Dr. holemon- Medical Management of ED

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Dr. Holemon, M.D. spoke at the Castlewood Preferred Provider Conference on the medical aspects of the treatment of Eating Disorder.

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Dr. holemon- Medical Management of ED

  1. 1. Medical Management of Eating Disorder Dr. Dawn Holemon
  2. 2. Diagnostic Assessment• Psychiatric • Anorexia nervosa • Bulimia nervosa • ED, nos• Medical • Risk increased with rapid weight change, purging, onset of binges, non compliance with medication
  3. 3. AN, BN or ED, nos• Refer for inpatient or residential care Pregnancy Diabetes mellitus Abnormal EKG Deficiencies of potassium, magnesium or phosphorus Suicidal ideation
  4. 4. EKG
  5. 5. Associated disorders• MedicalPANDASPCOS
  6. 6. Associated disorders• PsychiatricMajor depressionAnxiety disorderBipolar disorderAlcohol and/or drug dependence or abuseBody dysmorphic disorder
  7. 7. Laboratory tests commonly indicated in eating disorderLiver enzymes RBC FolateBlood count Magnesium,Serum creatinine, Phosphorus, Amylase, ferritin, vitamin B12 Potassium, Sodium TSH
  8. 8. Laboratory tests commonly indicated in eating disorderUrinalysisUrine drug screenEKGBone density
  9. 9. Medical complications of eating disorderEdemaWeaknessShortness of breathCardiac arrhythmiasChest painConfusionLoss of consciousness
  10. 10. Medical complications of eating disorderRefeeding syndrome -imbalance of electrolytes and fluid -risk factors -symptoms to monitor
  11. 11. Psychotropic medications used to treat eating disorder SSRI Other antidepressant SNRI Trimonoamine TCA modulator MAOI
  12. 12. Psychotropic medications used to treat eating disorderMood stabilizersAntipsychotics, 1st generationAntipsychotics, 2nd generation
  13. 13. Psychotropic medications used to treat eating disorderAnxiolytics, non benzodiazepineBenzodiazepines, short-actingBenzodiazepines, mid-actingBenzodiazepines, long-acting
  14. 14. Psychotropic medications used to treat eating disorderInsomniaADHDDependence, opioidDependence, nicotine
  15. 15. Common side effects of medications used to treat eating disorderLightheadedness HeadacheSedation Acid refluxDry mouth nauseaConstipation
  16. 16. Less common side effects ofmedication used to treat eating disorder Parasthesia EPSE Weight gain/loss Galactorrhea
  17. 17. Recent research in neuropsychiatry

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