Bulimia Nervosa
Bulimia nervosa is an eating disorder marked by recurrent binge episodes followed by behaviours intended to compensate, alongside strong concern about weight or shape.
Medicine used to treat Bulimia Nervosa
Key points
- A person’s weight may appear typical, so physical appearance does not show how medically serious the disorder is.
- Vomiting, laxative misuse and dehydration can disturb potassium and heart rhythm and damage teeth, oesophagus and kidneys.
- Evidence-based psychological treatment is central; medicine may support selected symptoms but does not replace eating-disorder care.
The listings below are not a standalone treatment; medical stability, self-harm risk and coexisting mental-health conditions need assessment.
What assessment covers
Clinicians ask sensitively about binge frequency, compensatory behaviours, restriction, exercise and body-image distress. Examination and tests may include pulse, blood pressure, electrolytes, kidney function and ECG. Depression, anxiety, trauma and substance use commonly need parallel support.
Recovery-focused treatment
Structured cognitive behavioural therapy helps regularise eating and interrupt the binge–compensation cycle. Nutrition support and dental care address consequences. Fluoxetine has a specific evidence base in bulimia for some adults, but suitability and monitoring remain individual; abrupt medication changes are avoided.
When to seek urgent care
Get urgent help for fainting, chest pain, palpitations, vomiting blood, severe weakness, confusion, a seizure, inability to keep fluids down or thoughts and plans of self-harm.
Further reading
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