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MILD TO MODERATE PARKINSONS Tx: DOPAMINE AGONISTS

Neurology

MILD TO MODERATE PARKINSONS Tx: DOPAMINE AGONISTS

1. Non-ergot derived dopamine agonists (ropinirole and pramipexole) can be useful as mono-therapy, but 60% of patients will require adjunctive L-dopa after 4 years.

2. Know that these dopa agonists, ropinirole and pramipexole, are associated with impulse control disorders, such as hypersexuality, compulsive shopping, and pathological gambling.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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