Sklivanioti Myrto, Greenfield Amir
doktorand, överläkare, Karolinska institutet; konsultenheten, Psykiatri sydväst, Region Stockholm.
överläkare, medicinledningsansvarig, Wemind psykiatri, Stockholm.
Lakartidningen. 2022 Mar 14;119:21192.
Impulse control disorders (ICD) may occur with the use of dopamine agonists (DAA), a class of medication usually prescribed for Parkinson's disease but also restless legs syndrome (RLS) and prolactinoma. We describe a case that illustrates, in consistence with international literature, how exposure to DAA for treatment of RLS can lead to suffering of ICD with devastating consequences. Discontinuation of the dopaminergic agent (and potentially switching to another medication of a different class) can be an effective management strategy, and we suggest that it is very important to improve the knowledge of this phenomenon among clinicians and prompt active screening for ICD in this population.
冲动控制障碍(ICD)可能与多巴胺激动剂(DAA)的使用有关,DAA是一类通常用于治疗帕金森病、不安腿综合征(RLS)和泌乳素瘤的药物。我们描述了一个病例,该病例与国际文献一致,表明使用DAA治疗RLS如何导致ICD,并产生毁灭性后果。停用多巴胺能药物(并可能换用另一类不同的药物)可能是一种有效的管理策略,我们建议提高临床医生对这一现象的认识,并在该人群中及时主动筛查ICD非常重要。