| ♦ SSRI |
| ♦ Tricyclic antidepressants with precaution for the marked side effects |
| ♦ SNRI (venlafaxine) |
| ♦ NDRI (bupropion but to be used carefully because it can lower the seizure threshold |
| ♦ Agomelatine for the treatment of NES |
| ♦ Antiepileptics (topiramate) |
| ♦ Short-term treatment seems able to reduce by 70% the frequency of binge eating and elimination behavior, as well as improving the emotional component. |
| ♦ Fluoxetine, 60 mg / day is the drug of choice: there is good evidence of efficacy, the side effects profile is modest and the only drug approved by the FDA for Bulimia Nervosa. |
| ♦ If the first drug used did not produce sufficient results, there is evidence that another antidepressant could be effective. |
| ♦ The minimum duration of an effective treatment should be no less than six months. |