bulimia nervosa and pregnancy (and breastfeeding)

Last reviewed 01/2018

NICE suggest (1):

  • if a woman who is taking medication for bulimia nervosa is planning a pregnancy or pregnant, healthcare professionals should consider gradually stopping the medication after discussion with her. If the problem persists, referral for specialist treatment should be considered
  • women who have an episode of bulimia nervosa while breastfeeding
    • if a woman has an episode of bulimia nervosa while breastfeeding, psychological treatment should be offered, rather than fluoxetine at 60 mg. If a woman is already taking fluoxetine at 60 mg, she should be advised not to breastfeed

Reference:

  1. NICE (2007). Antenatal and postnatal mental health