Clinical neuropharmacology · 2010
Impulse control disorder and piribedil: report of 5 cases.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Tschopp Lorena, Salazar Zulema, Gomez Botello Marco T, Roca Claudia Uribe, Micheli Federico
Аннотация
Recent studies suggest that impulse control disorders (ICD) in Parkinson disease are not uncommon, and antiparkinsonian therapy, mainly the use of dopaminergic agonists, plays a causal role in the development of these symptoms. Pramipexole has been mainly related to the occurrence of ICDs, although these disorders may occur when any dopaminergic agonist-based therapy is administered.In this paper, we describe 4 patients with Parkinson disease and 1 with multisystem atrophy who presented a history (several months or years) of pathological gambling, hypersexuality, punding, and pathological use of the Internet secondary to piribedil. This previously undescribed association suggests that the development of these disorders might be also related to piribedil administration. It is also the first report of a patient with multisystem atrophy developing such adverse effects.