Impulse control disorder in a patient on long-term treatment with bromocriptine for a macroprolactinoma.
Clin Neuropharmacol
; 36(5): 170-2, 2013.
Article
em En
| MEDLINE
| ID: mdl-24045609
ABSTRACT
Impulse control disorders (ICDs) constitute socially disruptive behaviors such as pathological gambling, impulsive eating, compulsive shopping, and hypersexuality. These conditions are well recognized in patients on dopamine agonist (DA) therapy for Parkinson disease. Dopamine agonists are widely used as first-line agents in the treatment of prolactinomas, but ICDs in this group of patients are relatively rare, perhaps because of lower therapeutic doses used. A review of the literature yielded only a few cases of ICDs in patients on DA treatment for prolactinomas. These symptoms are perhaps underreported because of lack of awareness among patients and health care professionals. Impulse control disorders are recognized psychiatric disorders that have significant psychological and social implications, and patients need to be counselled about this rare possibility when embarking on prolonged DA therapy. We describe a young patient with severe, socially disruptive impulsivity manifesting with pathological gambling who had been on long-term bromocriptine therapy for a macroprolactinoma.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
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Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Prolactinoma
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Bromocriptina
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Agonistas de Dopamina
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Transtornos Disruptivos, de Controle do Impulso e da Conduta
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Clin Neuropharmacol
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Reino Unido