Lesson of the month (1): cabergoline - 'i eat funny on that'.
We present the case of a patient treated for hyperprolactinaemia with weekly doses of cabergoline for 12 years. Over this time she had suffered from binge eating and compulsive shopping which impacted on her weight and made her finances precarious. We discuss the features of impulse control disorders and suggest that seeking out these side effects in patients taking such agents is important. The behaviours may be embarrassing and patients may not volunteer them, likewise if the doctor dismisses them they may continue unabated, causing significant social harm.
St George's University, Tooting, London, UK.
Vidath Sasanka
VS
Premaratne
Ivan
I
Saeger
Bridget K
BK
Macdonald
D000328:Adult; D002032:Bulimia / Q000139:chemically induced*; D000077465:Cabergoline; D003192:Compulsive Behavior / Q000139:chemically induced*; D018491:Dopamine Agonists / Q000009:adverse effects*; D004873:Ergolines / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006966:Hyperprolactinemia / Q000188:drug therapy*; D007175:Impulsive Behavior / Q000139:chemically induced; D016728:Self-Injurious Behavior / Q000139:chemically induced
D018491:Dopamine Agonists; D004873:Ergolines; D000077465:Cabergoline