Atomoxetine Reduced Binge/Purge Symptoms in a Case of Anorexia Nervosa Binge/Purge Type.

Robert P Wilfahrt, Lucy G Wilfahrt, Abigail Matthews Hamburg

Clinical neuropharmacology 2021 Mar-Apr 01

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Psychopharmacologic treatments for eating disorders (EDs) remain unclear, particularly for anorexia nervosa. As in attention-deficit hyperactivity disorder, a dopaminergic mechanism has been implicated in EDs, prompting our use of atomoxetine in an 18-year-old woman with anorexia nervosa, binge/purge type. Atomoxetine is a highly selective norepinephrine reuptake inhibitor with nonaddictive properties and limited effects of appetite suppression. Doses followed those used in a previous trial of atomoxetine in the treatment of binge ED, and response was assessed over 4 months, with significant improvement in ED behaviors and mood. Larger-scale, randomized studies that assess the efficacy of atomoxetine in the treatment of anorexia nervosa, binge/purge type are warranted. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Citation

Robert P Wilfahrt, Lucy G Wilfahrt, Abigail Matthews Hamburg. Atomoxetine Reduced Binge/Purge Symptoms in a Case of Anorexia Nervosa Binge/Purge Type. Clinical neuropharmacology. 2021 Mar-Apr 01;44(2):68-70