Pharmacotherapy of Anorexia Nervosa

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1. Two-thirds of patients with anorexia or bulimia nervosa have a history of a major depressive episode.

2. Fluoxetine (Prozac) has been used successfully in the therapy of anorexia and bulimia; 20-60 mg per day.

3. Hospitalization may become necessary if weight loss becomes severe. Specialized treatment programs, including behavioral treatment focusing on weight gain, family psychotherapy, oral intake monitoring with dietary consultation, and pharmacotherapy are effective in motivated patients.

4. Close monitoring of body weight and general medical condition is warranted.

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