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Severe disturbance occurring
during treatment for depression of a bulimic patient with
fluoxetine.
Hawthorne ME, Lacey
JH.
Department of Mental Health Sciences, St. George's
Hospital Medical School, London, UK.
We report on a 32-year old
woman with bulimia nervosa treated with fluoxetine for depression.
Fluoxetine is the only drug currently recommended for the treatment of
bulimia. The patient became severely disturbed with tension,
irritability, self-damage by cutting and violent, intense, suicidal and
paranoid ideation qualitatively different to previous symptoms in the
course of her illness. Clinical impression was of a striking association
between fluoxetine and these symptoms. We suggest caution when using
fluoxetine in bulimic patients with depression who have additional
impulsive behaviours such as self-cutting, alcohol and/or drug abuse and
shop-lifting.
Publication Types:
PMID: 1460171 [PubMed - indexed for
MEDLINE]
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