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Post subject: drug therapy for anorexia
cecalcese - Tue Jul 26, 2005 2:26 pm |
I have been had anorexia with certain bulimic tendencies (i.e, anorexia, purging-type) for 8 years. I have been twice hospitalized and been admitted to long-term residential treatment twice, as well, for this disorder. I am twenty-two years old. I was recently discharged from over 7 months of inpatient and residential treatment, and I am concerned about the number of medications I am on and their interactions, especially their effects on metabolism and weight increase. I am currently taking Trileptal 600 2x/day (1200mg), zoloft 200 am, seroquel 300pm, and ativan, .5, prn. While intreatment I did gain about 29 pounds. While I understand that this was medically necessary, and much achieved through 24-hour tube feeding, I am approaching 95% of my ideal body weight and I am concerned that I will keep gaining because of the effects of these drugs on my metabolism. I fear that my doctor and psychiatrist are saying that these medications are generally "weight-neutral" because they worry I will discontinue them if they tell me otherwise, but I would like to complete weight restoration naturally, not because of a lowered metabolism due to drug therapies. I am also concerned about their interactions with one another. Obviously there is a sedative effect; what about the interaction with alcohol? I have very low blood sodium right now due to the trileptial, and highly elevated liver enzyme functions due to, I presume, this plethora of medication. Several weeks before I discharged from treatment I passed out and had a partial seizure at the same time. I have passed out numerous times about an hour after taking my morning meds. My doctors don't want to change the medications, because they have had such a positive effect on mood stability, anxiety and depression, after other trials proved ineffective. EKGs and 24-hour holter moniter results proved normal. What do you think? Is there some information I'm missing?
Please respond. Thank you,
Christina
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