1. Use Antidepressants to Reduce Symptoms
While psychiatrists consider therapy the most effective way to treat bulimia, antidepressants can also speed recovery. The most effective of these medications are specific serotonin reuptake inhibitors. So far the only FDA approved SSRI is Prozac, although psychiatrists may prescribe other antidepressants such as Celexa, Luvox and Lexapro. Antidepressants can curb the symptoms of coexisting disorders, such as anxiety or depression. They also diminishes impulsive behavior, which might be related to binge eating.
In short-term studies, Prozac works as well as therapy alone, although therapy is still the most effective way to stop bulimia, since it focuses on changing the behaviors that lead to binging and purging. Bulimics need about 60 mg. of Prozac daily as opposed to 20 mg. for depressive patients. If the medication is going to work, you'll start to see results in about 4 weeks.
2. Topiramate Might Work Instead
Recently, the antiepileptic medicine topiramate has been shown to reduce how often bulimics binge and purge. It is still experimental and few studies have been run on its effectiveness. Psychiatrists aren't even sure just how it reduces symptoms. For topiramate to work, you must build a tolerance for it. A psychiatrist will start you on a low dose, and then gradually increase it to avoid side effects.
3. Watch for Side Effects
Selective serotonin reuptake inhibitors have side effects, such as nausea, erectile dysfunction, headaches and diarrhea. They may also increase the risk of suicidal behavior. Topamirate may make you feel dizzy and mentally sluggish and it may interfere with your vision. In rare cases, it can cause you to think about committing suicide. The side effects of these medications differ from patient to patient. If you notice any of these symptoms, contact your doctor immediately.
