This article is freely available to all

Abstract

Article Abstract

Letter to the Editor

Sir: Drs. Vaz and Salcedo recommended reducing dosage and continuing treatment of bulimia with the same serotonin selective reuptake inhibitor (SSRI) if anorexia occurs as a side effect. Recently, several SSRIs have demonstrated utility in treating bulimia nervosa and depression. I report the induction of anorexia (and possibly hallucinations) in a patient diagnosed with bulimia nervosa and depression who was taking an SSRI. I suggest considering switching a patient's medication to a different SSRI (at an equivalent dose) if anorexia is induced by the first SSRI.