The teenager accepts tsipramil 4 weeks (20) (An anorexia (196, 72k) + the friend...

[The anonym]

The teenager accepts tsipramil 4 weeks (20)
(An anorexia (196, 72k) + other obsessional statuses). As a result an anorexia attacks bulemii (the truth as reaction to numerous attempt to force it or him is - a pier, has gorged on, vseravno to lose there is nothing), after which began to replace disgusting mood and full refusal of meal next day. Has added 4 kg for a week, there was aggressive, all myslio volume, as though again to grow thin.
Whether it is necessary to accept tsipramil further, or
That occurs or happens to it or him, it is impossible to write off or copy on
tsipramil iz-for insufficient term of reception?
Still vrach has appointed or nominated fljuanksol 0, 5 2 in day. Whether will result or bring reception fljuanksola in addition to tsipramilu in even greater display of aggression? Thanks.

[Pronin D.A.]

Voobshche-that, for treatment bulimii-usually is required to an anorexia higher dose of an antidepressant (up to 40 60 mg day). So, the dose probably is not sufficient. As if to fljuanksola he possesses some stimulating activity and consequently partly can strengthen irritability, display of intolerance to associates. At escalating a dose tsipramila (t. To. The effect develops not at once) reception by a short course of a tranquilizer with sedative and antidepressive action (for example, ksanaksa) possibly would approach or suit. But it is better to discuss all these questions with the attending physician.