Doctor insights on:
Dopamine Agonist Medication
Mostly: Wellbutrin (bupropion) interferes with reuptake of dopamine&norepinephrine (noradrenaline)in the central nervous system, thereby leaving these neurotransmitters to sit longer&stronger in the synapse between communicating brain cells, which enhances dopamine&adrenaline activity at the cellular level. That can treat depression, feed pleasure to help sex&bypass tobacco, improve adhd&cognition, lower weight, etc. ...Read more
Are there any Drs. Here that have significant experience with Dopamine Agonist Withdrawl Syndrome? I like my P doc, but I'm his first cause of DAWS
Root cause: While it is important to understand all options available for parkinson's treatment, looking for the underlying causes and trying to treat those can help the symptoms and slow the progression of the disease. Parkinson's is a neurodegenerative disease, which is affected by genetics, toxins, nutritional deficiencies and lifestyle. These factors need to be evaluated and then addressed. ...Read more
Yes they can: Any physician can prescribe psychiatric medicines. If one has been evaluated and treated by a specialist, and is mentally stable, then I see no reason why it would not be safe for a pcp to continue prescribing. ...Read more
If Adderall (dextroamphetamine and racemic amphetamine) possibly depleted my dopamine, granted it didn't damage the receptors, would a dopamine agonist or reuptake help me to feel pleasure again?
You're into what unfortunately most Americans (doctors, patients, nurses, etc) do all the time...chase the side effects or the unwanted actions of one drug with the expected benefits from another. Huh??
I believe we should be rather preaching the art of being patient and calm. Nature knows how to rehabilitate us better than we do. Give time to your body to return itself to its operating baseline ...Read more
Could a prolactin level of 30.8 and insuf vitamin D be indicator of low dopamine needing treatment with a dopamine agonist?
Prolactin -hi, low D: The need for dopamine replacement, as in Parkinsons's, presents with motor symptoms like cogwheel rigidity, gait changes. Too much dopamine can lead to psychotic symptoms. Meds as SSRIs, gaba, estrogen opioids, risperidone can increase prolactin.May be lab variation repeat in 1 month, may be due to prolactinoma a common small mass in the pituitary, check MRI. Low Vit D is commo f/u/w/doc ...Read more
Can psychiatrists prescribe a dopamine agonist like dostinex (cabergoline) to patients with OCD and Anxiety or depression?
Anything: Hi. Psychiatrists can prescribe anything the want to that they deem is good for patient care! They're licensed physicians! ...Read more
If someone has depression & restless leg syndrome due to renal failure, what type of antidepressant is best. Dopamine agonist, ssri, benzo, or combo.
Yes: All medications can have side effects or complications. This must be weighed against the risk of not treating. Dopamine agonists can cause insomnia, tolerance, hallucinations and agitation. Ldopa used for RLS is usually at a low dose with minimal risk but for parkinsons the above complications should be looked for. Adhd medications have potential for abuse in patients who don't have true adhd. ...Read more
Yes: Quersttine, curcumin.Get a more detailed answer ›
Antidepressants: Yes but they tend to be tricky. Dopamine agonist include stimulants and parkinsons medications. They can lead to dependence, tolerance and lose effectiveness fairly quickly. The brain likes to balance effects so rapid acting medications like drugs of abuse cause the body to resist the change. This is why antidepressants that take awhile to work have more enduring benefit. ...Read more
Is safe to take dostinex (cabergoline) when the pacient has severe OCD? I ask because as a agonist of dopamine it can increase anxiety levels.
Have often had this question for my patients. Need to coordinate between psychiatrist and endocrinologist. My particular concern would be if using a dopamine antagonist medication, usually atypical anti psychotic. So that effectiveness of medication may be less. Also, the dopamine stimulation could in theory bring on as you say anxiety or psychotic symptoms. Glad to go into
detail. ...Read more
I am breaking out in hives and will not tolerate dopamine agonists anymore for treatment of parinsons, what will substitute?
Why?: Dopamine agonists generally don't make good antidepressants as there is rapid tolerance to this effect. This leads to agitation and addiction with dramatic worsening on discontinuation. There are better ways of getting enhanced Dopamine effect for depression with use of MAO inhibitors, wellbutrin or atypical antipsychotics like Abilify (aripiprazole) or seroquel. ...Read more
I am breaking out in hives from requip (ropinirole) for Parkinson's disease, will other dopamine agonists give me hives?
Perhaps not: Worthwhile trying Neupro (rotigotine) patch, which may not cause the allergic rxtn. If this too fails, go to various l-dopa preps, as unlikely to cause similar process. ...Read more
Dopamine Agonists raise or lower Dopamine levels? Have high prolactin, due for MRI pituitary gland, want to know L-thyrosine use was bad idea in past?
