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26th June 2008 - New research
THE PREVALENCE OF PATHOLOGICAL GAMBLING IN PARKINSON'S DISEASE
Journal of Gambling Studies 2008 Jun 17; [Epub ahead of print] (Crockford D,
Quickfall J, Currie S, Furtado S, Suchowersky O, El-Guebaly N.) Complete
abstract
Pathological gambling has often been identified in people with Parkinson's
Disease treated with dopamine agonists. When somebody takes dopamine
agonists such as Ropinirole (Requip) and Pramipexole (Mirapex), they
disproportionately stimulate the D3 dopamine receptor, far more than L-dopa
does. This causes arousal in the limbic system, which is where the D3
dopamine receptor is primarily located. Given that the limbic system is
connected with the pleasure centre,  the use of certain dopamine agonists
can especially lead to compulsions such as gambling. This study was
undertaken to establish the prevalence of pathological gambling in
Parkinson's Disease. The prevalence was found to be nearly 10% of people
with Parkinson's Disease. This meant that pathological gambling was more
than 5 times more likely than in people that didn't have Parkinson's
Disease. The increased prevalence of pathological gambling in the
Parkinson's Disease group was related to dopamine agonist use and also
younger age. Most people suffering from pathological gambling reported that
their gambling increased after diagnosis and starting treatment.

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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