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  #1  
Old 06-22-2012
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Default bulimia nervosa is very depressed

A 17-year-old adolescent suffers from bulimia nervosa and is very
depressed. She is also suffering from insomnia and apathy. Which of
the following medications should be avoided?
A. Fluoxetine
B. Trazodone
C. Imipramine
D. Bupropion
E. Amitriptyline
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  #2  
Old 06-22-2012
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Quote:
Originally Posted by Novobiocin View Post
A 17-year-old adolescent suffers from bulimia nervosa and is very
depressed. She is also suffering from insomnia and apathy. Which of
the following medications should be avoided?
A. Fluoxetine
B. Trazodone
C. Imipramine
D. Bupropion
E. Amitriptyline
bupropion should be avoided
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Old 06-22-2012
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Quote:
Originally Posted by mbbs2010 View Post
bupropion should be avoided
Why? :sorry:
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Old 06-22-2012
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Quote:
Originally Posted by Novobiocin View Post
Why? :sorry:
one of the side effects is seizures.

in any patient with an increased probability of seizures the drug should be avoided.
eating disorders predispose to seizures due to metabolic/electrolyte changes
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Old 06-22-2012
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D. Seizure disorders and eating disorders are contraindications for bupropion because of its possible lowering of the seizure threshold and its anorectic effects.
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