"The US Food and Drug Administration (FDA) has approved an extended-release capsule formulation of carbidopa-levodopa (Rytary, IPX066, Impax Pharmaceuticals) for the treatment of Parkinson's disease (PD), postencephalitic parkinsonism, an"...
(pramipexole dihydrochloride) extended-release tablets
Read this Patient Information before you start taking MIRAPEX ER and each time you get a refill. There may be new information. This information does not take the place of talking with your doctor about your medical condition or your treatment.
What is MIRAPEX ER?
MIRAPEX ER is a prescription medicine used to treat the signs and symptoms of Parkinson's disease.
It is not known if MIRAPEX ER is safe and effective in children.
What should I tell my doctor before taking MIRAPEX ER?
Before taking MIRAPEX ER, tell your doctor if you:
- feel sleepy during the day
- have low blood pressure, or if you feel dizzy or faint, especially when getting up from sitting or lying down.
- have trouble controlling your muscles (dyskinesia)
- have kidney problems
- drink alcohol. Alcohol can increase the chance that MIRAPEX ER will make you feel sleepy or fall asleep when you should be awake.
- are pregnant or plan to become pregnant. It is not known if MIRAPEX ER will harm your unborn baby.
- are breastfeeding or plan to breastfeed. It is not known if MIRAPEX ER passes into your breast milk. You and your doctor should decide if you will take MIRAPEX ER or breastfeed. You should not do both.
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
MIRAPEX ER and other medicines may affect each other causing side effects. MIRAPEX ER may affect the way other medicines work, and other medicines may affect how MIRPAEX ER works.
Especially tell your doctor if you take:
- medicines called neuroleptics (phenothiazines, butyrophenones, thioxanthenes) or metoclopramide. MIRAPEX ER may not work as well if you take these medicines.
- pramipexole (MIRAPEX). Pramipexole is the active ingredient in both MIRAPEX ER and MIRAPEX. If you are taking MIRAPEX, you should not take MIRAPEX ER.
- any other medicines that make you sleepy or may increase the effects of MIRAPEX ER, such as cimetidine (Tagamet).
Ask your doctor for a list of these medicines if you are not sure.
Know the medicines you take. Keep a list of them and show it to your doctor and pharmacist when you get a new medicine.
How should I take MIRAPEX ER?
- MIRAPEX ER is taken once daily.
- Your doctor will tell you how much MIRAPEX ER to take and when to take it. Do not take more or less MIRAPEX ER than your doctor tells you to.
- Swallow MIRAPEX ER whole. Do not chew, crush, or cut MIRAPEX ER.
- MIRAPEX ER can be taken with or without food. Taking MIRAPEX ER with food may lower your chances of getting nausea.
- If you miss a dose of MIRAPEX ER it should be taken as soon as possible, but no later than 12 hours after your regularly scheduled time. If it is later than 12 hours, the missed dose should be skipped and the next dose should be taken on the following day at your regularly scheduled time. Do not double your next MIRAPEX ER dose.
- Do not stop taking MIRAPEX ER
without talking to your doctor first. If your doctor tells you to stop taking
MIRAPEX ER, you should ask your doctor for specific instructions on how to
slowly and safely discontinue taking MIRAPEX ER. If you stop taking MIRAPEX ER
too quickly you may have withdrawal symptoms such as:
- severe muscle stiffness
What should I avoid while taking MIRAPEX ER?
- Do not drink alcohol while taking MIRAPEX ER. It can increase your chance of having serious side effects. See “What are the possible side effects of MIRAPEX ER?”
- Do not drive a car, operate a machine, or do other dangerous activities until you know how MIRAPEX ER affects you. Sleepiness caused by MIRAPEX ER can happen as late as 1 year after you start your treatment.
What are the possible side effects of MIRAPEX ER?
MIRAPEX ER may cause serious side effects, including:
- falling asleep during normal
daily activities. MIRAPEX ER may cause you to fall asleep while you are doing
daily activities such as driving, talking with other people, or eating.
