A 75-year-old male patient is accompanied by his wife.The patient's wife is concerned that since staing some new medications for his Parkinson's disease, he has staed acting differently. She repos that since staing the new medication he has staed gambling and making inappropriate sexual comments to the cleaning maid. Which medication is likely to be responsible for this new behaviour?
The presentation of the patient is of disinhibition. Ropinirole is associated with impulse control disorder (pathological gambling and hypersexuality) Option A- (Levodopa + Carbidopa) given for management of Parkinson's disease. it is not associated with disinhibition. Option C- Bromocriptine -Cause Raynaud's phenomenon, doesn't cause any behavioral change. Option D-Entacapone is COMT inhibitor. S/E: mainly nausea, vomitting and dyskinesia
Levo+Carbidopa
Ropinirole
Bromocriptine
Entacapone
Parkinsonism and other movement disorders