Name: 醫師處方藥物引發衝動行為！BBC新聞警告 (Warning over prescription drugs causing impulsive behaviour | BBC News)
Uploaded: 2026-02-13T17:21:07.000Z
Duration: 6 min 56 s

Now the chair of the Commons Health Committee has called on the UK's drug regulator to review warnings about medications which can cause impulsive behaviour as a side effect.

英國衛生委員會主席已呼籲英國藥品監管機構，審查有關可能引起衝動行為副作用的藥物警示。

A BBC investigations found that for some patients the drugs cause compulsive gambling or sexual behaviour.

英國廣播公司（BBC）的調查發現，這些藥物對某些病患會引起強迫性賭博或性行為。

Our correspondent Noel Titheridge has this special investigation.

我們的記者 Noel Titheridge 帶來了這項特別調查。

He was incredibly straight laced, risk averse person.

他是個非常拘謹、規避風險的人。

Freddie's dad Bill was always a cautious man.

Freddie 的爸爸 Bill 一向是個謹慎的人。

He worked as a teacher his whole career and then aged 54 retired early.

他從事教職一輩子，然後在 54 歲時提早退休。

He'd developed some symptoms around his movement and speech, went on to medication.

他出現了一些運動和言語方面的症狀，開始服用藥物。

Shortly after, Bill was prescribed drugs which boost dopamine activity to treat Parkinson's.

不久後，Bill 被處方了能促進多巴胺活性的藥物來治療帕金森氏症。

Watching pornography openly and driving erratically.

公然觀看色情內容，以及開車時行為失控。

Before long he'd also sold the family home and suddenly needed money.

沒多久，他也賣掉了家裡的房子，突然需要錢。

These side effects of severe impulse control disorder hypersexuality made dad the perfect victim for a romance scam.

這些嚴重的衝動控制障礙和性慾亢進的副作用，讓爸爸成了愛情詐騙的完美受害者。

Freddy had never been warned about the side effects and by the time he found out about them in 2017, his dad had lost around 300,000 pounds.

Freddy 從來沒有被警告過副作用，等到他在 2017 年發現副作用時，他的爸爸已經損失了將近 30 萬英鎊。

But the money was of total insignificance.

Our investigations heard from scores of families who say these impulsive behaviors have led to huge debts, the breakup of families and even criminality.

我們的調查聽取了許多家庭的說法，他們表示這些衝動行為導致了巨額債務、家庭破裂，甚至犯罪。

One man stole £600,000 to fund his impulsive behavior.

一名男子偷了 60 萬英鎊來資助他的衝動行為。

Another woman lost over £150,000 to to gambling.

另一名女子因賭博損失了超過 15 萬英鎊。

From the age of 11, I was prescribed the drug that soon led to me going to arcades to gamble.

從 11 歲開始，我就被處方了這種藥物，不久後我就開始去遊樂場賭博。

Brandon has Tourette syndrome and had only just started secondary school when he was prescribed aripiprazole, a separate drug that's known as a partial dopamine agonist but also causes impulsive behavior.

Brandon 患有妥瑞氏症，剛上中學就被處方了 aripiprazole，這是一種單獨的藥物，被稱為部分多巴胺促效劑，但也會引起衝動行為。

I'd borrowed from several people, maybe tens of people, just got considerably worse, consistently worse, until I found myself in a lot of debt.

我向許多人借錢，可能數十人，情況持續惡化，直到我發現自己負債累累。

Brandon's mother says the family even raised his gambling problems with doctors.

Brandon 的母親說，家人甚至向醫生提出了他的賭博問題。

Brandon says they also never warned him about side effects and he's lost over £100,000 in total.

Brandon 說他們也從來沒有警告過他會有副作用，他總共損失了超過十萬英鎊。

It's ruined my life, you know, I've pushed a lot of people away and struggled with just lying and being deceitful towards the people who have done everything for me in my life.

這毀了我的生活，你知道的，我推開了很多人，而且一直在對那些在我生命中為我付出一切的人撒謊和欺騙。

The UK's drug regulator, the MHRA, says it has no plans to strengthen warnings and doesn't list the frequency of these side effects because many people don't report them.

英國的藥品監管機構 MHRA 表示，他們沒有計畫加強警告，也沒有列出這些副作用的頻率，因為很多人沒有回報。

It's not just a side effect that affects an individual, it's affecting their families, their communities.

這不只是一個影響個人的副作用，它還影響了他們的家人和社區。

The Chair of the UK Health Select Committee says this needs to change.

英國衛生委員會主席說，這需要改變。

It's so devastating as a lawmaker to see how badly those families have been let down by the system.

身為一位立法者，看到那些家庭被體系如此嚴重地辜負，真是太令人心痛了。

But what does it mean impulsive behaviours and how likely is it that they could get it?

但衝動行為到底是什麼意思，以及他們有多大的可能性會出現這種情況？

And at the moment, patients don't have that information and without it, how can they be expected to mitigate it?