- Some people taking the medicine in MIRAPEX ER have had car accidents because they fell asleep while driving.
- Some people did not feel sleepy before they fell asleep while driving. You could fall asleep without any warning.
Tell your doctor right away if you fall asleep while you are doing activities such as talking, eating, driving, or if you feel sleepier than normal for you.
- low blood pressure when you
sit or stand up quickly. After you have been sitting or lying down, stand up slowly
until you know how MIRAPEX ER affects you. This may help reduce the following
symptoms while you are taking MIRAPEX ER:
- unusual urges. Some people who take certain medicines to treat Parkinson's
disease, including MIRAPEX ER, have reported problems, such as gambling,
compulsive eating, compulsive buying, and increased sex drive.
If you or your family members notice that you are developing unusual urges or behaviors, talk to your doctor.
- hallucinations and other
psychotic-like behavior (seeing visions, hearing sounds or feeling sensations
that are not real, confusion, excessive suspicion, aggressive behavior,
agitation, delusional beliefs and disorganized thinking). Your chance of having
hallucinations and other psychotic-like behavior is higher if you are age 65 or
If you have hallucinations or other psychotic-like changes, talk with your doctor right away.
- uncontrolled sudden movements (dyskinesia). If you have new dyskinesia, or your existing dyskinesia gets worse, tell your doctor.
- skin cancer (melanoma). Some people with Parkinson's disease may have a higher chance of having melanoma than people who do not have Parkinson's disease. It is not known if the chance of having melanoma is higher because of the medicines to treat Parkinson's disease, like MIRAPEX ER, or from the Parkinson's disease. People who take MIRAPEX ER should have regular skin examinations to check for melanoma.
The most common side effects in people taking MIRAPEX ER for early Parkinson's disease are:
The most common side effects in people taking MIRAPEX ER who have later stage Parkinson's disease are nausea, constipation, headache and weight loss (anorexia).
These are not all the possible side effects of MIRAPEX ER. Tell your doctor if you have any side effect that bothers you.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store MIRAPEX ER?
- Store MIRAPEX ER at room temperature between 68°F to 77°F (20°C to 25°C).
- Keep MIRAPEX ER away from high humidity or moisture.
- Keep MIRAPEX ER and all medicines out of the reach of children.
General Information about the safe and effective use of MIRAPEX ER.
Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use MIRAPEX ER for a condition for which it was not prescribed. Do not give MIRAPEX ER to other people, even if they have the same symptoms that you have. It may harm them.
This Patient Information leaflet summarizes the most important information about MIRAPEX ER. If you would like more information, talk with your doctor. You can ask your pharmacist or doctor for more information about MIRAPEX ER tablets that is written for healthcare professionals.
For more information, go to www.mirapexer.com (or scan the code below to go to www.mirapexer.com) or call Boehringer Ingelheim Pharmaceuticals, Inc. at 1-800-542-6257 or (TTY) 1-800-459-9906.
What are the ingredients in MIRAPEX ER?
Active Ingredient: pramipexole dihydrochloride monohydrate.
Inactive Ingredients: hypromellose, corn starch, carbomer homopolymer, colloidal silicon dioxide, and magnesium stearate.
What does MIRAPEX ER look like?
These pictures show what MIRAPEX ER tablets look like. Notice that each strength tablet looks different. Immediately call your pharmacist if you receive a MIRAPEX ER tablet that does not look like one of the tablets shown below, as you may have received the wrong medication.
Tablets not actual size.
This Patient Information has been approved by the U.S. Food and Drug Administration.
Last reviewed on RxList: 1/26/2016
This monograph has been modified to include the generic and brand name in many instances.
Additional Mirapex ER Information
Mirapex ER - User Reviews
Mirapex ER User Reviews
Now you can gain knowledge and insight about a drug treatment with Patient Discussions.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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