Can Cipram and Xanax Help Curb Binge Eating Disorder? - Pharmacology

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I don't want to gain weight?


Hello, Dr.
Liu:
I would like to ask if taking Cipram (an SSRI) along with Gendergin (Xanax) has an effect on suppressing binge eating disorder? Thank you for your response.

Ya Ya, 30~39 year old female. Ask Date: 2005/04/07

Dr. Liu Huiya reply Pharmacology


Dear Yaya,
Bulimia is caused by a deficiency of tryptophan, which is a precursor for serotonin synthesis, leading to insufficient serotonin production.
Additionally, the body tends to be more sensitive to the dysfunction of the serotonin system, prompting individuals to increase food intake to enhance serotonin system function and achieve a sense of fullness.
Cipram can inhibit serotonin reuptake, thereby enhancing the function of the central nervous system's serotonin system.
Gendergin is an anxiolytic medication that can alleviate feelings of restlessness and anxiety.
Therefore, both medications are beneficial for the treatment of bulimia.
However, it typically takes 2 to 4 weeks after starting medication to see stable effects, and treatment should last at least 6 months to determine efficacy.
So, it is important to be patient during the treatment process! We welcome your correspondence! Wishing you peace!

Reply Date: 2005/04/07

More Info


Binge Eating Disorder (BED) is a complex psychological condition characterized by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort. Individuals with BED may feel a lack of control during these episodes and often experience distress afterward. Treatment for BED typically involves a combination of psychotherapy, lifestyle changes, and, in some cases, medication.

Cipram, which is a brand name for the selective serotonin reuptake inhibitor (SSRI) fluoxetine, is often prescribed to help manage symptoms of depression and anxiety. SSRIs like Cipram work by increasing the levels of serotonin in the brain, which can help improve mood and reduce anxiety. Research has shown that SSRIs can be effective in treating BED, as they may help reduce the frequency of binge eating episodes and improve overall mood.
Xanax, on the other hand, is a benzodiazepine that is primarily used to treat anxiety and panic disorders. It works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA), which has a calming effect on the brain. While Xanax can help alleviate anxiety symptoms, it is not typically used as a first-line treatment for BED. In fact, the use of benzodiazepines can sometimes lead to dependency and may not address the underlying issues related to binge eating.

Combining Cipram with Xanax may provide some benefits for individuals struggling with BED, particularly if anxiety is a significant factor contributing to their eating behaviors. The Cipram may help stabilize mood and reduce binge eating episodes, while Xanax may help manage acute anxiety symptoms. However, it is important to note that the effectiveness of this combination can vary from person to person, and it may take several weeks to notice significant improvements.

It is also crucial to be aware of the potential side effects associated with these medications. Cipram can cause side effects such as nausea, insomnia, sexual dysfunction, and weight changes. Xanax may lead to drowsiness, dizziness, and, in some cases, cognitive impairment. Long-term use of Xanax can result in tolerance and dependence, which can complicate treatment.

For individuals considering this combination for BED, it is essential to work closely with a healthcare provider. Regular follow-ups can help monitor the effectiveness of the treatment and make necessary adjustments. Additionally, incorporating psychotherapy, such as cognitive-behavioral therapy (CBT), can be highly beneficial in addressing the psychological aspects of binge eating and developing healthier coping strategies.

In summary, while Cipram may be effective in curbing binge eating disorder by addressing mood and anxiety, Xanax should be used cautiously and primarily for short-term anxiety management. A comprehensive treatment plan that includes therapy and lifestyle changes, alongside medication, is likely to yield the best outcomes for individuals struggling with BED. Always consult with a healthcare professional before making any changes to your treatment regimen.

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