bulimia
"I was on Topamax 2x 50 mg worked perfect for 31 days, then the effect wore off, now I am on day 3, Dr. Increased dosage 100mg 2x per day, works perfect. I am cautious as I have been 6 months relapse free on 60 mg fluoxetine before the effects wore off. Will give an update. I have been on all other kinds of SSRIs or SNRIs, which had no effect. My history, I am 42 years old, I have treatment refractory Bulimia since 28 years, purging type. Start with AN with a simple diet, normal childhood, no trauma or abuse, two lengthy hospital stays in the 80s and 90s   5 years of CGJung psychoanalysis all to 0 avail. Learned a lot but have never been in recovery. I try anything to be better."