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Impulse Control Disorder on Dopamine Agonists. TV Drama Mr Bates v The Post Office

Joolsg profile image
79 Replies

I have been in touch with a producer of Mr Bates v The Post Office. This programme succeeded in forcing the British Government to pardon all those innocent postmasters falsely accused of theft.

The producer has been investigating Dopamine Agonists and Impulse Control Disorder since 2022 and would very much like to speak to anyone in the UK who has been affected, with a view to making a UK TV dramatisation.

Research studies show that up to 38% of patients taking dopamine agonists are affected by ICD, and rates are probably much higher because doctors and patients do not make the link between out of character gambling/spending/sexual behaviour and dopamine agonists. Also, many patients are too ashamed to mention it, even though the drugs have caused this behaviour.

So, if you have been affected by impulse spending ( making out of character purchases of items you would not ordinarily buy), gambling, over eating, or hypersexuality and are willing to tslk about it to this TV producer, please do send me your info and email by private message. I will pass your details/email address to the producer.

If a drama is made about this, we stand a chance of improving awareness among doctors of how widespread this serious side effect really is.

We have had members on here who have lost homes, marriages, careers and money because of ICD. One GP simply told one patient to join Gamblers Anonymous.

Enough! It's time to fight back against the ignorance and negligence.

We may even succeed in getting dopaminergic drugs relegated to 'end of life' situations and better training and treatment of RLS.

I really hope many of you will get in touch.

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Joolsg
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79 Replies
DesertOasis profile image
DesertOasis

Great work! Send him the names of doctors and hospitals who are known prescribers. Though that’s a lawsuit waiting to happen for the producer. With advanced technology all over the world, patient testimonials could be provided via Skype from just about anywhere.

Joolsg profile image
Joolsg in reply to DesertOasis

The producer is already in talks with the City Law firm that has brought hundreds of cases against big Pharma and UK doctors and neurologists.At the moment, the producer wants to talk to patients in the UK only.

DesertOasis profile image
DesertOasis in reply to Joolsg

Sounds like a good plan! I shouldn’t, but I have a some small amount of sympathy for the doctors. In law, the doctors can (as you know) be referred to as “empty head, good heart.”

Correction: “Empty head, pure heart.” Law school was a long time ago

Joolsg profile image
Joolsg in reply to DesertOasis

Interesting point. In the UK, lawyers have to stay up to date with the latest laws, case law and precedent. It doesn't seem to be the case for doctors. Otherwise, neurologists would know about ICD and Augmentation.

DesertOasis profile image
DesertOasis in reply to Joolsg

As attorneys, there’s nothing my brother and I hate more than lawsuits. The best liar wins. In my late middle-age, I’ve realized the good guys aren’t always so good and the bad guys aren’t always so bad. TV producers are looking for fame and fortune, I on the other hand would be looking for public enlightment. Plus, in a war torn world with unimaginable human suffering, the public is searching for happy endings or a “wow” moment. The RLS/DA story is like a vast web that pulls in dozens of substances from melatonin to SSRIs to calcium channel blockers and finally to the redemption of opiates. If the producer presents it as a payback story, I believe he will miss the mark and the RLS community will not be well served. One of the many doctors I’ve seen in my lifetime was an interventional radiologist. I saw a speech on-line that he gave at an awards ceremony. At the very end he thanked “the patients who suffered so that we may learn.” That would be my ending to the DA story. To thank the DA victims who suffered so the world may learn. Of course let the lawsuits go forward, but if that’s the focus of the show???

Joolsg profile image
Joolsg in reply to DesertOasis

No it isn't. These producers achieved justice for thousands of wrongly convicted postmasters in the UK.They made an excellent, factual, well researched docu drama.

The legal cases are completely separate and are necessary to force the UK medical Profession to teach RLS. Litigation here in the UK is not as easy as in the USA.

There have been successful actions against big Pharma for failure to warn about ICD, because big Pharma knew in the 90s that it was an enormous problem.

This programme will hopefully signal the alarm about dopamine agonists which are STILL first line treatment here.

So I'm confident the producer will raise awareness of the scale of ICD and the complete lack of teaching and training in the UK.

RLS-UK backed a campaign in 2020 to get RLS included on the teaching curriculum. The medical professional body here refused point blank.

Joolsg profile image
Joolsg in reply to DesertOasis

The producer contacted the legal firm to try to find anyone affected by ICD who's willing to talk about it to help others realise the drugs are causing the ICD. No other reason. I suspect most cases were settled out of court and Non disclosure agreements were signed.Hey ho.

