title: Prescription diuretic abuse in patients with bulimia nervosa.
abstract: Bulimia nervosa, a common eating disorder usually characterized by binge eating and self-induced vomiting, may also involve abuse of prescription diuretics. This article describes four patients who abused prescription diuretics in large quantities (up to 2 g/d of furosemide) for extended periods of time. Physical examination and laboratory values provided few clues to the diagnosis of bulimia nervosa. Other eating-related behaviors previously linked to bulimia nervosa--including abuse of diet pills, illicit amphetamines, and laxatives, as well as withholding of insulin in one diabetic patient--were present in these cases. Usually the patients' primary physicians were not aware of these problems. Physicians should be aware that patients requesting prescription diuretics may have bulimia nervosa.
authors.affiliation: Department of Medicine, University of Minnesota, Minneapolis.
authors.forename: C
authors.initials: C
authors.lastname: Pomeroy
authors.forename: J E
authors.initials: JE
authors.lastname: Mitchell
authors.forename: H C
authors.initials: HC
authors.lastname: Seim
authors.forename: M
authors.initials: M
authors.lastname: Seppala
mesh_terms: D000328:Adult; D002032:Bulimia / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005665:Furosemide / Q000008:administration & dosage*; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis; D012646:Self Administration; D019966:Substance-Related Disorders / Q000150:complications* / Q000175:diagnosis
chemical_list: D005665:Furosemide