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Car crashes in patients with Parkinson's disease have been associated
with sleep attacks caused by the dopamine agonists pramipexole and
ropinirole. Homann and colleagues (p 1483) reviewed 123 patients with
sleep events and found that sleep attacks do
exist (as distinct from somnolence), associated with all dopamine
drugs. Effective prevention and treatment strategies are lacking, and
there are insufficient data to ban patients from driving.

(Credit: SIPA/REX)