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What is Mirapex ER?

Mirapex ER is a prescription medication that is used to treat the symptoms of Parkinson’s disease including muscle spasms, poor muscle control, stiffness, and tremors. Mirapex ER contains pramipexole and has the same effects as the natural chemical dopamine.

Make sure to always read the patient information and instructions before using this medication. Always follow your doctor’s directions.

  • Mirapex ER can be taken with or without food. Taking Mirapex ER with food can help to prevent an upset stomach.
  • Swallow this medication whole without chewing or crushing.
  • Do not stop taking this medication suddenly as this can cause unpleasant withdrawal symptoms.
  • Speak to your doctor if your condition persists or worsens.


Tell your doctor and pharmacist:

  • About your drug and other allergies.
  • If you take any other prescription or over-the-counter medications.
  • Your medical history particularly of kidney disease, low blood pressure, dizziness, daytime drowsiness or problems controlling muscle movements.
  • If you are pregnant or planning pregnancy.

You should also know:

  • Mirapex ER can cause some people to fall asleep during regular activities. Speak to your doctor if you have problems with daytime sleepiness.
  • Do not breast-feed while taking Mirapex ER.
  • People with Parkinson’s disease may have a higher risk of skin cancer. Speak to your doctor for more information.
  • Avoid alcohol as it can increase the risk of dangerous side effects.
  • Mirapex ER may affect reactions. Do not drive or operate machinery until you can do so safely.

Side Effects of Mirapex ER

Common side effects of Mirapex ER include but are not limited to:

  • Muscle spasms or weakness.
  • Feeling dizzy, weak, or drowsy.
  • Nausea.
  • Increased urination.
  • Trouble sleeping or unusual dreams.
  • Confusion or memory problems.
  • Dry mouth.

Get medical help if you have any of the following side effects of pramipexole:

  • Falling asleep during daytime activities or extreme drowsiness.
  • Increased urges including sexual urges or urges to gamble.
  • Hallucinations.
  • Unexplained muscle pain, weakness, or tenderness.
  • Uncontrollable muscle tremors, twitching, or muscle movements.
  • Feeling lightheaded or like you might pass out.
  • Uncontrollable posture changes.
  • Vision problems.
  • Symptoms of an allergic reaction such as difficulty breathing, hives, or swelling in your face, lips, or throat.


What should I do if I miss a dose of Mirapex ER?

If you miss a dose of Mirapex ER, you should take it as soon as you remember. However, if it is almost time for your next dose, then skip your missed dose.

What else is Mirapex ER called?

Mirapex ER is also known as Pexola ER internationally. Pexola ER is the same brand name medication with a different name internationally and is not a generic alternative medication.

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