Consider co-occurring conditions when selecting pharmacological treatment options for binge eating disorder
摘要
Binge eating disorder (BED) is the most common specific eating disorder. Mental health disorders and obesity commonly co-occur with BED. Treatment of these co-occurring conditions should be considered when selecting pharmacological treatments for BED, as some agents may have overlapping effectiveness. Lisdexamfetamine (LXD), an anti-attention deficit hyperactivity disorder treatment, is the only approved pharmacological agent for the treatment of moderate-to-severe BED. If LXD is not available, off-label treatment with topiramate, atomoxetine, sertraline or citalopram should be considered. Glucagon-like peptide receptor agonists have demonstrated potential for treatment of patients with co-occurring obesity and BED, although more research is required.