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Olanzapine use as an adjunctive treatment for hospitalized children with anorexia nervosa: Case reports
Author(s) -
Boachie Ahmed,
Goldfield Gary S.,
Spettigue Wendy
Publication year - 2003
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.10115
Subject(s) - olanzapine , weight gain , tolerability , anorexia nervosa , atypical antipsychotic , anxiety , adjunctive treatment , clozapine , psychology , pediatrics , medicine , psychiatry , antipsychotic , schizophrenia (object oriented programming) , eating disorders , adverse effect , body weight
Abstract Objective A recent case report suggested that olanzapine resulted in improved weight gain and maintenance, as well as decreased anxiety and agitation, for two hospitalized inpatients with anorexia nervosa (AN). However, a subsequent larger case study did not show a relationship between the use of olanzapine and rate of weight gain among a primarily adult population. The aim of this case report was to clinically examine the therapeutic benefit and tolerability of olanzapine as an adjunctive treatment for four children with AN in a pediatric inpatient setting. Results Olanzapine use was associated with considerable weight gain and maintenance, with an average rate of weight gain during hospitalization of 0.99 kg per week. In addition to weight gain, olanzapine was associated with a clinically notable decrease in levels of agitation and premeal anxiety and almost immediate improvement in sleep, general functioning, and overall compliance with treatment. Olanzapine was also well tolerated in these young patients. Discussion These case report findings warrant more controlled research, including randomized controlled studies, to better determine the therapeutic benefits and safety of olanzapine use in children with AN. © 2002 by Wiley Periodicals, Inc. Int J Eat Disord 33: 98–103, 2003.