Posted by Racer on April 15, 2006, at 11:37:16
In reply to Re: WHOOPS! Just read something else about this, posted by SLS on April 15, 2006, at 7:27:24
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> Yes. There is evidence that TCAs are helpful in AN. Unfortunately, I don't see much attention being paid to this. I saw TCAs work well when I was a patient at the NIH. Unfortunately, one person later relapsed because there wasn't enough supportive follow-up psychotherapy. This was in 1992. I don't know the extent to which these drugs have been forgotten.
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> - ScottI don't know about forgotten, exactly, but they're not used all that often. I think, frankly, it's fear of potential cardiotoxicity in someone who's severely malnourished. Also, TCAs would tend to increase some of the GI problems with AN, especially constipation.
But the study I just read about was published in 2002, from NZ, I think. Maybe it's going to put the TCAs and other noradrenergic drugs back on the map? Although, really, the only psychopharm articles I"ve read about meds for AN these days are about Zyprexa. Think someone thinks he's clever for finding a benefit to the weight gain? {rolls eyes}
The other thing is that the treatment guidelines are putting a bit more emphasis on follow up care these days. Now, just as soon as the insurance companies start to allow the doctors to prescribe treatment...
poster:Racer
thread:632823
URL: http://www.dr-bob.org/babble/20060412/msgs/633465.html