Bulimia nervosa is an eating disorder in which a person vomits and / or uses other means to lose weight. For a person with bulimia, preoccupation with body weight is characteristic and all thoughts and forces are aimed at losing weight.
Patients may experience periods of intense overeating followed by:
- provoking vomiting;
- the use of laxatives;
- taking diuretics;
- performing excessive physical activity.
Episodes of overeating, followed by a remedy, occur at least once a week for three months. Diagnosis is based on history and clinical findings. Treatment consists of psychotherapeutic support and antidepressant medication.
How often can you face bulimia?
Bulimia nervosa occurs in just under 2% of women, adolescents and children, and three times less in men of the same age. Unlike patients with anorexia, people with bulimia tend to weigh in the normal range or slightly more.
What is special about bulimia?
Patients with bulimia consume much more than normal food during binge eating episodes. Preference is given to “forbidden” foods: sweets, fast food, etc.
Episodes are often triggered by stress, in which food acts as a sedative. However, after overeating, patients experience feelings of guilt and self-loathing, and try to remedy the situation in all possible ways: they induce vomiting, go on a diet with insufficient calorie intake, or even go hungry. Often, bulimic patients take diuretic and laxative medications, which leads to inability to leave the house, dehydration and loss of energy.
With this disease, there is persistent concern about their weight, even if it is within the normal range. But unlike people with anorexia, patients with bulimia recognize that their behavior is unhealthy and are more likely to seek medical attention. They are more sociable and prone to self-destructive behavior: drug use and alcohol abuse. Bulimia often leads to depression and anxiety disorders.
What complications can occur with bulimia?
Most of the physical symptoms and complications stem from cleansing procedures. The initiation of vomiting can lead to such consequences as:
- destruction of the tooth enamel of the incisors;
- painless enlargement of the parotid salivary glands;
- development of esophagitis;
- the appearance of scars on the bones of the fingers.
In addition, frequent use of medication can lead to serious complications and dehydration.
How is bulimia diagnosed?
Clinical criteria for the diagnosis of bulimia include:
- Occasional and uncontrolled overeating at least once a week for three months.
- Inappropriate compensatory behavior aimed at changing body weight at least once a week for three months.
- Lability of self-esteem, which depends on the shape and weight of the body.
Often bulimic patients consume food in private, especially during bouts of overeating, and frequent toilet visits. Family members may notice this behavior. In no case should you blame or scold a person for what is happening to him. Medical help should be offered to help the person cope with the disease.
What are the treatments for bulimia nervosa?
For the treatment of bulimia, it is advisable to use an integrated approach, which includes:
- Cognitive Behavioral Therapy.
- Interpersonal psychotherapy.
- Medication (taking antidepressants).
Psychotherapeutic treatment should be carried out for at least 4-5 months. These can be individual and group meetings, which are designed to:
- increase the motivation for change;
- replace dysfunctional meals with regular and complete ones;
- reduce unwarranted preoccupation with appearance;
- prevent relapses.
The problem with this method is that many do not complete the course, which is why the therapy does not give positive results. However, when improvement is achieved, remission is possible for a long time.
Antidepressants are used to reduce the frequency of overeating and subsequent bouts of vomiting and to treat depressive symptoms and anxiety. Elavil, a drug based on amitriptyline, has shown good results in the treatment of bulimia nervosa. Elavil can be bought with a doctor’s prescription at your regular pharmacy.
How does Elavil work?
Elavil belongs to the group of tricyclic antidepressants. It has an analgesic, sedative H2-histamine blocking and antiserotonin effect, thereby reducing appetite and reducing the urge to overeat.
The effect of Elavil has been observed in patients with and without depression. In this case, the effect on the symptoms of the disease can be noted even without the concomitant weakening of the depression itself. The drug has a cumulative effect and its antidepressant properties are manifested 2-3 weeks after the start of administration.
How should I take Elavil?
Elavil is taken orally without chewing after meals to reduce the irritating effect on the stomach lining. The starting dose for adults is 25-50 mg in the evening. Then the dose is gradually increased over 5-6 days to 150-200 mg per day. If no improvement in well-being is observed within two weeks, the dosage is increased to 300 mg per day.
For children from 6 to 12 years old, Elavil is prescribed in a dosage of 10-30 mg per day in divided doses, and in adolescence – up to 100 mg per day.
Where can you buy Elavil without a prescription?
In our online pharmacy, it is possible to order Elavil generic without a doctor’s prescription.
What is the advantage of generic Elavil?
Generic Elavil is an analogue of the original drug, which has a number of advantages. It:
- high efficiency and safety;
- the ability to order the drug without a prescription;
- cheap cost.
Why generic Elavil has a lower price?
Generic Elavil was released after the patent for the original drug expired, which made it possible to use the already studied active ingredient – amitriptyline, and not spend money on research. This made it possible to significantly reduce the cost of the final product.
Before ordering Elavil generic, you need to consult with your doctor.