而目前，病患沒有這些資訊，沒有這些資訊，又怎麼能期望他們去減輕這種情況呢？

Manufacturers of the drugs say they were extensively trialled, continue to be approved by regulators around the world and side effects are clearly stated.

這些藥物的製造商表示，它們經過了廣泛的試驗，並持續獲得世界各地監管機構的準許，副作用也已清楚說明。

Freddie says he'll spend the rest of his life living with the consequences.

Freddie 說他餘生都將活在後果之中。

I dread to think how many people have been impacted.

我真不敢想有多少人受到了影響。

BBC 新聞記者 Noel 前往 Ridge 報導。

Well, Joy, Noel joins me now in the studio.

Joy，Noel 現在在攝影棚和我一起。

I mean, it's a hard watch your investigation, isn't it, this?

I understand these cases just the tip of the iceberg.

我明白這些案例只是冰山一角。

Yeah, well, I've spent the past year speaking to families about the devastating consequences of side effects of this family of prescription drugs.

是的，過去一年我一直在和家屬談論這類處方藥對他們造成的毀滅性後果。

Now, schools have people have told me that they developed impulsive behaviors such as sex and gambling addictions that in turn led to huge debts, the breakup of marriages, criminality and even in one case, suicide.

現在，學校裡的人告訴我，他們出現了衝動行為，像是性成癮和賭博成癮，這又導致了巨額債務、婚姻破裂、犯罪，甚至在一個案例中導致了自殺。

One family told me about their previously well respected solicitor father who stole £600,000 to fund sex and bizarrely antiques he later took his own life.

一位家屬告訴我，他們原本備受尊敬的律師父親，偷了六十萬英鎊來支付性行為和古董的費用，之後他竟然自殺了。

Many of these people had two things in common.

They said they either weren't warned properly by doctors and they never made the link between their behavior and their medication.

他們說，醫生沒有好好警告他們，而且他們從來沒有將自己的行為和藥物連結起來。

It's been known for more than two decades that these drugs can cause impulsive behaviours and the side effects are common.

二十多年來，大家就知道這些藥物會引起衝動行為，副作用也很常見。

Around one in six Parkinson's patients are affected.

大約六分之一的帕金森氏症患者會受到影響。

It's really difficult to listen to that, isn't it?

What do the manufacturers and the authorities say about your investigation?

製造商和主管機關對你的調查有什麼說法？

Well, the government says our findings are hugely concerning.

不過，政府表示我們的發現非常令人擔憂。

But the UK drug regulator, the mhra, says there are no plans currently to change warnings.

但英國的藥品監管機構 mhra 表示，目前沒有計畫更改警告。

Manufacturers say that these drugs have been extensively trialled, repeatedly approved by regulators across the world and that the side effects are clearly stated.

製造商表示，這些藥物已經過廣泛的臨床試驗，並獲得全球監管機構的多次準許，副作用也已清楚說明。

These drugs are an established treatment and prescribed over a million and a half times by GPs alone in the UK in England last year.

這些藥物是既有的治療方法，光是英國英格蘭的家庭醫師去年就開立了一百五十萬次以上。

If you have any concerns, you should speak to your doctor.

如果您有任何疑慮，應該諮詢您的醫生。

And if we can just briefly talk a little bit more about how these drugs work because they're prescribed for things like you say Parkinson's.

而且，我們可以稍微多談一點這些藥物的作用方式嗎？因為就像您說的，它們是為帕金森氏症等疾病開立的。

How can they then lead to these sort of side effects?

它們怎麼會導致這類副作用呢？

Well, these drugs are called dopamine agonists, and

嗯，這些藥物稱為多巴胺促效劑，

they work by boosting the activity of dopamine in the brain.

它們的作用是促進大腦中多巴胺的活性。

Dopamine's a key chemical for movement, for coordinating movement, and

多巴胺是協調運動的關鍵化學物質，

so particularly helpful with Parkinson's, where sufferers face tremors and shakes.

對於帕金森氏症患者來說特別有幫助，因為他們會面臨顫抖和搖晃的症狀。

But dopamine is also key in driving feelings of reward and enjoyment, and

但多巴胺也是驅動獎勵和愉悅感的重要因素，

it's thought that these drugs can overstimulate these feelings.

據信這些藥物可能會過度刺激這些感覺。

Okay, and is there any action that's likely to be taken on this?

好的，那接下來會採取什麼行動嗎？

What conversations now, moving this forward?

現在有什麼討論，可以讓這件事往前推進？

Well, the chair of the Health Select Committee has now written to the UK drug regulator asking them to review findings.

嗯，衛生委員會的主席已經寫信給英國藥品監管機構，要求他們審查這些發現。

They want the commonality, the frequency of impulse control disorders to be included in warnings.

他們希望將衝動控制障礙的普遍性、發生頻率納入警告中。

It's really important work that you've done, Noel.

I know it's taken you a long time to get to this as well, but

我知道你花了很多時間才走到這一步，但是

really appreciate you coming in and talking about your story.

真的很高興你願意來分享你的故事。