{
  "schema_version": 1,
  "kind": "condition",
  "id": "compulsive-gambling",
  "name": "Compulsive Gambling (Gambling Disorder)",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class PD99.00 - condition scope only, no dose · Impulse Control Disorders - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK562279/ · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 464,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "A behavioural addiction with persistent, recurrent gambling despite harm; there is no specific drug routinely used in primary care, so management is referral to psychiatry or addiction services for structured behavioural therapy, alongside screening for coexisting depression or substance use.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "A behavioural addiction with persistent, recurrent gambling despite harm; there is no specific drug routinely used in primary care, so management is referral to psychiatry or addiction services for structured behavioural therapy, alongside screening for coexisting depression or substance use.",
      "cautions": [
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Suicidal ideation related to financial or personal loss from gambling, or coexisting substance misuse or severe depression: assess urgently and refer."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "compulsive-gambling"
    }
  ]
}