Instruct the patient to contact a healthcare provider if such reactions occur. Contraindications CONTRAVE is contraindicated in: uncontrolled hypertension; seizure disorder or a history of seizures; use of other bupropion-containing products; bulimia or anorexia nervosa, which increase the risk for seizure; chronic opioid or opiate agonist (eg, methadone) or partial agonists (eg, buprenorphine) use, or acute opiate withdrawal; patients undergoing an abrupt discontinuation of alcohol, benzodiazepines, barbiturates, and antiepileptic drugs; use during/within 14 days following treatment with monoamine oxidase inhibitors (MAOIs)there is an increased risk of hypertensive reactions when CONTRAVE is used concomitantly with MAOIs and use with reversible MAOIs such as linezolid or intravenous methylene blue is also contraindicated; known allergy to any component of CONTRAVE anaphylactoid/anaphylactic reactions and Stevens-Johnson syndrome have been reported; pregnancy. WARNINGS AND PRECAUTIONS Suicidal Behavior and Ideation All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases. This warning applies to CONTRAVE because one of its components, bupropion, is a member of an antidepressant class. Consideration should be given to changing the therapeutic regimen, including possibly discontinuing the medication, in patients whose depression is persistently worse, or who are experiencing emergent suicidality or symptoms that might be precursors to worsening depression or suicidality, especially if these symptoms are severe, abrupt in onset, or were not part of the patient’s presenting symptoms. Families and caregivers of patients being treated with antidepressants for major depressive disorder or other indications, both psychiatric and nonpsychiatric, should be alerted about the need to monitor patients for the emergence of anxiety, agitation, irritability, unusual changes in behavior, and other symptoms, as well as the emergence of suicidality, and to report such symptoms immediately to healthcare providers. Such monitoring should include daily observation by families and caregivers. Prescriptions for CONTRAVE should be written for the smallest quantity of tablets consistent with good patient management, in order to reduce the risk of overdose. Neuropsychiatric Symptoms and Suicide Risk in Smoking Cessation Treatment CONTRAVE is not approved for smoking cessation treatment, but serious neuropsychiatric symptoms have been reported in patients taking bupropion for smoking cessation.
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In.erious cases, these conditions related to bulimia may require you to spend time in the hospital. Treatment if the condition gets worse If you develop other health problems such as dehydration or an oesophageal tear because of bulimia, you may need to stay in the hospital or in an eating disorder treatment facility. To identify relationships that are connected to binge eating and purging. Mayo Clinic, Rochester, Finn. April 15, 2015. Initial treatment depends how severe the bulimia is and how long you have had it. Both professional counselling and antidepressant medicine can help reduce episodes of binging and purging and help you recover from bulimia . People with bulimia may secretly binge — eating large amounts of food — and then purge, trying to get rid of the extra calories in an unhealthy way.
But effective treatment can help you feel better about yourself, adopt healthier eating patterns and reverse serious complications. Because it’s related to self-image — and not just about food — bulimia can be hard to overcome. If you have bulimia, you’re probably preoccupied with your weight and body shape. Identification and treatment of eating disorders in the primary care setting. But getting treatment is important. In IP you learn how relationships and feelings about those relationships affect binge eating and purging. You may judge yourself severely and harshly for self-perceived flaws. Initial treatment depends how severe the bulimia is and how long you have had it. paediatrics in Review. 2010;31:e75. To help correct these relationship patterns, so that you won’t binge eat or purge in response to bad feelings.