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Xenical

What should I discuss with my healthcare provider before taking orlistat?

Do not take this medication if you are allergic to orlistat, or if you have:

• chronic malabsorption syndrome (an inability to absorb food and nutrients properly); or

• gallbladder problems.

Before taking orlistat, tell your doctor if you are allergic to any drugs, or if you have:

• an underactive thyroid;

• a history of kidney stones;

• a history of pancreatitis;

• type 1 or type 2 diabetes;

• an eating disorder (anorexia or bulimia); or

• if you take any other weight-loss medications (prescription or over-the-counter).

If you have any of these conditions, you may not be able to use orlistat, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking orlistat can make it harder for your body to absorb certain vitamins. These vitamins are important if you are nursing a baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give over-the-counter orlistat (Alli) to a child younger than 18 years old. Prescription orlistat (Xenical) should not be used by anyone age 12 to 18 without the advice of a doctor. Orlistat should be used only by the person it was prescribed or recommended for and should never be shared with another person, especially someone who has a history of eating disorder. Keep the medication in a secure place where others cannot get to it.

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Wellbutrin

Most important fact about Wellbutrin SR

Wellbutrin SR is associated with an increased risk of seizures. This risk is greater at higher doses (approximately 4 in 1,000 patients at dosages of 300 to 450 milligrams a day). Certain factors increase the risk of seizure, including:

A history of head trauma or previous seizure
Central nervous system tumor
Severe liver disease such as cirrhosis
A history of eating disorders, including anorexia and bulimia
Excessive use of alcohol, or abrupt withdrawal from alcohol or sedatives
Taking medications that lower the seizure threshold (see "Possible food and drug interactions when taking Wellbutrin SR")

To minimize the risk of seizures, dose increases should be done gradually, and the total daily dose of Wellbutrin SR should not exceed 450 milligrams. Additionally, the doctor should be aware of all your medical conditions, and you should not take any other medications (both prescription and over-the-counter) unless the doctor approves.

http://drugspedia.net/prep/46912.html

Tofranil

Generic name: Imipramine hydrochloride
Brand names: Tofranil, Tofranil-PM

Why is Tofranil prescribed?

Tofranil is used to treat depression. It is a member of the family of drugs called tricyclic antidepressants.

Tofranil is also used on a short-term basis, along with behavioral therapies with bulimia, to treat bed-wetting in children aged 6 and older. Its effectiveness may decrease with longer use.

Some doctors also prescribe Tofranil to treat bulimia, attention deficit disorder in children, obsessive-compulsive disorder, and panic disorder.

Tofranil-PM, which is usually taken once daily at bedtime, is approved to treat major depression.

Most important fact about Tofranil

Serious, sometimes fatal, reactions have been known to occur when drugs such as Tofranil are taken with another type of antidepressant called an MAO inhibitor. Drugs in this category include Nardil and Parnate. Do not take Tofranil within 2 weeks of taking one of these drugs. Make sure your doctor and pharmacist know of all the medications you are taking.

How should you take Tofranil?

Tofranil may be taken with or without food.

You should not take Tofranil with alcohol.

Do not stop taking Tofranil if you feel no immediate effect. It can take from 1 to 3 weeks for improvement to begin.

Tofranil can cause dry mouth. Sucking hard candy or chewing gum can help this problem.

--If you miss a dose...

If you take 1 dose a day at bedtime, contact your doctor. Do not take the dose in the morning because of possible side effects.

If you take 2 or more doses a day, take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

--Storage instructions...

Store at room temperature in a tightly closed container.

What is bulimia?

What is bulimia?

Bulimia (buh-LEE-me-ah) nervosa, often called bulimia, is a type of eating disorder. A person with bulimia eats a lot of food in a short amount of time (binges) and then tries to prevent weight gain by getting rid of the food, called purging. Purging might be done by:

* making yourself throw up
* taking laxatives — pills or liquids that speed up the movement of food through your body and lead to a bowel movement

A person with bulimia may also exercise a lot, eat very little or not at all, or take pills to pass urine to prevent weight gain.
Who becomes bulimic?

Many people think that eating disorders affect only young, upper-class White females. It is true that most bulimics are women (90 percent of people with bulimia are women). But bulimia affects people from all walks of life, including males, women of color, and even older women. It was once thought that women of color were shielded from eating disorders by their cultures, which tend to be more accepting of different body sizes. Sadly, research shows that as African American, Latina, Asian/Pacific Islander, and American Indian and Alaska Native women are more exposed to images of thin women, they also become more likely to develop eating disorders.

