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Drug-induced anorexia
Other Resources UpToDate PubMed

Drug-induced anorexia

Contributors: Michael W. Winter MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Drug-induced anorexia is an abnormal loss of appetite associated with the use of a medication or other drug. It may be associated with drug-induced nausea or vomiting. Many medications have been associated with drug-induced anorexia (see Drug Reaction Data below).

Possible mechanisms include inhibited reuptake of dopamine and serotonin, increase of hypothalamic neurotransmitters, disruption of the endogenous digoxin-like factor, and early satiety caused by abnormal serum leptin concentrations. Patients may complain of dysgeusia, dysphagia, weight loss, fatigue, and xerostomia. The elderly, patients with depression, and patients with dementia are at increased risk.

Drug-induced anorexia can subsequently lead to weight loss, malaise, nutritional deficiencies, and, in severe cases, dehydration with hypoperfusion and end-organ damage or electrolyte imbalances complicated by cardiac dysrhythmias.

Codes

ICD10CM:
R63.0 – Anorexia
T50.995A – Adverse effect of other drugs, medicaments and biological substances, initial encounter

SNOMEDCT:
278993004 – Drug-induced
79890006 – Loss of appetite

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

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Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

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References

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Last Reviewed:01/01/2018
Last Updated:06/14/2018
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Drug-induced anorexia
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A medical illustration showing key findings of Drug-induced anorexia
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