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Link between Parkinson’s drugs and compulsive behaviour to be explored by new research 

1 February 2008

The Parkinson’s Disease Society (PDS) has announced funding for a large scale research project into compulsive behaviours linked to some drugs, primarily dopamine agonists, prescribed to control Parkinson’s symptoms

Compulsive behaviour such as extreme reliance on medication, an uncontrollable addiction to gambling, sex, shopping and binge eating could affect up to 14% of people with Parkinson’s taking these drugs to manage their symptoms.  This behaviour can be devastating for peoples’ lives and relationships.

Although the link between Parkinson’s drugs and compulsive behaviours has been known for several years, little is known about why certain people are affected, what is happening in the brain to prompt these compulsions and how they can be best treated.

The PDS has decided to commit a significant sum of £640,000 in a joint collaborative research project led by Dr Paola Piccini (Hammersmith Hospital, London) and Professor Anthony David (King’s College London).

The research is in two parts. 

Researchers at Hammersmith Hospital will use advanced scanning technology to look at those brain functions thought to be responsible for addiction and compulsive behaviour, to see if there are differences in brain function between those with and without compulsive behaviours. 

Meanwhile, at King’s College, 40 patients and their carers  will have allocated to them a PD nurse specialist who will try to work with them to develop more effective ways of managing their symptoms.  This will help us to understand why some individuals with Parkinson’s may develop compulsive behaviours and who might be at risk.  This will allow clinicians to take this into consideration when prescribing specific drugs.  The study will also lead to the development of more effective treatments.

The PDS strongly advises anyone who is anxious about their medication or its side effects  to discuss their concerns immediately with their doctor or Parkinson’s nurse, or to call the PDS freephone helpline on 0808 800 0303.