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C Mouly1, F Borson-Chazot2, P Caron1

  • 1Service d'endocrinologie, maladies métaboliques et nutrition, hôpital Larrey, 24 chemin de Pouvourville, 31059 Toulouse, France.

Annales D'Endocrinologie
|November 22, 2017
PubMed
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Dopamine agonists used for prolactinoma treatment can trigger impulse control disorders like hypersexuality. Oxytocin influences social and eating behaviors, showing potential for endocrine and nutritional conditions, though clinical use is limited.

Area of Science:

  • Neuroendocrinology
  • Behavioral Science

Background:

  • Pituitary hormones significantly influence behavior.
  • Dopamine agonists (DA) for prolactinoma treatment are associated with impulse control disorders (ICD), including hypersexuality, gambling, and compulsive shopping.
  • These ICDs can occur even at low DA doses and appear unrelated to the specific drug molecule or prior psychiatric history.

Purpose of the Study:

  • To highlight the potential for dopamine agonist-induced impulse control disorders in prolactinoma patients.
  • To explore the role of oxytocin in social and eating behaviors.
  • To review the therapeutic potential and current limitations of oxytocin in endocrine and nutritional pathologies.

Main Methods:

  • Literature review of studies on dopamine agonist side effects.
Keywords:
Agonistes dopaminergiquesAttachement socialComportement alimentaireDopamine agonistsEating behaviourImpulse control disordersOcytocineOxytocinSocial attachmentTroubles compulsifs

Related Experiment Videos

  • Review of research on oxytocin's neuroendocrine functions.
  • Analysis of clinical studies investigating oxytocin treatment for endocrine and nutritional conditions.

    • Main Results:

    • Dopamine agonists can induce ICDs, potentially due to dopaminergic pathway dysregulation in the reward system.
    • Oxytocin impacts social behaviors (attachment, empathy) and has an anorexigenic effect on eating behavior.
    • Preliminary studies suggest oxytocin's relevance in post-surgery craniopharyngioma, panhypopituitarism, and obesity, but clinical application faces challenges.

    Conclusions:

    • Screening for ICDs is crucial in patients treated with dopamine agonists for prolactinomas.
    • Oxytocin shows promise for treating certain endocrine and nutritional disorders, but further research is needed to overcome clinical application barriers.