Can Prewell Help Treat Binge Eating Disorder? - Psychiatry

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Medications for binge eating disorder?


Recently, I have been fine without eating, but once I start, I can't stop.
I mechanically keep eating until my stomach feels very full (I feel like vomiting but can't).
After consulting at a clinic, the doctor prescribed Prewell for me.
Can this medication help treat my binge eating condition?

Yu, 20~29 year old female. Ask Date: 2023/11/15

Dr. Wu Enliang reply Psychiatry


Hello, if the reason for binge eating is due to depression, this medication may be effective, but it is still recommended to combine it with psychotherapy for better results.
Dr.
Wu Enliang.

Reply Date: 2023/11/15

More Info


Binge Eating Disorder (BED) is a complex condition characterized by recurrent episodes of eating large quantities of food, often to the point of discomfort, accompanied by feelings of loss of control and distress. It is essential to approach the treatment of BED holistically, considering both psychological and physiological aspects.
Prewell (also known as Pramipexole) is primarily used to treat conditions like Parkinson's disease and restless legs syndrome. While it is not specifically indicated for treating binge eating disorder, some studies suggest that medications affecting dopamine pathways may have a role in managing certain eating disorders. However, the evidence is not robust enough to conclude that Prewell is effective for BED.

The treatment of BED typically involves a combination of psychotherapy and medication. Cognitive Behavioral Therapy (CBT) is one of the most effective forms of psychotherapy for BED. CBT helps individuals identify and change negative thought patterns and behaviors related to eating. It also focuses on developing healthier coping strategies and improving emotional regulation.

In terms of medication, selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), have shown efficacy in reducing binge eating episodes and improving mood. Other medications, like lisdexamfetamine (Vyvanse) and the anticonvulsant topiramate, have also been approved for treating BED. These medications can help reduce the frequency of binge eating episodes and address underlying mood disorders, such as depression or anxiety, which often co-occur with BED.

If you have been prescribed Prewell, it is crucial to discuss your specific symptoms and treatment goals with your healthcare provider. They can provide guidance on whether this medication is appropriate for your situation or if another treatment option may be more beneficial. It is also important to communicate any side effects or concerns you may have while taking the medication.

In addition to medication, consider incorporating lifestyle changes that can support your recovery from BED. Regular physical activity, a balanced diet, and mindfulness practices can help improve your overall well-being and reduce the urge to binge eat. Support groups or therapy can also provide a safe space to share experiences and learn from others facing similar challenges.

In summary, while Prewell is not a standard treatment for binge eating disorder, it is essential to have an open dialogue with your healthcare provider about your treatment options. A comprehensive approach that includes psychotherapy, appropriate medication, and lifestyle changes is likely to yield the best results in managing binge eating disorder effectively.

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