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Table 26 Olanzapine for children and adolescents with avoidant/restrictive food intake disorder

From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Certainty assessment

Impact

Certainty

Importance

№ of studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

Weight (assessed with: lbs), Anxious/Depressive Symptoms

 2

Case Reports

very serious a

not serious

not serious

not serious

none

N = 15 total in two studies. Nine patients aged 9–19 years in this pre- post- study. Rate of weight gain increased significantly with olanzapine treatment from 3.3lbs to 13.1 lbs. All patients were in a residential treatment facility. Another case series of 6 patients indicated all patients gained to their target weight with olanzapine (2.5 to 7.5 mg daily) in combination with SSRIs and family therapy.

VERY LOW

IMPORTANT

very serious a

not serious

not serious

not serious

none

The Clinical global impressions scale was used to rate anxious/depressive symptoms for 9 patients pre and post. The rating changed from markedly ill to mildly ill. All patients were in a residential treatment facility.

VERY LOW

IMPORTANT

  1. Explanations
  2. asmall sample size, no control group
  3. Bibliography:
  4. Case Reports - Brewerton 2017 [157], Spettigue 2018 [53]