Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 23 hours ago

Indications

Pramipexole tablet is used to treat Parkinson's disease, either on its own or as an add-on to levodopa taken with a dopa-decarboxylase inhibitor. It is also used for moderate to severe restless legs syndrome.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Nobody knows the exact way pramipexole works in Parkinson's disease at this time. One idea is that it stimulates dopamine receptors in the striatum, a part of the brain that receives a vast array of neurological input and is responsible for a wide variety of functions. This may be involved in its effect. Animal studies show that pramipexole changes the rate of striatal neuronal transmission after the dopamine receptors are activated.

Pramipexole is considered a non-ergot dopamine agonist. In vitro, it shows specificity and strong activity at the D2 subfamily of dopamine receptors, binding selectively to dopamine D2 receptors. It also prefers the dopamine D3 receptor subtype over the other subtypes. The clinical significance of this binding specificity is unknown.

Pregnancy & Breastfeeding

Nobody has studied how pramipexole affects pregnancy or breast-feeding in humans. So in pregnancy, pramipexole should be used only if the possible benefit to the mother justifies the possible risk to the foetus. The medicine is known to reduce prolactin secretion in humans. Whether pramipexole passes into breast milk hasn't been studied in women, and for that reason it should not be used while breast-feeding. If its use can't be avoided, breast-feeding should be stopped.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: Pramipexole is dosed differently for Parkinson's disease and for restless legs syndrome. Parkinson's disease: Start with 88 micrograms 3 times daily. If the patient tolerates it, double the dose every 5 to 7 days until it reaches 350 micrograms 3 times daily. After that, the dose can be raised further if needed, by 180 micrograms 3 times daily at weekly intervals. The maximum is 3.3 mg daily, given in 3 divided doses. While the pramipexole dose is being increased and during maintenance, the Levodopa dose should be reduced. Restless legs syndrome: Start with 88 micrograms once daily, taken 2 to 3 hours before bedtime. If necessary, double the dose every 4 to 7 days up to 350 micrograms daily. The maximum is 540 micrograms daily. Use in children: Pramipexole is not recommended for children below 18 years of age.

Side Effects & Interactions

Side Effects

No side-effect data recorded yet.