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Pramipex ER 1.25 Tablet

Manufactured bySun Pharma Laboratories Ltd.
ContainsPramipexole
Description
Pramipex ER 1.25 Tablet is a medicine used to treat the symptoms of Parkinson's disease. Parkinson's disease is a disorder of the central nervous system that affects movement, often including tremors (shivering), rigid movements, muscle stiffness, etc. It results from nerve cell damage in the brain, which causes low levels of dopamine (a chemical messenger that plays important role in movement, memory, mood, motivation, etc.) in the body. Pramipex ER 1.25 Tablet has similar effects as dopamine. Thus, it works by increasing the dopamine activity in the brain. Pramipex ER 1.25 Tablet shows common side effects such as nausea, fatigue, constipation, confusion, increased urination, and dry mouth. These side effects usually subside with time. However, consult your doctor for further assistance if they persist or worsen. Avoid driving vehicles or operating heavy machines while taking this medication as it can cause dizziness or sleepiness. Pramipex ER 1.25 Tablet can be taken with or without food. Do not chew, crush, and break the tablet. Swallow it whole with an adequate amount of water. Take it at the same time daily for the ease of remembering. Do not discontinue the medicine without consulting your doctor, as it can worsen your condition. Pramipex ER 1.25 Tablet is not recommended if you are allergic to it. It should be used with caution if you have kidney conditions, hypotension (low blood pressure), or mental health conditions. Pramipex ER 1.25 Tablet should only be taken during pregnancy upon your doctor's recommendation. Due to the lack of safety information, consult your doctor before taking the medicine if you are breastfeeding. It is not recommended for use in children below 18 years of age. It should be used with caution if you are 65 years of age or above due to the increased risk of side effects.

Side effects

Major & minor side effects for Pramipex ER 1.25 Tablet

  • Dizziness
  • Drowsiness
  • Nausea
  • Trouble sleeping
  • Unusual tiredness or weakness
  • Cough
  • Muscle weakness
  • Difficulty with swallowing
  • Chest tightness

Uses of Pramipex ER 1.25 Tablet

What is it prescribed for?

  • Parkinson's Disease
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The time taken for Pramipex ER 1.25 Tablet to show its effect is not known.
  • How long do the effects of this medicine last?
    The effect of Pramipex ER 1.25 Tablet lasts for an average duration of 24 hours.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with Pramipex ER 1.25 Tablet due to the increased risk of side effects such as drowsiness, dizziness, difficulty concentrating, etc.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported for Pramipex ER 1.25 Tablet.
  • Can this medicine be taken during pregnancy?
    Pramipex ER 1.25 Tablet should not be used during pregnancy unless clearly necessary. Discuss all the risks and benefits with your doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?
    Due to the lack of safety information, consult your doctor before taking Pramipex ER 1.25 Tablet if you are breastfeeding.

Allergy

Avoid taking Pramipex ER 1.25 Tablet if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.
Warnings for special population

Pregnancy

Pramipex ER 1.25 Tablet should not be used during pregnancy unless clearly necessary. Discuss all the risks and benefits with your doctor before taking this medicine.

Breast-feeding

Due to the lack of safety information, consult your doctor before taking Pramipex ER 1.25 Tablet if you are breastfeeding.
General warnings

Dyskinaesia

Pramipex ER 1.25 Tablet if taken with Levodopa for the treatment of Parkinson's disease could lead to a condition known as dyskinesia (abnormal, uncontrolled movements). Dose adjustment or replacement with a suitable alternative will be done by your doctor based on your clinical condition.

Orthostatic hypotension

Pramipex ER 1.25 Tablet may result in orthostatic hypotension (a significant drop in blood pressure when standing up). Hence it should be used with caution if you have hypotension (low blood pressure) or are taking blood pressure-lowering medicines.

Use in chilldren

Pramipex ER 1.25 Tablet is not recommended for use in children below 18 years of age as the safety and efficacy data are not clinically established.

Driving vehicles or operating machines

Use of Pramipex ER 1.25 Tablet may cause symptoms such as dizziness, drowsiness, etc. It may also cause sudden onset of sleep without any warning in some cases. Hence avoid performing activities that require mental alertness, such as driving vehicles or operating machines, if you experience such symptoms during treatment with this medicine.

