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

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sunny6
Has anyone tried this for anorexia with purging?  We are two years in and while our child is at a weight range, we can only go a few weeks before purging and cheeking food behaviors start up again.  We are on a teeter totter of let them go for a week or two and then step in for a week with a lot of fire and brimstone and then repeat.

Trying to see what else can be done to break this cycle 

Thanks
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Foodsupport_AUS
Do you mean naltrexone? @Francie has reported that her D found it helpful. 

Your child sounds like they are still struggling with ED thoughts, even though they are in what seems to be a healthy weight range. Are they at their historical weight range? Some parents have found improvement with pushing a bit higher with weight. Any other factors? If forget how old your child is. 
D diagnosed restrictive AN June 2010 age 13. Initially weight restored 2012. Relapse and continuously edging towards recovery. Treatment: multiple hospitalisations and individual and family therapy.
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Enn
I think naloxone and naltrexone are used for bulimia
https://medcitynews.com/2017/03/nasal-spray-bulimia-opiant/ but according to this  article it was not helpful for bulimia
I am not aware there is a med specifically for AN AND purging together.

https://www.liebertpub.com/doi/10.1089/cap.2019.0056

A contraindication tot these meds I think would be a diagnosis of AN. What does your treatment team say?

there was an old study: https://www.ncbi.nlm.nih.gov/pubmed/8675969 used in AN as well. 
 
I currently, cannot find any resources on AN and Purging using these meds.

When within yourself you find the road, the right road will open.  (Dejan Stojanovic)

Food+more food+time+love+good professional help+ATDT+no exercise+ state not just weight+/- the "right" medicine= healing---> recovery(--->life without ED)
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sunny6
We have had multiple people review their chart in the last year.  They say they might actually be a bit over.  Based on historical, I believe we might be about 2 kg light this year, but even our FBT person said that it shouldn't cause the behaviors to be present after 2 years.  We tried all summer to move the needle and never could.  Tonight, I found snack spit into their undergarments.  Seems to happen more when my spouse watches them.  Some therapists say to keep going, others say send them to residential.  We are struggling with pulling them out of school and doing it at home due to the rage that is there and knowing that I will have to be the one to stay home as less happens in my presence.  We did 24/7 watch for a year and a half and we were trying to give them some space.  Not sure what the next step is any more.  Too many conflicting messages.  There are some underlying issues that have surfaced post AN, so we had hoped that working on those would help.  LSTYE causes rages here and doesn't help any one in the house anymore.
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Francie
Hi Sunny6, my d did use Naltrexone for about 2 months last year in php and it seemed to be helpful to curb purging. I have asked her if she would be willing to try it again as purging has increased since then. She is not interested in trying it again, said it doesn't work 😒. Distraction seems to be the best tool to prevent my D from purging, but we are often not successful with that. LSUYE was not successful here, either, because a. my daughter already doesn't have a life, and b. boredom is a huge trigger for her and c. she doesn't want to do much with me (i.e. crafts, movies, games, etc.). I wish you the best in your efforts to help your child.

Francie

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