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ROCHESTER, Minn. -- A new study conducted at Mayo Clinic reports that one in 
six patients receiving therapeutic doses of certain drugs for Parkinson's 
disease develops new-onset, potentially destructive behaviors, notably 
compulsive gambling or hypersexuality. 
VIDEO ALERT: Additional audio and video resources including excerpts from an 
interview with Dr. J. Michael Bostwick describing the research, are available 
on the Mayo Clinic News Blog. 
The study extends findings from two Mayo case series published in 2005 that 
reported a connection between dopamine agonist medications and compulsive 
gambling or hypersexuality. 
Dopamine agonists are a class of drugs that include pramipexole and 
ropinirole. They are commonly used to treat Parkinson's disease, but low doses 
also are used for restless legs syndrome. They uniquely stimulate brain limbic 
circuits, which are thought to be fundamental substrates for emotional, reward 
and hedonistic behaviors. 
"The 2005 case series alerted us that something bad was happening to some 
unfortunate people. This study was done to assess the likelihood that this 
effect would happen to the average Parkinson's patient treated with these 
agents," says J. Michael Bostwick, M.D., Mayo Clinic psychiatrist who 
spearheaded the new study. It is published in the April issue of Mayo Clinic 
Proceedings. 
The researchers analyzed the medical records of patients with Parkinson's 
disease residing in counties surrounding Rochester, Minn., who received their 
primary neurological care at Mayo Clinic in Rochester between 2004 and 2006. 
This group included 267 patients. Of those, 66 were taking dopamine agonists 
for their Parkinson's disease. Of those 66, 38 were taking the drugs in 
therapeutic doses (doses expected to be at least minimally beneficial). 
The findings were definitive. Seven patients experiencing new-onset compulsive 
gambling or hypersexuality were taking dopamine agonists in t
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Contact: John Murphy
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507-284-5005
Mayo Clinic
Source:Eurekalert


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