再探饮食失调药物箱：临床医生使用食欲抑制剂和利尿剂指南
The eating disorders medicine cabinet revisited: a clinician's guide to appetite suppressants and diuretics.
作者信息
Roerig James L, Mitchell James E, de Zwaan Martina, Wonderlich Stephen A, Kamran Shehzad, Engbloom Sara, Burgard Melissa, Lancaster Kathryn
机构信息
Neuropsychiatric Research Institute, Fargo, North Dakota, USA.
出版信息
Int J Eat Disord. 2003 May;33(4):443-57. doi: 10.1002/eat.10159.
OBJECTIVE
This article explores the frequencies of use of alternative medications, available products, and their potential toxicities.
METHOD
Survey data were gathered from 39 consecutive patients diagnosed with bulimia nervosa who were seeking treatment. A survey of area outlets (health food stores, pharmacies, grocery stores) was conducted to establish a database of available agents. Putative active ingredients were identified. MEDLINE literature searches, as well as reviews of specialized texts, were performed to identify the potential toxicities of the ingredients.
RESULTS
Diet pill use was found in 64% of patients; 18 % reported use in the past month. The survey identified 167 products. Diuretic use was found in 31% of patients; 21% reported use in the past month. Twenty-five diuretic products were identified.
DISCUSSION
Alternative medicines are frequently used in the population of patients seeking treatment for bulimia nervosa. An abundance of products are available with potentially significant toxicities.
目的
本文探讨了替代药物的使用频率、现有产品及其潜在毒性。
方法
收集了39例连续诊断为神经性贪食症并寻求治疗的患者的调查数据。对当地商店（健康食品店、药店、杂货店）进行了调查，以建立可用药物的数据库。确定了推定的活性成分。进行了医学文献数据库（MEDLINE）文献检索以及专业文献综述，以确定这些成分的潜在毒性。
结果
64%的患者使用过减肥药；18%的患者报告在过去一个月内使用过。调查确定了167种产品。31%的患者使用过利尿剂；21%的患者报告在过去一个月内使用过。确定了25种利尿剂产品。
讨论
在寻求治疗神经性贪食症的患者群体中，替代药物使用频繁。有大量产品存在潜在的显著毒性。
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