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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Dopamine Agonists – RLP Episode 018

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 7 June 2018

⏱️ 8 minutes

🧾️ Download transcript

Summary

On today's episode I talk about the dopamine agonists and their role in Parkinson's as well as RLS.  I cover adverse effects, mechanism of action and drug interactions amongst other things! Enjoy!

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Transcript

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0:00.0

Welcome back to the real-life pharmacology podcast.

0:04.6

Hope you're enjoying the first few episodes there.

0:08.4

We're up to number 18, I believe, here.

0:12.3

And with this episode, I'm going to cover dopamine agonis.

0:18.3

Okay, so this class of medication is typically referred to as Parkinson's medication or an anti-parkinson's type agent.

0:30.7

And the two classic medications that I always see used in clinical practice is pramapixel, which the brand name for that is Myrapex, Enropineral.

0:41.6

Brand name is Requip.

0:44.5

Now, again, dopamine agonist,

0:46.9

so this is going to stimulate dopamine receptors in the central nervous system,

0:53.2

and in giving that dopamine stimulation,

0:58.3

that can help manage Parkinson's. So with that said, I've talked about the antipsychotics

1:06.4

before in their role as being a dopamine antagonist.

1:13.2

So if you remember these agents,

1:15.0

the prima peypaxil and the ripineral,

1:17.6

these are going to be dopamine agonists,

1:21.3

so the opposite of antipsychotic type medications as far as their mechanism of action goes.

1:25.9

So hopefully that can allow you to remember that these medications can be used for

1:35.7

Parkinson's. In clinical practice, however, most often I see these medications used for restless leg syndrome.

1:47.0

So a very important distinction to remember there.

1:51.1

Memorable side effects from these medications.

1:54.7

Orthostasis can happen.

1:56.9

Rarely I've seen edema happen or kind of swelling around the ankles.

...

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