No Prescription Meds and Arthritis

Mirapex (Pramipexol)

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Mirapex (Pramipexol) is a medication indicated for treating Parkinson's disease and restless legs syndrome (RLS). It is also sometimes used off-label as a treatment for cluster headache or to counteract the problems with low libido experienced by some users of SSRI antidepressant drugs. Mirapex (Pramipexol) has shown robust effects on pilot studies in bipolar disorder classified as a non-ergoline dopamine agonist.

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About Mirapex (Pramipexol):

Product Type: Other

Brand name: Mirapex Generic name: Pramipexol What is Mirapex (Pramipexol)? Mirapex has some of the same effects as a chemical called dopamine which occurs naturally in your body. Low levels of dopamine in the brain are associated with Parkinson's disease. Mirapex is used to treat symptoms of Parkinson's disease such as stiffness tremors muscle spasms and poor muscle control. Mirapex is also used to treat restless legs syndrome (RLS). Mirapex may also be used for other purposes not listed in this medication guide. What is the most important information I should know about pramipexol? Some people taking pramipexol have fallen asleep during normal daytime activities such as working talking eating or driving. You may fall asleep suddenly even after feeling alert. Tell your doctor if you have any problems with daytime sleepiness or drowsiness. If you are unsure of how this medicine will affect you be careful if you drive or do anything that requires you to be awake and alert. If you are taking this medication for RLS tell your doctor if your symptoms get worse if they occur in the morning or earlier than usual in the evening or if you feel restless symptoms in your hands or arms. Do not stop using pramipexol without first talking to your doctor. You may need to use less and less before you stop the medication completely. Avoid getting up too fast from a sitting or lying position or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Cold or allergy medicine narcotic pain medicine sleeping pills muscle relaxers and medicine for seizures depression or anxiety can add to sleepiness caused by pramipexol. Tell your doctor if you regularly use any of these other medicines. Avoid drinking alcohol which can increase some of the side effects of pramipexol. Mirapex may cause hallucinations (the sensation of hearing or seeing something that is not there) most commonly among elderly people. Call your doctor if you have hallucinations. What should I discuss with my healthcare provider before taking pramipexol? Do not use this medication if you are allergic to pramipexol. Before using pramipexol tell your doctor if you are allergic to any drugs or if you have: • narcolepsy (a sleep disorder); • kidney disease; or • tremors (dyskinesia) or uncontrolled muscle movements. If you have any of these conditions you may need a dose adjustment or special tests to safely take pramipexol. Some people taking pramipexol have fallen asleep during normal daytime activities such as working talking eating or driving. You may fall asleep suddenly even after feeling alert. Tell your doctor if you have any problems with daytime sleepiness or drowsiness. If you are unsure of how this medicine will affect you be careful if you drive or do anything that requires you to be awake and alert. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Mirapex may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Mirapex may cause hallucinations (the sensation of hearing or seeing something that is not there) most commonly among elderly people. Call your doctor if you have hallucinations. How should I take pramipexol? Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. The dose and timing of pramipexol in treating Parkinson's disease is different from the dose and timing in treating RLS. Follow the directions on your prescription label. Take each dose with a full glass of water. Mirapex can be taken with or without food. Take the medication with food if it upsets your stomach. If you are taking this medication for RLS tell your doctor if your symptoms get worse if they occur in the morning or earlier than usual in the evening or if you feel restless symptoms in your hands or arms. Do not stop using pramipexol without first talking to your doctor. You may need to use less and less before you stop the medication completely. Store pramipexol at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a pramipexol overdose are not known. What should I avoid while taking pramipexol? Mirapex can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Cold or allergy medicine narcotic pain medicine sleeping pills muscle relaxers and medicine for seizures depression or anxiety can add to sleepiness caused by pramipexol. Tell your doctor if you regularly use any of these other medicines. Avoid drinking alcohol which can increase some of the side effects of pramipexol. Avoid getting up too fast from a sitting or lying position or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Mirapex side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking pramipexol and call your doctor at once if you have any of these serious side effects: • extreme drowsiness falling asleep suddenly even after feeling alert; • hallucinations; • fever stiff muscles confusion sweating fast or uneven heartbeats; • nausea sweating feeling light-headed fainting; or • restless muscle movements in your eyes tongue jaw or neck. Less serious side effects may include: • constipation upset stomach loss of appetite; • dry mouth trouble swallowing; • urinating more often than usual; • mild drowsiness or sleepiness; • sleep problems (insomnia) unusual dreams; • amnesia forgetfulness thinking problems; • headache confusion weakness; • blurred vision; • joint pain muscle weakness; • swelling in your hands or feet; • runny or stuffy nose; • weight loss; or • impotence loss of interest in sex or trouble having an orgasm. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect pramipexol? Before taking pramipexol tell your doctor if you are using any of the following drugs: • amantadine (Symmetrel); • cimetidine (Tagamet); • diltiazem (Cardizem Cartia Dilacor Tiazac); • ranitidine (Zantac); • quinidine (Quinaglute Quinidex); • quinine(Qualaquin); • triamterine (Dyrenium); or • verapamil (Calan Covera Isoptin). This list is not complete and there may be other drugs that can interact with pramipexol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. • It is not known whether Arava passes into breast milk. There is a potential for serious side effects in a nursing baby from Arava. Do not take Arava if you are breast-feeding a baby. How should I take Arava? • Take Arava exactly as directed by your doctor. 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Continue to take Arava and talk to your doctor if you experience headache; increased blood pressure; muscle aches; nausea; diarrhea; or hair loss. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Arava? • Before taking Arava tell your doctor if you are taking any of the following drugs: cholestyramine (Questran Prevalite LoCHOLEST); methotrexate (Rheumatrex); or rifampin (Rifadin Rimactane). • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Arava. 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