Pharmacological management of binge eating disorder: current and emerging treatment options
Open accessAbstract
Growing evidence suggests that pharmacotherapy may be beneficial for some patients with binge eating disorder (BED), an eating disorder characterized by repetitive episodes of uncontrollable consumption of abnormally large amounts of food without inappropriate weight loss behaviors. In this paper, we provide a brief overview of BED and review the rationales and data supporting the effectiveness of specific medications or medication classes in treating patients with BED. We conclude by summarizing these data, discussing the role of pharmacotherapy in the BED treatment armamentarium, and suggesting future areas for research.
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Phentermine/topiramate ER has shown efficacy in reducing binge symptoms, often overlapping with emotional eating.
“This combination has shown efficacy in reducing binge symptoms, often overlapping with emotional eating.”
From Precision obesity medicine: A phenotype-guided framework for pharmacologic therapy across the lifespan (2025) · cites this paper as [128]
The Antiepileptic drugs section (page unavailable) reports reduced binge frequency with topiramate alone. It describes phentermine/topiramate ER as effective for weight loss and maintenance in obesity, not for reducing binge symptoms. The passages also do not establish the claimed overlap with emotional eating. (LLM, conf=0.87)
Experimental — accuracy not yet measuredPhentermine curbs appetite while topiramate enhances inhibitory control.
“Phentermine curbs appetite while topiramate enhances inhibitory control [128].”
From Precision obesity medicine: A phenotype-guided framework for pharmacologic therapy across the lifespan (2025) · cites this paper as [128]
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References 205 · Cited by 74
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- Authors
- McElroy, S., Guerdjikova, A. I., Mori, N., & O’Melia, A.
- Affiliations
- Lindner Center of HOPE (US)
- Corresponding author
- Guerdjikova, Anna I.
- Mori, Nicole
- O’Melia, Anne
- Venue
- Therapeutics and Clinical Risk Management
- Publisher
- Informa UK Limited
- Published
- 2012-05
- Volume
- 8
- Pages
- 219
- ISSN
- 1176-6336 (ISSN-L)
- 1178-203X
- PMC
- PMC3363296
- OpenAlex
- W2027342753
- Cited by
- 74
- References
- 205
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 6 · 2018: 6 · 2017: 6 · 2016: 9 · 2015: 12 · 2014: 7 · 2013: 5 · 2012: 2
- FWCI
- 9.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Therapeutics and Clinical Risk Management (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- Abbott Laboratories
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- AstraZeneca
- GlaxoSmithKline
- University of Cincinnati
- Jazz Pharmaceuticals
- Orexigen Therapeutics
- J. Willard and Alice S. Marriott Foundation
- Agency for Healthcare Research and Quality
- National Institute of Mental Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- binge eating disorder, pharmacotherapy, antidepressants, anorectic drugs, appetite suppressants, treatment options, eating disorders
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