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Bulimia nervosa and pregnancy (and breastfeeding)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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 (2)


  1. NICE (May 2017). Eating disorders: recognition and treatment
  2. EMC. SPC - fluoxetine (Accessed 01/10/23)

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