title: Divergent responses to fluoxetine from two compulsive, food-related conditions: bulimia nervosa and compulsive water drinking.
abstract: BACKGROUND
  The association of compulsive water drinking with bulimia nervosa is rarely encountered. Nevertheless similar behavior patterns could involve a common pathophysiological mechanism.
  
  
  METHODS
  A case report with the association of those two disorders is described. Treatment with fluoxetine was introduced to alleviate the compulsive aspects of those disorders.
  
  
  RESULTS
  Fluoxetine had a positive effect on bulimia nervosa but none on compulsive water drinking.
  
  
  CONCLUSIONS
  The different response to pharmacologic treatment could mean that bulimia nervosa and compulsive water drinking are based on different physiological mechanisms.
authors.affiliation: Department of Psychiatry, Brugmann University Hospital, Université Libre de Bruxelles, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: Kornreich
authors.forename: B
authors.initials: B
authors.lastname: Dan
authors.forename: P
authors.initials: P
authors.lastname: Verbanck
authors.forename: E
authors.initials: E
authors.lastname: Fontaine
authors.forename: I
authors.initials: I
authors.lastname: Pelc
mesh_terms: D000328:Adult; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use*; D002032:Bulimia / Q000150:complications / Q000188:drug therapy* / Q000523:psychology; D003193:Compulsive Personality Disorder / Q000150:complications / Q000188:drug therapy* / Q000523:psychology; D004326:Drinking; D005260:Female; D005473:Fluoxetine / Q000627:therapeutic use*; D006801:Humans
chemical_list: D018687:Antidepressive Agents, Second-Generation; D005473:Fluoxetine