Living with Parkinson’s
ropinirole, rotigotine) — are
associated with ICDs. Other
factors also correlate with a
higher risk of an ICD. These
include being younger or
male, currently or previously
smoking cigarettes or overusing
alcohol, and experiencing mood
changes (such as depression)
or obsessive-compulsive
tendencies.
HOW ARE IMPULSE
CONTROL DISORDERS
TREATED?
Since ICDs most often develop
after a dopamine agonist is
started or increased, treatment
is usually discontinuation
or reduction of the drug in
question. (This may require
other medication adjustments
in tandem to address any
symptom exacerbation.)
In some cases, cognitive
behavorial therapy (CBT) or
traditional ‘talk’ therapy may be
recommended; both can help
reverse unwanted behavioral
patterns. Family members can
support healing by carrying out
behavioral interventions, for
example limiting credit card,
food pantry, or internet access.
Most importantly, be aware
of the potential for ICDs with
dopamine agonists. That way,
you or your family can notify
your doctor at the first sign of
worrisome behavior and decide
the best course of action from
there.
WHAT’S THE BOTTOM LINE?
Impulse control disorders
occur in some people with PD
and are associated with the use
of dopamine agonists. These
are effective medications for
many people with Parkinson’s,
and the vast majority won’t
experience ICDs. If you are
considering taking a dopamine
agonist, discuss the pros and
cons with your physician.
If, together, you decide the
benefits outweigh the risks, you
and your family should watch
for behavioral changes and
discuss them with your doctor.
An open and honest dialogue
with your provider is critical to
ensure you get the most out of
your care.
The medical information contained in this newsletter is for general
information purposes only. The Michael J. Fox Foundation has a policy
of refraining from advocating, endorsing or promoting any drug therapy,
course of treatment, or specific company or institution. It is crucial that
care and treatment decisions related to Parkinson’s disease and any other
medical condition be made in consultation with a physician or other
qualified medical professional.
PARKINSON’S 360: REAL TALK
FOR PATIENTS AND FAMILIES
Every person diagnosed with Parkinson’s
disease embarks on a unique journey.
There is no standard path, and for many,
this proves to be among the most
challenging aspects of the disease. today — and what to expect as it progresses.
Parkinson’s 360 is our answer. This set of
multimedia resources is a practical guide
to help patients and families chart the best
course and navigate life with PD.
Since the earliest days of The Michael J.
Fox Foundation, we have received repeated
requests from people with Parkinson’s and
their families for honest, relatable
information about what the disease holds Explore the full toolkit, including short
films featuring people with Parkinson’s
who are living well with the disease, at
michaeljfox.org/PD360.
11
Spring/Summer 2017