DesertOasis profile image
DesertOasis in reply to Joolsg

Good compensation will go a long way to help these people get their lives back. I just keep thinking about the millions of people out there on antidepressants and if 10% of them are pre-disposed to RLS, the needless suffering is abhorrent.

Joolsg profile image
Joolsg in reply to DesertOasis

I remember well on around 2013 when Ropinirole had stopped working and my old MS neurologist prescribed Amitriptyline. I didn't sleep all night and knew immediately the Amitriptyline had worsened it. He said, 'oh yes, that can happen, but rarely.' We know that is untrue.But the majority of neurologists here and in the USA just won't read any research on RLS. Doctors here tell off patients for consulting 'Dr Google' and Help forums.

It really is time for it to end. I came off Ropinirole in 2016, 8 years ago.

And neurologists are still refusing iron infusions or low dose opioids.

I firmly believe that things will change and that we will all be able to say

'I told you so'.

Onwards and upwards.

DesertOasis profile image
DesertOasis in reply to Joolsg

It’s surreal. Like still living in the Dark Ages. Yes onwards and upwards. The research I would like to see done is for the next millennium. I want to see treatments, as annoying as they might be for a few hours, that increase the number and density of our D2 receptors, even if it has to be done on and off for a lifetime. Just one more “benign” treatment option. Magnesium might actually be one. This is another - very harsh, but makes you wonder if relevant before someone starts drawing down on the DAs researchgate.net/publicatio...

Joolsg profile image
Joolsg in reply to DesertOasis

That could also help many other neurological diseases. Very interesting. However, as we can't even get iron infusions here when patients are severely anaemic, TMS will be very far down the list of treatments. Unless the patient can afford to pay for private treatment.I've been taking Lion's Mane for around 7 months to regrow/stimulate neural pathways for my MS.

There are many alternative & standard treatments out there that should be tried before meds.

And I'm pretty hopeful DAs will be banned.

DesertOasis profile image
DesertOasis in reply to Joolsg

Well wait, how do you feel on the Lion’s Mane?

Joolsg profile image
Joolsg in reply to DesertOasis

Not sure as I'm on a new MS medication that 'resets' the immune system. So I am feeling that my walking is a little better but no idea if that is the Cladribine or Lion's mane.

DesertOasis profile image
DesertOasis in reply to Joolsg

I’ll take small improvements. Sometimes that’s all that’s needed.

DesertOasis profile image
DesertOasis in reply to Joolsg

Yep, you found a good one. mdpi.com/1422-0067/24/21/15960

Pallawalla profile image
Pallawalla in reply to Joolsg

Joolsg can you tell me what brand and where you buy the Lions Mane, please. I'm in the US. I'm on Gabapentin and have been on it since 2013. Having memory, balance and dropping things issues. I'm wanting off the Gabapentin and I'm in the process of this with my Neurologist. You are a God send!

Joolsg profile image
Joolsg in reply to Pallawalla

Lion's mane is for MS, so I don't think it will replace RLS meds. I buy mine from Amazon.

SueJohnson profile image
SueJohnson in reply to Pallawalla

You might want to try switching to pregabalin. Although it is basically the same drug except you don't need to divide the doses, and the side effects are basically the same, some people find that the side effects that bother them on one don't bother them on the other. Divide the gabapentin amount by 6 to get the correct dose.

If you don't try this and you continue to come off the gabapentin you need to do so very slowly to avoid withdrawal effects. Reduce by 100 - 200 mg every 2 weeks. If you do so you will have no withdrawal effects.

Pallawalla profile image
Pallawalla in reply to SueJohnson

Thank you very much!

Huntingleroy profile image
Huntingleroy in reply to Joolsg

Hi Jules , so wow I got prescribed Buprenorphine ! Sublingual tablet 0.4 mgs . Night 1 wasnt great for first 3 hrs but paperwork said normal . Night 2 , maybe 5 mins of rls in night . Didnt get a great deal of sleep but prob had more than I thought .Im weaning Gabapentin very slowly . Not sure when to take Bupren, have been taking it about 1.5 hrs before bed . No nausea at all so looking good . Dr said I could go up to 0.6mg if needed but next size seems to be 2mgs so bit confused .Hope you are ok ?Thank you again for all your help

Joolsg profile image
Joolsg in reply to Huntingleroy

I'm so pleased for you. I take 0.2mg at 9pm and 0.2mg at midnight. That's because I started to get RLS around 8pm after the first week, so I worked out that I could extend the cover by taking it in 2 doses. Buprenorphine in Europe comes in 0.2mg pills. In the USA, the smallest pill is 2mg. Average dose is 1 to 1.5mg. Stay on the lowest dose that gives you 24 hour cover.

