment....The results of this study extend previous data in demonstrating that fluoxetine is of benefit even to patients with bulimia nervosa who have not responded satisfactorily to state-of-the-art psychological treatment. In the 20 years since bulimia nervosa was recognized, relatively effective forms of treatment have been developed, but it is unclear how treatments should be sequenced and what strategies to pursue after an intervention has proved insufficient. This study suggests that pharmacotherapy may benefit some patients who do not respond satisfactorily to psychological treatment. In addition to its obvious clinical implications, this result has heuristic significance, in indicating that nonresponse to one mode of treatment does not necessarily imply nonresponse to another..."


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