Treatment

A. Tricyclic antidepressants. Tricyclic antidepressants reduce binge eating by 47 to 91 percent and vomiting by 45 to 78 percent. Desipramine (Norpramin) , 150 to 300 mg per day, imipramine, 176 to 300 mg per day, and amitriptyline (Elavil), 150 mg per day, are recommended.

B. Selective serotonin reuptake inhibitors. At the 20-mg dosage, fluoxetine (Prozac) therapy results in a 45 percent reduction in binge eating, compared with a 33 percent reduction with placebo. Vomiting was reduced by 29 percent. Fluoxetine in a dosage of 60 mg per day results in a 67 percent reduction in binge eating and a 56 percent reduction in vomiting.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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