1. Stimulant medications in the management of bulimia nervosa and anorexia nervosa in patients with and without comorbid attention deficit hyperactivity disorder: A systematic review.
- Author
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Vickers, Mark L., Chan, Hong Yin, Elliott, Stephen, Ketheesan, Sarangan, Ramineni, Vinay, Eriksson, Lars, McMahon, Kirsten, Oddy, Belinda, and Scott, James G.
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ATTENTION-deficit hyperactivity disorder , *BULIMIA , *ANOREXIA nervosa , *EATING disorders , *FATIGUE (Physiology) - Abstract
People with attentional problems are at increased risk of eating disorders. This paper aimed to systematically review and synthesize the existing evidence on stimulant medication in the management of patients with bulimia nervosa (BN) or anorexia nervosa (AN) with or without comorbid attention deficit hyperactivity disorder (ADHD). A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A protocol for the review was registered with Open Science Framework (OSF) Registry and critical appraisal of the literature was conducted using Joanna Briggs Institute (JBI) Critical Appraisal Tools. Thirteen articles met inclusion criteria including two quasi-experimental studies, one randomized controlled trial, four case series, and six case reports. 26 cases were included from studies and 32 from case series/reports. Only two cases from a single case report had a diagnosis of AN, while the remainder had BN. Stimulants included methylamphetamine, lisdexamfetamine, methylphenidate, dextroamphetamine sulphate and mixed amphetamine salt. In nearly all cases of BN there were reported reductions in eating disorder symptoms. The rates of adverse effects were high and included weight loss, decreased appetite, tachycardia, dry mouth, fatigue, insomnia, restlessness, nausea, bruxism, headache, palpitations, blood pressure changes, irritability, anxiety, depressed mood, and diaphoresis. There is currently insufficient evidence to support the use of stimulant medications to treat symptoms of BN or AN. The authors recommend considering screening patients with BN for ADHD. • A potential role for stimulants in treating bulima nervosa and anorexia nervosa. • The first systematic review on stimulant use in treating symptoms of bulimia nervosa and anorexia nervosa. • Currently there is limited evidence to support this practice. • Rates of adverse effects may be high and include weight loss, decreased appetite and tachycardia. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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