Expert urges greater monitoring of side-effect of drug used to treat depression, psychosis and schizophrenia
Patients who are prescribed a common antipsychotic used to treat depression, bipolar disorder, psychosis and schizophrenia need to be told there is a risk they could develop a gambling addiction, an expert has warned.Clinic has observed growing numbers of patients who have developed a gambling addiction after starting to take aripiprazole. Some patients have lost huge sums of money as a result and seen their relationships fall apart.
“This is not just any side-effect – it can come with a risk of losing your own home. What we constantly see is that not enough people know about this. I gave a recent lecture to all the psychiatrists in my trust and a very large proportion had never heard about it,” she said. “We constantly hear about mental health teams not being aware. More needs to be done to prevent people from being put on aripirazole without being warned and monitored.
GPs receive alerts of side-effects when they prescribe drugs, but although pathological gambling is listed as a side-effect by the National Institute for Health and Care Excellence, it is not flagged. Doctors should should be mindful that stigma and shame often prevents people reporting symptoms of gambling harm, and look out for whether aripiprazole results in other compulsive behaviours, for example excessive drinking, drug-taking, sex or shopping, added Bowden-Jones.
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