What is Pramipexole Dihydrochloride Er: Uses, Warnings & Interactions

Updated Jan 13, 2021  •  Published Dec 30, 2020

Pramipexole Dihydrochloride Er overview

BRAND NAMES:

  • Mirapex, Mirapex ER

Generic Names:

  • Pramipexole Dihydrochloride Er

Uses:

  • Treats Parkinson disease and restless legs syndrome.

Therapeutic Classes:

  • Antiparkinsonian

Forms:

  • Long Acting Tablet, Tablet

How it’s taken:

  • By mouth

What form(s) does Pramipexole Dihydrochloride Er come in

  • Long Acting Tablet

  • Tablet

What are common Pramipexole Dihydrochloride Er doses?

  • Bottle 30 Tablets Extended Release 24 Hour

Common Pramipexole Dihydrochloride Er prescriptions

  • Pramipexole Dihydrochloride ER
    30 tablets extended release 24 hour bottle

How to take Pramipexole Dihydrochloride Er

  • Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Missed dose: Regular tablet: Skip the missed dose, and take your next dose as usual. Do not take extra medicine to make up for a missed dose. Extended-release tablet: If it is less than 12 hours since your missed dose, take the missed dose as soon as you remember and take your next dose at the normal time. If it is more than 12 hours since your missed dose, skip the missed dose and take your next dose at the normal time.

  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

  • Swallow the extended-release tablet whole. Do not crush, break, or chew it.

  • Oral routeYou may take this medicine with or without food. Taking this medicine with food may help reduce nausea.

  • Oral routeYou may take this medicine with or without food. Taking this medicine with food may help reduce nausea.

  • Missed dose: Regular tablet: Skip the missed dose, and take your next dose as usual. Do not take extra medicine to make up for a missed dose. Extended-release tablet: If it is less than 12 hours since your missed dose, take the missed dose as soon as you remember and take your next dose at the normal time. If it is more than 12 hours since your missed dose, skip the missed dose and take your next dose at the normal time.

  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

  • Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Swallow the extended-release tablet whole. Do not crush, break, or chew it.

Pramipexole Dihydrochloride Er contraindications

  • This medicine is not right for everyone. Do not use it if you had an allergic reaction to pramipexole.

Pramipexole Dihydrochloride Er warnings

  • Seeing, hearing, or feeling things that are not really there

  • Twitching or muscle movements you cannot control, tremors, problems with balance or walking

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

  • This medicine may make you dizzy or drowsy. It may even cause you to fall asleep without warning while you drive, talk, or eat. Do not drive or do anything that could be dangerous until you know how this medicine affects you. Stand up slowly if you feel dizzy or lightheaded.

  • Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, low blood pressure, a sleep disorder, or dyskinesia (trouble with muscle control).

  • This medicine may cause the following problems:Low blood pressureHallucinationsUrges to gamble, spend money, binge eat, have sex, or engage in other compulsive behaviorsAn increased risk for skin cancer

  • Muscle pain, stiffness, tenderness, or weakness

Pramipexole Dihydrochloride Er interactions

  • Some medicines can affect how pramipexole works. Tell your doctor if you are using the following: amantadine, cimetidine, diltiazem, levodopa, metoclopramide, quinidine, quinine, ranitidine, thiothixene, triamterene, or verapamila phenothiazine medicine (such as chlorpromazine, perphenazine, promethazine, prochlorperazine, thioridazine)

  • Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.

  • Tell your doctor if you are using any medicine that makes you sleepy, such as allergy medicine or narcotic pain medicine.

  • Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

Pramipexole Dihydrochloride Er side effects

Serious Side Effects

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

  • Change in how much or how often you urinate, or painful urination

  • Changes in vision

  • Chest pain or trouble breathing

  • Extreme sleepiness or drowsiness

  • Seeing, hearing, or feeling things that are not really there

  • Muscle pain, stiffness, tenderness, or weakness

  • Lightheadedness, dizziness, or fainting

  • Twitching or muscle movements you cannot control, tremors, problems with balance or walking

Less Serious Side Effects

  • Headache, confusion, memory problems, or unusual behavior

  • Dry mouth

  • Unusual dreams

  • Constipation or nausea