Opioid wakefulness can happen, but a small dose of gabapentin can counter that.

I do hope it continues to work.

DesertOasis profile image
DesertOasis in reply to Joolsg

Is this reply-bomb Jools day? I can’t read this article without primal screaming. This man has severe clinical depression and severe RLS, is on multiple RLS triggering medications, yet none of these doctors are making the connection. The patient himself thinks it’s the depression that’s causing the RLS. This is a 2020 article. The doctors pat themselves on the back because TMC (not ECT) seemed to helped him. In all earnestness, they want to help this guy. Why don’t they call us??? Why don’t they know they need to switch him to an RLS friendly anti-d. I don’t even think he’s on a DA, yet his RLS is gruesome despite opiates. What I’m trying to say, and what you know all too well, is that the ignorance goes well beyond DAs. journals.lww.com/ectjournal...

Joolsg profile image
Joolsg in reply to DesertOasis

Sadly that link isn't working.Can you try resending it.

DesertOasis profile image
DesertOasis in reply to Joolsg

see if you can read this

Hard to read
Joolsg profile image
Joolsg in reply to DesertOasis

It worked. I read it. It's worrying that the patient was probably on anti depressants which caused the RLS in the first place.

DesertOasis profile image
DesertOasis in reply to Joolsg

It’s like the Twilight Zone out there. Where the couple drives 100 miles only to keep winding up at the same motel. I feel like we”re running in place.

LotteM profile image
LotteM in reply to Joolsg

There is no mention anywhere in the report of this patient using antidepressants. On the second page - not posted by DesertOasis, it says that the man reported delayed improvement of his symptoms accompanied by a considerable reduction (halving) of his (opioid) medicines. Also, his depressive symptoms improved markedly. We'd better not make unsupported assumptions.

There are quite a few more papers about TMS for RLS. There are two recent (2023-2024) reviews by Lanza et al, unfortunately the full papers are only available through an institution or by paying. I tried to attach the pdfs as a picture, but that didn't work. They conclude that the TMS led to reduced symptoms lasting for up to several weeks, but that the type of TMS protocol to be used still need work.

Joolsg profile image
Joolsg in reply to DesertOasis

I've read it. Yes it's worrying that these case reports keep appearing and the writers seem completely unaware that all anti depressants and anti psychotics trigger/worsen RLS.Here in the UK, neurologists still prescribe Amitriptyline for 'nerve pain' to settle RLS.

That's why something has to give.

The medical profession refuse to learn the basics of RLS.

DesertOasis profile image
DesertOasis in reply to Joolsg

I called and emailed them. I feel like that man walking along the beach throwing starfish back in the oceans when another man comments to him that there are tens of thousands of them and he can’t save all of them. He picks up another starfish and says “but I can save this one.”😁 Eh, they’ll delete my messages and chalk it up to another crackpot.

Amrob profile image
Amrob in reply to DesertOasis

I'm curious as to how you know the producer is a "he"?

DesertOasis profile image
DesertOasis in reply to Amrob

Hi Amrob, I didn’t contact the producer. I contacted a male doctor that had published a case study of a patient with RLS treated with transcranial magnetic something

Amrob profile image
Amrob in reply to DesertOasis

🙂 I was actually referring to the first line of your response to Jools.

"Great work! Send him the names of doctors and hospitals who are known prescribers."

HipHop1972 profile image
HipHop1972

Hi Joolsg, you are indeed a wondrous Woman. I would be willing to take part but my side affects were relatively minor which is, I believe, why the other company didn’t find it interesting during the zoom meeting I had with them. But I will send it through to you if you can explain how on earth I do private posts. 🤣

Joolsg profile image
Joolsg in reply to HipHop1972

Click on the chat arrow. I'll message you now and you can reply. Thanks so much.

WideBody profile image
WideBody

Great Work, if they want to hear from Oregon, USA, I am available!

I hate pharmaceuticals and I hold a grudge. I wish I never heard of Pramexapoli, mirapex and ropinerole. Augmentation was hell on earth, I mean why would anyone warn me of going cold turkey! Grrrrh.

I am going for a walk. Good luck finding volunteers!

Joolsg profile image
Joolsg in reply to WideBody

Thanks so much. For now, the producer is concentrating on UK patients affected by impulse Control Disorder.But, if it gets made, it may lead to docu dramas in other countries.

I was horrified to read recently in the notrs to the American Sleep Academy new draft guidelines that since 2018, 70% of new RLS patients have been prescribed dopamine agonists in the USA.

