Eating Disorders Archives - Chris Aiken, MD

cyproheptadine

Alcohol, Anorexia, Eating Disorders, Hypnotic for Elderly, Hypnotics, Nightmares, PTSD, Sexual Dysfunction, SSRI-Induced, Substance Use Disorders, Treatments / Chris

Similar to mirtazapine, for anorexia [2], alcohol (with prazosin) [2], sleep [4], nightmares [4], sexual dysfunction [3].

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Lightbox

Fibromyalgia, First line depression, Bulimia, BP Depression, Male, Treatments, Depression, Treatment Resistant Depression, Deepen Sleep, PTSD, Negative symptoms, Peripartum Depression, Vascular Depression / Chris

Very effective and well tolerated for depression regardless of season (also for bipolar, PTSD, bulimia, shift work)

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Imipramine

Generalized Anxiety, Major Depression, Depression, Treatments, Panic, Treatment Resistant Depression, Binge Eating, Anxiety, Anxious Depression, Eating Disorders / Nancy Brandon

[Tofranil] Ideal tricyclic for anxiety disorders, but sedating and anticholinergic effects.

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Duloxetine

Major Depression, Generalized Anxiety, Fibromyalgia, Depression, Treatments, Panic, Anxiety, Binge Eating, Chronic Pain, Migraines / Nancy Brandon

[Cymbalta] Approved for child anxiety. Risk of urine retention (but treats urine incont). Liver
risk.

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Inositol

Treatments, Bulimia, BP Depression, Panic, Bipolar, Eating Disorders, Psoriasis / Nancy Brandon

For bipolar depression (synergistic with omega-3) [3], bulimia [2], psoriasis on lithium [1]. Studied in children.

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Zinc

Anorexia, Treatments, Eating Disorders / Nancy Brandon

For anorexia [1]. May help depression.

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Omega 3 (Fish oil)

Lithium SE, Anorexia, Major Depression, Autism, BP Depression, Bipolar, Depression, Age-related or non-specific decline, Treatments, Weight Gain, DMDD, Migraines, Non-specific Anxiety, Peripartum Depression, Borderline, ADHD, Inflammatory Depression, Acne, Psoriasis, Side Effects / Nancy Brandon

[Fish oil] For bipolar/unipolar depression [2], ADHD, [3], borderline pd [2], irritability, autism, [2], prevention of psychosis [1], dyslipidemia.

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Zonisamide

Treatments, Binge Eating / Nancy Brandon

[Zonegran] Last-line for binge eating, weight loss, alcohol [3]. Serious rash risk.

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Topiramate

Bulimia, Treatments, Weight Gain, Alcohol, Treatment Resistant Schizophrenia, Anxiety, Binge Eating, Augmentation, OCD, PTSD, Migraines, Borderline, Methamphetamine, Negative symptoms, Cocaine, Eating Disorders, Substance Use Disorders, Schizophrenia / Nancy Brandon

[Topamax] PTSD [2], alcohol [2], bulimia [1], borderline/aggression [3], weight [2], OCD [3], meth [1], cocaine [2], gambling [2], schizophrenia aug [1] migraines

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Sertraline

Major Depression, Generalized Anxiety, Panic, Treatments, Depression, Bulimia, Social Anxiety, Binge Eating, PTSD, OCD, Peripartum Depression, Premenstrual Dysphoria / Nancy Brandon

[Zoloft] Good choice overall, best SSRI for heart disease, no CYP drug interactions below 150mg.

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