Do Dopamine agonists for Restless Leg Syndrome cross the Blood Brain Barrier? If not, why are side effects like psychosis possible?
Are there medications out there that are non-narcotic and work specifically on the increase of dopamine and endorphin levels?
What Dr Junig said!: Wellbutrin (or bupropion) is an excellent medication for folks who have previously struggled with drug addiction. It is not addictive, helps many to avoid use, and does not cause weight gain or sexual side effects. It also helps people quit smoking (and is marketed as zyban). This medication does not control anxiety, however. Increase endorphins by exercising vigorously! ...Read more
Other BP meds: There are many alternative families of BP meds that can be used in asthmatic patients. Even if one has a medical condition where a beta blocker is the best choice, there are some of that family that affect asthma less than others. Discuss options with fp/allergist/ pulmonologist/internist. ...Read more
I've had Post-SSRI sexual dysfunction (PSSD) from taking Citalopram for about two years now. Is there any medication available that would enhance dopamine signalling or did I fry my dopamine circuits beyond repair?
For educational purposes: Do people who suffer addictive behavior get medication that lowers or raises dopamine?
If only it were. ..: So simple :/ treatment of addiction must be personalized 4 ea pt, substance used, or behavior patient is addicted to. Treatments often work best when combined, and no one treatment is right for everyone. Components of treatment may include psychotherapy, 12 step meetings, replacement therapy (typically increase circulating dopamine) or dopamine blocking agent), tx of underlying psych dz, to start. ...Read more
Dopamine: I would seek out a certified addictions specialist. Some primary physicians and pain mgmt practitioners manage this. ...Read more
My friend has been taking Adderall (dextroamphetamine and racemic amphetamine) 30mg a day for the past three months. Does this medication cause a permanent down regulation of dopamine receptors?
Adding a dopamine medication such as latuda/wellbutrin to an ocd/bipolar patient--wouldn't this make the OCD worse?
Not really.: Latuda (lurasidone) is an antipsychotic. Sometimes ocd is so severe that it reaches psychotic proportions, that Latuda (lurasidone) can help. But it is not indicated for ocd itself. Wellbutrin is an antidepressant of the aminoketone group, a Dopamine agonist and norepinephrine reuptake inhibitor. It is not indicated for ocd but may help the depression in ocd. Neither drug can make ocd worse. ...Read more
List different dopamine boosting medications for depression that don't cause erectile dysfunction or drowsiness and are compatible with moclobemide.
Yes, SIR!: The common 1st-line antidepressants are serotonin & norepinephrine modulators. Dopaminergic agents are usually reserved for psychotic disorders or as 2nd-line agents for refractory depression. And they don't "boost" dopamine, they actually BLOCK dopamine. Dopamine "boosters" are used for Parkinson's disease, & they can CAUSE psychosis. You have a bit of reading up to do. ...Read more
Essential tremor 80 yr male taking lots of risks climbing ladders driving 180 miles in a day. Focused on cleaning house Could this be due to low amount of dopamine found in MRI scan 2yrs ago and refused medication as wanted a normal life without drug?
Treatment not cure: The best and most effective medications for essential tremor reduce the tremor by 50% at best. There is no medication that is 100% effective. E.g. Propranolol may require very high doses to be effective but then produce unwanted side effects. This is a constant battle for patients! Check out: www. Essentialtremor. Org for best information and products to use other than drugs. ...Read more
80 yr old fit male always had low blood pressure Have essential tremor from MRI and lower than normal Dopamine levels I did not want to take the medication which most likely turn me into zombie, could propranolol 2x10mg aday be ok with my low BP?
Need more info: It sounds like you are in the process of being evaluated for a potentially complex problem. Would need more information to make any useful suggestions. Consider an inbox consult for a second opinion. ...Read more
Acetylcholine: It is an agonist for both muscarinic an nicotinic receptors. ...Read more
Weaning: Dopamine is an acute hemodynamic IV drug which usually is removed by titrating the dose rate down by 50% monitoring for a few hours and then cutting down another 50% until minimal dose rate is present and the dose is stopped. Amiodarone has such a long half time that we don't wean it. We stop the amiodarone and its long half time takes care of the amio weaning, in general. ...Read more
After taking drugs like ecstasy 2 pills per month. How long does it take for your serotonin and dopamine to come back to normal?
Impossible to say: MDMA has shown some evidence of permanent damage to the dopamine system. It can take months to a year for temporary drug damage to heal in the brain. Also, multible drugs besides MDMA are currently being sold as ecstasy because of the high demand for MDMA, So impossible to more accurately answer your question. ...Read more