The eating disorders medicine cabinet revisited: A clinician's guide to ipecac and laxatives

被引:20
|
作者
Steffen, Kristine J.
Mitchell, James E.
Roerig, James L.
Lancaster, Kathryn L.
机构
[1] Neuropsychiat Res Inst, Fargo, ND 58107 USA
[2] Univ N Dakota, Sch Med & Hlth Sci, Dept Neurosci, Grand Forks, ND 58201 USA
[3] N Dakota State Univ, Coll Pharm, Dept Pharmaceut Sci, Fargo, ND 58105 USA
关键词
ipecac; laxatives; eating disorders; bulimia nervosa;
D O I
10.1002/eat.20365
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: To describe the frequency of alternative medication use in bulimia nervosa (BN), and to review available nonprescription emetic (ipecac) and laxative products and their potential toxicities. Method: Survey data were collected from 39 consecutive treatment-seeking patients with BN or subthreshold BN. Survey data of the available nonprescription and herbal products from local retail stores were also collected. Toxicology information was reviewed on these agents from MEDLINE and herbal textbooks. Results: Ipecac use occurred in 18% of the 39 patients. Laxatives had been used at some point to control weight or "get rid of food" by 67% of the patients. Of these, 31% had abused laxatives during the month prior to evaluation. in the product survey, 248 laxative-containing products were identified. Conclusion: There are numerous laxative products readily available to patients, and many of them have significant associated toxicities. Patients with BN tend to endorse high rates of laxative use. While ipecac is used infrequently, it can have deleterious consequences. Patients with BN should be screened for use of both ipecac and laxatives and should be educated about the potential consequences associated with the misuse of these agents. (c) 2007 by Wiley Periodicals, Inc.
引用
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页码:360 / 368
页数:9
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