What causes bulimia?

Bulimia is more than just a problem with food. A binge can be triggered by dieting, stress, or uncomfortable emotions, such as anger or sadness. Purging and other actions to prevent weight gain are ways for people with bulimia to feel more in control of their lives and ease stress and anxiety. There is no single known cause of bulimia, but there are some factors that may play a part.

* Culture. Women in the U.S. are under constant pressure to fit a certain ideal of beauty. Seeing images of flawless, thin females everywhere makes it hard for women to feel good about their bodies. More and more, men are also feeling pressure to have a perfect body.
* Families. If you have a mother or sister with bulimia, you are more likely to also have bulimia. Parents who think looks are important, diet themselves, or criticize their children's bodies are more likely to have a child with bulimia.
* Life changes or stressful events. Traumatic events like rape, as well as stressful things like starting a new job, can lead to bulimia.
* Personality traits. Someone with bulimia may have low self-esteem or feel hopeless. She or he may be very moody, have problems expressing anger, or have a hard time controlling impulsive behaviors.
* Biology. Genes, hormones, and chemicals in the brain may be factors in developing bulimia.

What are signs of bulimia?

A person with bulimia may be thin, overweight, or have a normal weight. This makes it hard to know if someone has bulimia. But there are warning signs to look out for. Someone with bulimia may use extreme measures to lose weight by:

* using diet pills, or taking pills to urinate or have a bowel movement
* going to the bathroom all the time after eating (to throw up)
* exercising a lot, even in bad weather or when hurt or tired

Someone with bulimia may show signs of throwing up, such as:

* swollen cheeks or jaw area
* calluses or scrapes on knuckles (if using fingers to induce vomiting)
* teeth that look clear
* broken blood vessels in the eyes

Someone with bulimia may also have a distorted body image, shown by thinking she or he is fat, hating her or his body, and fearing weight gain.

Bulimia can also cause someone to not act like her or himself. She or he may be moody or sad, or may not want to go out with friends.

What happens to someone who has bulimia?

Bulimia can be very harmful to the body. Look at the picture to find out how bulimia affects your health.

Can someone with bulimia get better?

Yes. Someone with bulimia can get better. A health care team of doctors, nutritionists, and therapists will help the patient recover. The team will help the patient learn healthy eating patterns and cope with her or his thoughts and feelings.

Different types of therapy have worked to help people with bulimia. These may include individual, group, or family therapy. Some medicines, including ones used to treat depression, have been shown to be effective when used with therapy.

Can women who had bulimia in the past still get pregnant?

When a woman has active bulimia, she may not get her period every month or it may stop altogether. If this happens, she usually does not ovulate. This makes it hard to get pregnant. Women who have had bulimia have a better chance of getting pregnant after they have recovered. If you're having a hard time getting pregnant, see your doctor.

How does bulimia affect pregnancy?

If a woman with active bulimia gets pregnant, these problems may result:

• miscarriage
• high blood pressure in the mother
• baby isn't born alive
• baby tries to come out with feet or bottom first
• birth by C-section
• baby is born early
• low birth weight
• birth defects, such as blindness or mental retardation
• problems breastfeeding
• depression in the mother after the baby is born

What should I do if I think someone I know has bulimia?

If someone you know is showing signs of bulimia, you may be able to help.

1. Set a time to talk. Set aside a time to talk privately with your friend. Make sure you talk in a quiet place where you won't be distracted.
2. Tell your friend about your concerns. Be honest. Tell your friend about your worries about her or his not eating or over exercising. Tell your friend you are concerned and that you think these things may be a sign of a problem that needs professional help.
3. Ask your friend to talk to a professional. Your friend can talk to a counselor or doctor who knows about eating issues. Offer to help your friend find a counselor or doctor and make an appointment, and offer to go with her or him to the appointment.
4. Avoid conflicts. If your friend won't admit that she or he has a problem, don't push. Be sure to tell your friend you are always there to listen if he or she wants to talk.
5. Don't place shame, blame, or guilt on your friend. Don't say, "You just need to eat." Instead, say things like, "I'm concerned about you because you won't eat breakfast or lunch." Or, "It makes me afraid to hear you throwing up."
6. Don't give simple solutions. Don't say, "If you'd just stop, then things would be fine!"
7. Let your friend know that you will always be there no matter what.

Adapted from "What Should I Say? Tips for Talking to a Friend Who May Be Struggling with an Eating Disorder" from the National Eating Disorders Association.