Medication Lotto: Can a Drug Cause a Gambling Addiction?

Douglas S. Paauw, MD


October 01, 2014

A Sudden Case of Compulsive Gambling

A 74-year-old man is brought to the office by concerned family members. Recently he has begun spending all day at the casino nearby and has lost much of his retirement savings by gambling. The family reports that this is a new passion of his. His medical history is significant for coronary artery disease, depression, Parkinson disease, and gastroesophageal reflux disease.

Current medications include:

  • Fluoxetine (Prozac);

  • Rabeprazole (AcipHex®);

  • Levodopa-carbidopa (Sinemet®);

  • Pramipexole (Mirapex®); and

  • Metoprolol (Toprol®).


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