The Fox Focus Spring/Summer 2017 - Page 11

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