Generic
Pramipexol
2 brands available in the market
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| Brand | Company | Form | Price/unit |
|---|---|---|---|
| Parixol 8888mcg | ACI Limited | Tablet | ৳ 3.01 |
| Parixol 180180mcg | ACI Limited | Tablet | ৳ 6.04 |
At a glance
Pramipexol — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Pramipexol is a prescription medicine used in the treatment of Parkinson's disease and restless leg syndrome (an urge to move the legs usually accompanied or caused by uncomfortable and unpleasant leg sensations). It helps to treat excessive shaking by slowing down the body movements. Pramipexol should be taken with food. However, take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration as advised by your doctor and if you have missed a dose, take it as soon as you remember it. You should never skip any doses and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to your doctor. Some common side effects of this medicine include nausea, dry mouth, fatigue, hallucinations, constipation, and peripheral edema. It also causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Inform your doctor if you develop any unusual changes in mood, an abnormally high sex drive, an urge to gamble or uncontrolled spending as these may prove very harmful. Pramipexol works by increasing the action of dopamine, a chemical messenger that is needed to control movement in the brain.
Indications
• Parkinson's disease • Restless leg syndrome
Mechanism of action
Pramipexole is a nonergot-derivative dopamine receptor agonist which alleviates Parkinsonian motor deficits by directly stimulating postsynaptic dopamine activity on the striatum and substantia nigra It is used as an adjunct to levodopa for the symptomatic management of parkinsonian syndrome in patients w/ advanced disease. It is also used as monotherapy for the initial symptomatic management of parkinsonian syndrome.
Dosage
Adult Dose: Parkinson Disease Immediate-release: 0.125 mg PO q8hr initially; gradually titrated upward at weekly intervals to target range of 1.5-4.5 mg/day PO divided q8hr Restless Legs Syndrome 0.125 mg/day PO 2-3 hr before bedtime initially; may be increased every 4-7 days up to 0.5 mg/day (every 14 days if CrCl 20-60 mL/min) Renal Dose: Parkinson disease Immediate release CrCl >50 mL/min: Dosage adjustment not necessary CrCl 30-50 mL/min: 0.125 mg twice daily initially; not to exceed 0.75 mg TID CrCl 15-29 mL/min: 0.125 mg qDay; not to exceed 1.5 mg qDay CrCl 60 mL/min: Dosasge adjustment not necessary CrCl 20-60 mL/min: Dosage adjustment not necessary but duration between titration should be increased to 14 days CrCl<20 mL/min: Dosage adjustment not provided by manufacturer's labeling; not studied
Administration
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Pramipexol is to be taken with food.
Side effects
Common: • Dizziness • Sleepiness • Nausea • Dryness in mouth • Fatigue • Hallucination • Constipation • Peripheral edema
Precautions & warnings
[UNSAFE] Pramipexol may cause side effects which could affect your ability to drive. Pramipexol can cause hallucinations (seeing, hearing or feeling things that are not there). This may affect your ability to drive. You have been prescribed Pramipexol to treat your symptoms of Parkinson's disease and/or restless leg syndrome. It can be taken with or without food. Taking it with food may reduce nausea. For restless leg syndrome, take this medicine 2 to 3 hours before bedtime. Avoid activities that require you to be alert, such as driving a car until you know how this medication affects you. When you first start taking Pramipexol, it may cause sudden drop in your blood pressure when you change positions. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Talk to your doctor in case you develop hallucinations or other changes in your behavior. Inform your doctor if you develop compulsive behaviors that are hard to control, such as binge eating, gambling, spending money, and sexual urges. Do not stop taking the medication suddenly without talking to your doctor.
Contraindications
Hypersensitivity. Lactation.
Drug interactions
Inhibits active tubular secretion of basic cationic drugs eg, cimetidine. Reduced clearance w/ drugs eliminated by active renal tubular secretion eg, amantadine. Alcohol & other sedatives.
Food interactions
[UNSAFE] Pramipexol may cause excessive drowsiness with alcohol.
Use in pregnancy
[CONSULT YOUR DOCTOR] Pramipexol may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Use in lactation
[CONSULT YOUR DOCTOR] Pramipexol is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. Pramipexol suppresses serum prolactin and may interfere with breastfeeding.
Renal / hepatic impairment
[CAUTION] Pramipexol should be used with caution in patients with kidney disease. Dose adjustment of Pramipexol may be needed. Please consult your doctor. [SAFE IF PRESCRIBED] Pramipexol is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Pramipexol may not be needed in these patients. Please consult your doctor.
Common questions
I feel tingling in my legs,whenever i close my eyes.rls is the name of disease.i want treatment, as i am taking pramipex 1mg twice a day Plz guide me properly Restless Leg Syndrome or RLS is a neurological disorder. Pramipexol is a treatment modality. Your neurologist can advise you about other options if it doesn't work for you. Post L5 S1 surgery my right leg numbness still persist. As per advise taking lyrica 75 mg n evion LC daily. But no use pls advise try tab pramipex 0.25 mg HS Restless leg syndrome with irritable bowel syndrome take cobadex czs once daily for 1 monthevion 400 mg once daily for 1 month Remedies for restless leg syndrome Ashwagandharishtam 15-15 ml twice a day with equal quantity of water For restless leg syndrome doctor? Tab pramirol 0.25 mg in evening daily Restless leg syndrome. Foot fingers pain Take massage with dhanwantaram oil, and then hot fomentation with medicated steam of Dashmool restless leg syndrome urgue move leg in night start tab pramirol 0.25 mg at nite Restless leg syndrome what is the cure Tab pramiro 0.25 mg Hs