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Anorexia and antidepressants... » tygereyes

Posted by Racer on April 14, 2006, at 13:16:21

In reply to A question, Emsam and Anorexia: Ed? Ace? SLS?, posted by tygereyes on April 13, 2006, at 19:47:05

Pretty much you're right about antidepressants not being very effective for anorexics. There are all sorts of variables involved, but a big part of it seems to be related to the lack of energy and dietary precursors available for the ADs to work with.

About the only thing I've read about that seems to have any useful effect in AN before some nutritional rehabilitation is Zyprexa.

Then again, the first focus of treatment for AN is always going to be nutritional restoration. Weight gain, but mostly more normal eating. I know, worst thing you can think of, but true. As long as your weight is that low, you're not going to be able to treat your depression effectively.

And that's coming from an anorexic who is pretty well horrified by the regained weight, and miserable about her body most of the time, and all the rest -- but even I will admit, depression is slightly better, and anxiety is HUGELY improved.

Sorry. Good luck with the EMSAM, but do think about recommitting yourself to recovery from AN.


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