A nurse should identify topiramate (Topamax) as the drug of choice for which of the following conditions? Select all that apply
A. Binge eating with obesity
B. Bingeing and purging with a diagnosis of bulimia nervosa
C. Weight loss with a diagnosis of anorexia nervosa
D. Amenorrhea with a diagnosis of anorexia nervosa
E. Emaciation with a diagnosis of bulimia nervosa
ANS: A, B
The nurse should identify that topiramate (Topamax) is the drug of choice when treating binge eating with obesity and treating bingeing and purging with a diagnosis of bulimia nervosa. Topiramate (Topamax) is a novel anticonvulsant used in the long-term treatment of binge-eating disorder with obesity. The use of Topamax results in a significant decline in mean weekly binge frequency and significant reduction in body weight. With the use of this medication, episodes of bingeing and purging were decreased in clients diagnosed with bulimia nervosa.
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