That figure will be similar here in the UK.

A whole new generation condemned to augmentation and ICD.

Elisse3 profile image
Elisse3

That would be amazing to get that made and on the tv. Hope you get enough people come forward Is there a way i can get this to the fb groups the big one must have a few from the UK who have experience it.

Joolsg profile image
Joolsg in reply to Elisse3

Yes, please do. You can copy the link and post it on FB, or ask anyone who has developed impulse buying, gambling, hypersexuality and who would be willing to talk about it, to send you a message and you can forward it to me via chat on here.

Pippins2 profile image
Pippins2

Joolsg you are our very own Mr Bates ! Thankyou ❤️

Joolsg profile image
Joolsg in reply to Pippins2

Not quite, LOL, but speaking to Leigh Day solicitors was helpful as they put me in touch with the TV producer.

LotteM profile image
LotteM

Jules, you are exceptional! I hope you and they will pull it off

Good drama, by the way, the Mr Bates vs the Post Office. I thoroughly enjoyed the drama, but was horrified by the story. Here in NL we had something similar with allowances for child care.

Joolsg profile image
Joolsg in reply to LotteM

Early days Lotte, but fingers' crossed.

LotteM profile image
LotteM in reply to Joolsg

Not early days. Your ability to get in touch with the right people and get them to respond and even interested I find stunning. You must have a way with words and striking the right cord.

Joolsg profile image
Joolsg in reply to LotteM

Husband calls me the most stubborn person he's ever met. I think that explains it. 🤔

LotteM profile image
LotteM in reply to Joolsg

I think it is something different. But the stubbornness certainly helps 😅

SueJohnson profile image
SueJohnson in reply to Joolsg

My laugh for the day. Thank goodness you are!

Claire_lc profile image
Claire_lc

With an intro from Jools, I have been in touch with the producers today. I’m certain I suffered from ICD during my 12 years on ropinirole, and Leigh Day solicitors think I may have a case given what can only be described as compulsive spending during that time.

It’s definitely embarrassing to admit to such behaviour, but I feel so strongly that we need to expose the drug companies for what they’ve put us through, that I’m putting those feelings of shame to one side.

Jools is right - it’s time to take off our gloves and fight!

Elisse3 profile image
Elisse3 in reply to Claire_lc

Dont be embarrassed it wasn’t your fault. Well done putting your name forward

Joolsg profile image
Joolsg in reply to Claire_lc

Thank you so much. It's the drug, not you. Big Pharma have paid out billions in class actions. They knew about this in the 1990s! But the medical profession need to teach RLS and the very, very common side effects of augmentation AND ICD. As they have refused, legal action & a documentary will have to force them to learn.

Jules1953 profile image
Jules1953

This is fantastic news and opportunity. I live in Western Australia and can relate to ICD after being on dopamine agonist medication for many years. I really hope this investigation and program goes ahead. Please let the producer know that this is a world wide issue. Kind regards Julie McGowan.

Joolsg profile image
Joolsg in reply to Jules1953

I will. X

Elisse3 profile image
Elisse3

It’s now been posted on the big RLS fb group fingers crossed i get a few pm from those who want to talk to the producer.

Joolsg profile image
Joolsg in reply to Elisse3

Thank you so much Elisse. Fingers 🤞

dickJones profile image
dickJones

All power, Jools! I went through the usual hideous struggles with Ropinerole, but was free of ICD. But all of us who spend time or have spent time on the RLS/PLMD front line and have researched our condition are dynamically aware of the deeper horrors attendant on dopamine agonists and the obduracy of the medical profession. May those out there who use this wonderful resource and who have suffered from the extremities of a brutal treatment regime fed by wilful ignorance flood your inbox with their narratives! We await your news…

Jumpey profile image
Jumpey

Well done Jools .And thank you.

Eccleston profile image
Eccleston

Interesting! When I was diagnosed with RLS the initial treatment proposed was Ropinirole. I declined this due to the potential for ICD. Ferritin was also low and is currently monitored regularly and maintained >100. Thankfully I have remained off Ropinirole or similar but now have little assistance from the team who identified RLS.Eccleston

Joolsg profile image
Joolsg in reply to Eccleston

There are treatments available. Raising serum ferritin above 200ųg/L is the first step. Safely replacing all trigger medications ( anti depressants, anti histamines, statins, beta blockers, PPI meds) is the second.Then gabapentinoids can be tried. Visit the RLSUK website, where it's all set out.

sigurdur profile image
sigurdur

Looking over the list of orders made on Amazon, I can see it has gone down immensely since I stopped taking pramipexole. 😀

Joolsg profile image
Joolsg in reply to sigurdur

If you feel you want to share your story, do message me.

