A 69-year-old man with Parkinson's disease is started on Ropinirole (a dopamine agonist) as adjunctive therapy. His wife contacts the GP 2 months late...

Question

A 69-year-old man with Parkinson's disease is started on Ropinirole (a dopamine agonist) as adjunctive therapy. His wife contacts the GP 2 months later, concerned that he has developed compulsive gambling and hypersexuality. What is the MOST appropriate action?

Accepted Answer

Gradually reduce and stop Ropinirole and review dopaminergic therapy

Answer

Continue Ropinirole as these behaviours are unrelated to medication

Answer

Add an SSRI to manage the compulsive behaviour

Answer

Increase Levodopa to compensate for stopping Ropinirole immediately

Answer

Refer for psychiatric admission

uk-dgm MCQ (SBA): Impulse Control Disorders with Dopamine Agonists

A 69-year-old man with Parkinson's disease is started on Ropinirole (a dopamine agonist) as adjunctive therapy. His wife contacts the GP 2 months later, concerned that he has developed compulsive gambling and hypersexuality. What is the MOST appropriate action?