Hallucinations

Hallucination is to see or hear something that is not real. Pramipex ER 1.25 Tablet should be used with caution as it may cause hallucination.

Impulse control disorder

Impulse control disorder is when a person cannot resist the sudden urge to do something. It includes gambling, binge eating, compulsive spending or buying, increased sexual drive, etc. Pramipex ER 1.25 Tablet should be used with caution as it may cause impulse control disorder. Your doctor may recommend dose adjustments or gradual discontinuation of this medicine based on your clinical condition.

Missed Dose

Do not miss the dose of Pramipex ER 1.25 Tablet. In case you miss a dose, take it as soon as you remember. However, if it is time for the next dose, then skip the missed dose. Do not double the dose to make up for the missed one.

Overdose

Do not take more than the prescribed dose of Pramipex ER 1.25 Tablet. Seek emergency medical treatment in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with Pramipex ER 1.25 Tablet due to the increased risk of side effects such as drowsiness, dizziness, difficulty concentrating, etc.
Interaction with Medicine

Amitriptyline

Propoxyphene

Sodium oxybate

Amoxapine

Disease interactions

Kidney dysfunction

Pramipex ER 1.25 Tablet is filtered by the kidneys. Hence it should be taken cautiously if you have kidney conditions, as it may cause an accumulation of unused medicine in the body and increase the risk of side effects. Follow all the instructions given by your doctor.

Psychiatric disorders

Psychosis is a mental condition that affects the way the brain processes information, causing a loss of touch with reality. The symptoms include hallucination, belief in something that is not true, confused and disturbed thoughts, etc. Pramipex ER 1.25 Tablet may cause or aggravate psychotic symptoms and should be used with caution if you have a history of mental health disorders.

Neuroleptic Malignant Syndrome

Neuroleptic malignant syndrome is characterised by fever, muscle rigidity, altered mental status, irregular pulse or blood pressure, irregular heartbeat, and excessive sweating. Pramipex ER 1.25 Tablet is not recommended if you have neuroleptic malignant syndrome. Abrupt discontinuation of this medicine may cause the condition in rare cases.
Food interactions
Information not available.
Lab interactions
Information not available.
Pramipex ER 1.25 Tablet can be taken with or without food. Do not break, chew, or crush the tablet. Swallow it as a whole with a glass of water. Avoid taking more or less than the recommended dose. Take it at the same time every day for the ease of remembering. Do not discontinue the medicine without consulting your doctor, as it may worsen your condition. Closely observe for any changes in mood and behaviour during treatment with this medicine. Consult your doctor if you have any concerns. Pramipex ER 1.25 Tablet may cause drowsiness. In some cases, it may also cause sudden onset of sleep during daily activities without warnings. Hence exercise caution while driving vehicles or operating heavy machines during treatment with this medicine.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

Causes sleepiness

How it works
Pramipex ER 1.25 Tablet acts in place of dopamine (a naturally occurring hormone that plays several important roles such as memory, attention, regulation of body movements, etc.) and increases the dopamine activity in the brain. Thus this medicine helps to treat stiffness, shivering, muscle spasms, and poor muscle control.
Legal Status

Approved

Approved

Unknown

Approved

Classification

Category

Dopaminergic Antiparkinsonism agents

Schedule

Schedule H

Docs.boehringer-ingelheim.com. 2021. [online] Available at: [Accessed 14 June 2021].

https://docs.boehringer-ingelheim.com/Prescribing%20Information/PIs/Mirapex%20ER/MirapexER.pdf

Medicines.org.uk. 2021. Pramipexole 0.18mg Tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: [Accessed 14 June 2021].

https://www.medicines.org.uk/emc/product/3081/smpc

Drugs, H., 2021. Pramipexole: MedlinePlus Drug Information. [online] Medlineplus.gov. Available at: [Accessed 14 June 2021].

https://medlineplus.gov/druginfo/meds/a697029.html

Medicines.org.uk. 2021. [online] Available at: [Accessed 14 June 2021].

https://www.medicines.org.uk/emc/files/pil.3081.pdf

Accessdata.fda.gov. 2022. [online] Available at: [Accessed 10 August 2022].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/022421s003lbl.pdf
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Information on this page was last updated on 24 Aug 2022

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