Bowie4eva profile image
Bowie4eva

Fabulous. Jools, , all the very best with it. The fact that I have never taken dopamine agonists for my appalling RLS is ONLY thanks to this forum. Hope this gets made, the word spreads and we finally all get proper help. Pigs may fly 🐷 🪽 ….. But hope springs eternal 🤞🏿

Elisse3 profile image
Elisse3

No luck so far 🙁. Only those in the USA have said it happened to them. But got good response hoping it will get made. I am bumping it up every few hrs so people will see it.

Joolsg profile image
Joolsg in reply to Elisse3

Fingers crossed🤞

Merny5 profile image
Merny5

Great work again Jools! Your dedication, or stubbornness😃is admirable! I certainly suffered ICD when on a dopamine agonists. I would be willing to share my experiences but live in the US. If something changes and they want to expanded a bit, please let us know. Keep up the great work! Thank you

Joolsg profile image
Joolsg in reply to Merny5

I will Merny, thank you.

Jelbea profile image
Jelbea

Dear Joolsg - Congratulations - your perseverance has paid off. I am delighted for you. I do hope you will be able to get enough UK citizens willing to tell their story.

It would be wonderful if this producer would also take into account the horrific stories from people who have had to get off DAs. I think that is where the very real suffering is found with many contemplating suicide. However, this is a wonderful chance to get something concrete up and running for proper teaching at medical school level.

All of us who have suffered for a life-time can see that our quality of life has been very much poorer than our friends and family who do not have RLS. My late husband and I stopped going to the cinema or theatre decades ago so it affected his life also.

Anyhow I pray that this project will take off big-time towards helping present and future sufferers to have a better life.

We cannot thank you enough

Joolsg profile image
Joolsg in reply to Jelbea

Thanks Jelbea,I did discuss the current tsunami of augmentation and the hell of withdrawal, but the TV producer needs to have 'shock factor' to get the public onside. And if that happens, the medical profession will have to 'wake up' and start to study the common side effects. So it will indirectly benefit all others suffering augmentation.

Amrob profile image
Amrob

Good work Jools! It would be fantastic to have a docu-drama made on this subject.

Joolsg profile image
Joolsg in reply to Amrob

Fingers crossed🤞

Joolsg profile image
Joolsg

Bump

JenniferBut profile image
JenniferBut

This is fabulous! Thanks for sharing. That post show was awesome but god it made me angry. Full on

Huntingleroy profile image
Huntingleroy

Well done Jules I def suffered with Icd on the DA's from an eating point of view. I would eat anything I could get my hands on . In a hotel once I ate a whole packet of mints because thats all I had . My neurologist despite me being concerned about augmentation just put my dose up even higher so withdrawing was pure hell .Most Gp's are totally clueless . GOOD LUCK !

Joolsg profile image
Joolsg in reply to Huntingleroy

I do hope something happens. Most Doctors refuse to listen and a TV programme may force the medical profession to learn about RLS, dopamine agonists, augmentation and ICD.

Dotmowatee profile image
Dotmowatee

I have emailed the producer, I have issues with food. Had to fight for an iron infusion and opiates. I now have a new GP who listens and an excellent pharmacist. I also shamed my local neurologist with my knowledge. Shouldn't be.

Joolsg profile image
Joolsg in reply to Dotmowatee

Thank you so much.There are innocent people in prison because ICD has totally messed with their brains & caused impulsive spending/gambling funded by out of character theft.

Big Pharma have known about it since the 1990s and when sued in 2009, covered themselves by putting warnings on med leaflets.

So, sadly, to stop doctors prescribing any more dopamine agonists, this AND legal action is the ONLY option left.

😊

Dotmowatee profile image
Dotmowatee in reply to Joolsg

Thank you for all your efforts, so necessary and much appreciated.

Thank you so so so so much Joolsg. Your stubborn streak is a beautiful trait.

🤞. Hopefully people will find the courage to come forward.

This can only be a good thing for sufferers. I don’t pity the medical professionals who are supposed to have a duty of care. If enough of them had the integrity to do due diligence we wouldn’t have to bare our souls on tv to enact change.

I luckily found this forum in time to be knowledgeable enough to point bank refuse treatment with DA’s.

Once again thank you for fighting the good fight on behalf of us all, those who went before us and for those who aren’t yet afflicted. We appreciate you immensely.

Joolsg profile image
Joolsg

Bump

Joolsg profile image
Joolsg

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Joolsg profile image
Joolsg

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