The disease is similar to psychogenic anorexia, described in his writings, Avicenna, but attention to it appeared in the second half of the 19th century after the publication of the works of Gall and Lasegue. And a hundred years later, in the late 20th century, psychogenic anorexia has become a real social disaster.

What psychogenic anorexia and reasons for its development

Anorexic called a complete lack of appetite. Causes of anorexia may be different. Previously regarded as the main causes of organic brain damage, including appetite center located in the hypothalamus. Today, anorexia Anorexia nervosa - symptoms and effects on the body   more likely to develop on the background of violations of the psyche. This is called psychogenic anorexia or neuro-psychological.

Increased incidence of anorexia nervosa is associated with increased social activity of women, starting with the 60-ies of the last century. It is noted a high enough cultural level of patients with this disease, and certain personality type (propensity for obsessive-compulsive disorder), and especially education (suppression of the individual child's parents).

Signs

The most common psychogenic anorexia begins in adolescence has a clear dependence on the onset of menses, starting after one or several years after menarche (first menstrual period). On average, the disease begins at age 17. It begins slowly, under the influence of fashion and opinion of their peers, the girl appears overvalued idea that her overweight, from which you want to get rid of.

Gradually, the idea is subject to the behavior of all the girls she limits herself to the food improves exercise, playing sports and so on. This so-called predanorekticheskaya phase of the disease. At this stage, the disease is usually not decreased appetite, which causes undulatory reducing body weight-increase. In addition, each meal is accompanied by serious remorse. Since completely suppress appetite at this stage can not, after taking food is increasingly removed from the body using a specially-induced vomiting.

Quite quickly the patient loses weight in the range of 10-50% of the initial level, and the disease enters a new phase - anorectic, when the appetite disappears. At the same time may have menstrual irregularities, up to the complete absence of menstruation. The patients are very mobile, but social activity thus often reduced due to lack of necessary energy. Humor often ranges from enthusiastic and upbeat with a hint of hysteria to low, tendency to depression Depression - a little more than a bad mood   and anxiety Anxiety - how to distinguish normal from disease? .

Finally, with a significant reduction in body weight occurs cachectic phase of the disease when exhaustion looms form and affects the state of the internal organs. The mood in this period gloomy, depressive, but keep the increased mobility of patients, which often brings others into error with respect to the severity of their condition. If this period is not to hospitalize the woman and give her medical care, body irreversible changes occur, that would lead to her death. The disease can last for a total of several years.

Diagnostics

The main signs of psychogenic anorexia are not eating, weight loss of at least 10% from baseline, the absence of menstruation for at least three menstrual cycles, lack of signs of internal diseases that caused the drastic weight loss, lack of mental diseases ( e.g. schizophrenia) or organic lesions of the brain (cerebral trauma, tumors, etc.), as well as onset of age or older than 35 years.

But in order to make a diagnosis of psychogenic anorexia, to exclude mental illness, organic brain disease and diseases of internal organs. Refinement of the diagnosis, as well as the subsequent treatment is carried out on the basis of a psychiatric hospital. To eliminate mental illness Mental illness - ashamed to ask for help?   (eg, schizophrenia, manic-depressive illness) for the patient carefully observed. At the same time carry out X-ray study of the brain and, if necessary, magnetic resonance imaging to exclude tumors, consequences of traumatic brain injury, neuroinfections, vascular changes in the brain, and so on.

Also carried out a survey of all internal organs and systems to eliminate latent diseases that caused anorexia.

Treatment

Onset of the disease is rarely detected, the patient often attracts attention in an already advanced stage. Therefore treat psychogenic anorexia should be only in a psychiatric hospital with isolation from family. Appointed frequent smaller meals with the introduction of small doses of insulin. If necessary (if the patient refuses to take food) feeding is conducted by gavage. Since the gastrointestinal tract unaccustomed to food loads, calorie and food volume increases gradually.

Appointed as psychotropic drugs, conducted psychotherapy. Prognosis in most cases favorable, but there are cases of death of patients from exhaustion.

Galina Romanenko

Despite the fact that the drug Meridia helps quite slow physiological weight loss and is an effective drug, its use without a prescription in any case impossible, as the basis for its action is inhibition of activity hunger center located in the brain.

What action has meridia and why this drug can be dangerous

The active ingredient is sibutramine meridia drug Sibutramine - effective but not safe Which inhibits the function of the hunger center in the brain. Sibutramine as a medicine is allowed in the country, but in some other countries (such as in some European countries), it is prohibited because of the large number of contraindications to its use and side effects.

Meridia inhibits the function of the hunger center in the brain by inhibiting the transmission of nerve impulses in him. This happens because its metabolites (products of metabolism) inhibit the recapture of certain substances which are carrying out the transfer of nerve impulses.

In addition to suppressing hunger Meridia also ensures that power consumption increases, which further enhances the effect of weight loss. When a person begins to lose weight, the body reflexively reduces energy consumption - Meridia suppresses this reflex. Meridia also helps to normalize the level of triglycerides, lipoprotein and cholesterol in the blood.

Meridia helps keeping the necessary long-term weight loss and prevents its redial.

Meridia is available in capsules of 10 and 15 mg of the German pharmaceutical company Abbott GmbH. Both companies have a high reputation in the pharmaceutical market, enough to read the instructions in this preparation to ensure a professional approach manufacturer: it painted everything, even very rare side effects. Also painted in detail, and contraindications for the use of this drug.

Surprises only the possibility of selling such a product over the Internet, although it may not have any relation to the producers. In either case, such drugs can buy only in pharmacies by prescription.

Purpose and contraindications

The drug Meridia is indicated for the alimentary obesity, that is, in the absence of endocrine diseases. An exception is insulin dependent diabetes mellitus Diabetes - threatening and incurable disease   (Diabetes Type 2) in combination with obesity - in this case, as shown meridia.

Contraindications This medication is much more than reading. So, Meridia is contraindicated in severe liver and kidney diseases in violation of their functions, in some chronic diseases, congenital anomalies of the digestive organs, tumors, and so on. Concomitant intake of this drug with other psychotropic (affecting the central nervous system) drugs. Particular care should be observed contraindications for various diseases of the cardiovascular system. Do not take the drug Meridia under the age of 18 years, during pregnancy and nursing Breastfeeding - a personal choice   feeding.

Side effect

In most cases, Meridia is well tolerated. Minor side effects occur only at the beginning of the treatment and is typically tested over time without requiring cancellation. These side effects include nausea, vomiting, abdominal pain small Abdominal pain: Types and Symptoms Diarrhea, transient liver function abnormalities and some other manifestation.

But there are significant side effects. This applies mainly to the cardiovascular system. Meridia can cause a significant increase in blood pressure, seizures, tachycardia and cardiac arrhythmias (such as atrial fibrillation episodes). In such a case the preparation is canceled.

How to apply

Meridia requires prolonged use - only if its application shows a good stable result. Prescribe medication for a period of several months to a year. Dose selected individually, depending on how quickly the patient loses weight. For this patient initially administered one capsule of 10 mg per day. If during the first month of reception weight has decreased by less than 2 kg, the dose increased to 15 mg. If this dose the patient responds a slight decrease in body weight, the drug overturned and prescribe other treatments.

Take meridia diet pills in the morning, at one and the same time, regardless of the meal, not liquid.

Meridia - is not just a diet pill, it is a drug from the psychotropic action, which may appoint a doctor.

Galina Romanenko