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Re: Information please, anorexic OCD 13yr old » linkadge

Posted by Racer on May 27, 2006, at 17:04:46

In reply to Re: Information please, anorexic OCD 13yr old » Phillipa, posted by linkadge on May 27, 2006, at 15:54:20

> A lot of the meds they use for anorexia work poorly. SSRI's can occasional help the OCD type of thinking, but not always. In addition, some of them are appetite supressants.

Link, while it's true that SSRIs can cause GI problems, and might even reduce appetite, they're often helpful after other treatments have restored weight. After two years of residential treatment, one would hope that this girl's weight is at least partially restored.

In AN, using SSRIs before nutritional rehabilitation is pretty well useless. They do have a use in helping control the OCD issues involved. And they work pretty well for that purpose in most cases.

>
> A low dose of say amitryptaline might be usefull
>
> Linkadge

Nope, TCAs are contraindicated in AN. Their cardiotoxicity is too dangerous. AN often weakens the heart, sometimes leading to sudden death. Adding a TCA to that isn't a great idea.

Hope that helps.


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