ED 3

Question 1

Other than FDA approved Fluoxetine…what other medications are used off label in treatment of Bulimia?

Answer 1

1. Sertraline (RTC showed benefit)
2. Topiramate
3. Odansetron

Question 2

What is the diagnostic criteria for Binge Eating disorder?

Answer 2

Recurrent episodes of binge eating + sense of lack of control.

At least 1 episode a week for 3 months.

Question 3

Unlike AN or Bulimia where there is significant F:M (nearly 10:1)m Binge eating disorder has what F:M?

Answer 3

2:1 (still female predominant, but much less so than other ED)

Question 4

what is the race difference in Binge eating disorder?

Answer 4

same amongst races, unlike AN and Bulimia which has white predominance.

Question 5

What are the three main psychotherapies utilized for binge eating disorder?

Answer 5

1. CBT
2. Interpersonal therapy
3. DBT

Question 6

What is the FDA approved trx for Binge Eating Disorder?

Answer 6

Lisdexamfetamine (vyvanse)

combine with CBT for best efficacy

Question 7

1. After what age would you consider trx for Enuresis?
2. What is the most effective treatment for Enuresis?
3. What two medications are used to treat?

Answer 7

1. 7 years of age.
2. Behavioral alarm (bell and pad, 3/4 respond)
3. Desmopressin (DDAVP) and Imipramine