Pharmacological treatment for binge eating disorder in adults
Pharmacological treatment may be used for the management of binge eating disorder in patients who have not responded to psychological treatment alone, or where there is difficulty in accessing treatment.
Lisdexamfetamine can be used by specialists for the treatment of moderate to severe binge eating disorder. An appropriate regimen is:
lisdexamfetamine 30 mg orally, daily in the morning. Increase dose every 7 days in increments of 20 mg to a target dose of 50 to 70 mg daily, according to response and tolerability. Maximum daily dose 70 mg. binge eating disorder lisdexamfetamine lisdexamfetamine lisdexamfetamine
Fluoxetine may be considered for binge eating disorder, particularly if the patient has anxiety or a comorbid mood disorder (eg major depression or bipolar depression). If appropriate, use:
fluoxetine 20 mg orally, daily in the morning. Assess the patient’s response to therapy every 1 to 2 weeks to determine whether dose adjustment is needed. If it is, increase the daily dose by 20 mg no more often than weekly until an acceptable response is achieved or a daily dose of 80 mg is reached. binge eating disorder fluoxetine fluoxetine fluoxetine
Topiramate may be helpful in reducing binge-eating episodes in binge eating disorder; however, the evidence base is weaker than for antidepressants. Patients who have failed treatment with other agents may be initiated on topiramate by a specialist.