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Dopamine agonist impulse control — GPhC CRA MCQ

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ModerateCNS TherapeuticsDopamine agonist impulse controlGPhC CRA

A wife reports that her husband has developed gambling behaviour since pramipexole was increased for Parkinson's disease. He is embarrassed and asks the pharmacist not to tell anyone. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Encourage prompt prescriber review while maintaining confidentiality appropriately

Dopamine agonists can cause impulse-control disorders including gambling. The medicine should be reviewed, but abrupt withdrawal should be avoided without medical supervision. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS