F.E.A.S.T's Around The Dinner Table forum

Welcome to F.E.A.S.T's Around The Dinner Table forum. This is a free service provided for parents of those suffering from eating disorders. It is moderated by kind, experienced, parent caregivers trained to guide you in how to use the forum and how to find resources to help you support your family member. This forum is for parents of patients with all eating disorder diagnoses, all ages, around the world.

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SpiritedPossibility
Hello,

My 17 year old daughter is beginning outpatient eating disorder treatment at a hospital near our home town in the next 2 weeks.  We discovered at the beginning of December that she has been bingeing and purging many times a week for just over a year.  My husband and I are terrified and heartbroken.  The nurse at the ED clinic mentioned that they sometimes recommend that their patients with bulimia begin Prozac as there is evidence that it can help curb the b/p impulses and will help with the depression that my daughter is also experiencing.  Due to her age, I am very worried about her being on Prozac.  Have any of your children taken Prozac for EDs and if so, have you seen positive results?

Thank you for any insight and stories you may be able to share.

(((hugs)))
Kim
17 year old D - diagnosed with bulimia at beginning of December, 2018.  Has been bingeing and purging for a little over a year without our knowledge. Beginning outpatient hospital ED clinic which uses Maudsley Approach in January of 2019.
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Ronson
Hi

My d is on Prozac - she is not bulimic but ran and had very strong body dysmorphia. The Prozac was prescribed to assist with the body dysmorphia as there have been trials where this shows positive results.

It has worked really well for my daughter - overall her mood is improved, she is much happier and comments that she is happy with her body. She has now been on it since September and apart from some tiredness to start off with there have been no real side effects.

I was very concerned about her being medicated but for us it has been the right decision. She has weight restored in that time also. We have a medication review next week but I am hopeful she can stay on it for some time.

R
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Foodsupport_AUS
Welcome to the forum, sorry that you have had to find your way here. My D also had restrictive anorexia rather than bulimia. She used fluoxetine at 14 for management of her anxiety. For her it was not particularly helpful but she did find venlafaxine very helpful. There is quite a lot of evidence supporting fluoxetine in bulimia. You may like to read this article https://www.edcatalogue.com/psychopharmacology-in-the-treatment-of-bulimia-nervosa/

I think many of us are often initially reluctant to start our children on medications however when faced with life threatening illnesses many of us decide that it is the least worst option. 
D diagnosed restrictive AN June 2010 age 13.5. Weight restored July 2012. Relapse and now clawing our way back. Treatment: multiple hospitalisations and individual and family therapy.
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Pingu
My d 14 takes it and I’m not so sure it’s teally helping that much. We are looking to take her off it and perhaps try sertraline. It’s horses for courses though and very individual
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SpiritedPossibility
Thank you so much for your replies.  I can't express how much it means to not feel alone in this horrifying experience.  Please know that I am sending out healing thoughts to all of you and your children.

Kim
17 year old D - diagnosed with bulimia at beginning of December, 2018.  Has been bingeing and purging for a little over a year without our knowledge. Beginning outpatient hospital ED clinic which uses Maudsley Approach in January of 2019.
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tina72
Hi and welcome from Germany,
I just wanted to mention that this is a public forum and you might want to change/delete names if that is your real name. Use the "edit" button at the post and you can delete/change it in every post if you like. Just a thought because last thing you want is that your d sees what you are discussing here...[wink]
Tina72
Keep feeding. There is light at the end of the tunnel.
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Ronson
Edhater - can I ask if they were happy for your d to stay on Prozac - we have our medication review next week. I would like d to stay on Prozac as I think it is helping - just want to know if I’m likely to get any pressure to stop it - so I can have my arguments ready
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nel
My D is RAN, not bulimic, but Prozac has been a life saver for her.  We're in the middle of refeeding and are not yet at WR, but the Prozac has made eating so much easier for her, and it has significantly improved her moods and anxiety.  She was dealing with panic attacks, crushing depression, and all sorts of social anxiety, and the medication helped with all of that.  Obviously, as she gets closer to WR, the food itself is helping, as well, but I know that she would not have been doing as well without the Prozac. Her anxiety is the root cause of her food restriction, so treating that had to happen at the same time as refeeding.

My D's doctor started her on the lowest dose (10 mg), and increased it slowly when it was needed.  My D is currently at 30 mg, which is below the typical dose, but it's working for her.


Nel
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Ronson
Thanks Edhater - that’s good to know - I’m assuming that this is just to chat through how she is doing on it - hoping that they won’t be keen to stop it - they can’t discharge until she’s off it and they like to discharge
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SpiritedPossibility
Thank you so much for your reply - I really appreciate it.  I'm happy to hear that your D is getting closer to WR - it must be such an immense relief to you.
(((hugs)))Kim
17 year old D - diagnosed with bulimia at beginning of December, 2018.  Has been bingeing and purging for a little over a year without our knowledge. Beginning outpatient hospital ED clinic which uses Maudsley Approach in January of 2019.
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