Abstract
The sexual side effect of anorgasmia has been reported with a variety of antidepressants, including fluoxetine. Cyproheptadine has been used to counteract these side effects. The authors report two cases of bulimia nervosa in which the serotonin antagonist effect of cyproheptadine appeared to cancel out the therapeutic benefits of the serotonin-specific uptake inhibitor fluoxetine.
MeSH terms
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Adult
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Bulimia / drug therapy*
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Cyproheptadine / adverse effects
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Cyproheptadine / pharmacology*
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Cyproheptadine / therapeutic use
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Drug Interactions
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Drug Therapy, Combination
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Female
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Fluoxetine / adverse effects
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Fluoxetine / pharmacology*
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Fluoxetine / therapeutic use
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Humans
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Orgasm / drug effects*
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Sexual Dysfunctions, Psychological / chemically induced
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Sexual Dysfunctions, Psychological / prevention & control
Substances
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Fluoxetine
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Cyproheptadine