Wednesday, July 09, 2008

amazing what one little pill can do...

well four of them anyway.

After this terrible weekend of out of control eating, I took Prozac again for the first time in a week or so, full dose. Within 24 hours everything was "normal" - I had no desire to binge or stuff myself with food. Out of habit I ate much but it didn't quite work in that it wasn't that exciting. There was no binge high, and it was like what is the point of ever doing this?

I say everything was "normal" in quotes because it was so dramatically different than the previous few days... All I wanted to doing was binge on food and play with myself! Hah! But almost overnight I had no interest. I only had kind of an anxious feeling because I felt like I didn't have anything to do.

I've probably explained this all before but Prozac doesn't last long term for me. It stops working for me after awhile... the term the doctor told me is Prozac Poopout. It will just stop working - that is why I'm at the maximum dose because now the minimum amount has no effect whatsoever. After it stops working, to get the full effect again I have to stop taking it for awhile, let it leave my system and then start again. And it works. Dramatically. It's basically a cure, I don't know how else I could explain how drastically it changed my desires and behaviors. Obviously the food obsession and horniness are serotonin related and the Prozac stops both. This has to prove it is a medical problem with my brain, if a pill changes it.

What am I supposed to do?

4 comments:

teh4 said...

Hey, I'm really glad to hear the prozac is working for you. Did you know prozac is the only medication clinically proven to help those with bulimia? It helps to stop the obsessive cycle and helps to stop the urge to binge. So not only should it help with not binging but being able to stop once you start! I'm curious, how many mg's are you taking?

Stay strong! Be tough! You will feel so much more in control in about a month, I promise.

Patty said...

I was actually not wanting to be on Prozac, but I finally gave in and I am taking it and I have noticed that My binging is down and I am able to not obsessive, I do worry that it will soon wear off but until it happens I am happy that something is working

Anonymous said...

Prozac saved my ASS from bulimia after treatment... but after a year I guess I got used to it becuase... its stopped taking the edge off.... and Im back to rock bottom

Tongo said...

Just an FYI on research done... Bulimia is related to serotonin release and uptake in our brains, that is why Prozac is being diagnosed as treatment...

Here is the article:

New Research
Researchers have found that women with a history of bulimia show key differences in their brain's regulation of a hormone that controls mood and appetite, possibly suggesting an inherent susceptibility to the eating disorder.

"These alterations may make some women vulnerable for developing an eating disorder," lead author Dr. Walter H. Kaye, of the University of Pittsburgh School of Medicine in Pennsylvania, told Reuters Health.

Kaye's team studied nine women who have recovered from bulimia for at least one year. Bulimia nervosa is an eating disorder in which patients alternate between binge eating and purging. They suffer from a distorted body image and, often, mood disturbances such as depression.

All the women were scanned using positron emission tomography, or a (PET) scan, to gather images of brain activity. These were compared with brain scans from 12 women who had never had an eating disorder.

The researchers found that the bulimic patients' brains showed a reduction in the ability of the chemical serotonin to bind to receptors in certain brain regions. They also found that these women did not show the normal decline in serotonin binding that comes with aging.

Serotonin is a neurotransmitter that helps regulate appetite, mood and impulse control. The findings are published in the July issue of the American Journal of Psychiatry.

"I suspect this finding suggests that there is a dysregulation of the serotonin system, which contributes to extremes of impulse control--under eating as well as overeating--both of which are often found in bulimia," Kaye said.

He and his colleagues suspect the brain alterations were not a result of the bulimia, but a possible cause.

"While this finding could be a consequence of having bulimia, there is other data that suggests that certain traits, such as anxiety, may occur in childhood in people who later develop bulimia," Kaye said. "Serotonin alterations could contribute to such traits."

Previous research, he noted, has also found some evidence that bulimia has a genetic component.

SOURCE: American Journal of Psychiatry 2001; 158:1152-1155.