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meds:dopamine-agonists:pramipexole [on September 15, 2018]
meds:dopamine-agonists:pramipexole [on February 18, 2022]
psychdb [Side Effects]
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 +====== Pramipexole ======
 +{{INLINETOC}}
 +===== Primer ====
 +**Pramipexole** (Tradename: //​Mirapex//​) is a dopamine agonist used in the treatment of [[geri:​parkinsons|]] and [[sleep:​parasomnias:​rls|restless legs syndrome]].
  
 +==== Mechanism of Action ====
 +  * It is a D2 receptor agonist and also has receptor selectivity for the D3 receptor subtype of the D2 subfamily of receptors. ​
 +
 +==== Side Effects ====
 +  * There is the potential to cause compulsive behaviours and sudden sleep attacks.[([[https://​www.ncbi.nlm.nih.gov/​pmc/​articles/​PMC116443/​|Homann,​ C. N., Wenzel, K., Suppan, K., Ivanic, G., Kriechbaum, N., Crevenna, R., & Ott, E. (2002). Sleep attacks in patients taking dopamine agonists. Bmj, 324(7352), 1483-1487.]])]
 +  * Pramipexole has the highest risk for developing impulse control disorders, with an up to 40% incidence.[([[https://​pubmed.ncbi.nlm.nih.gov/​29925549/​|Corvol,​ J. C., Artaud, F., Cormier-Dequaire,​ F., Rascol, O., Durif, F., Derkinderen,​ P., ... & DIGPD Study Group. (2018). Longitudinal analysis of impulse control disorders in Parkinson disease. Neurology, 91(3), e189-e201.]])]
 +
 +===== Adverse Events =====
 +==== Impulse-Control Disorders (ICDs) ====
 +{{page>​geri:​parkinsons#​impulse-control-disorders-icd&​nouser&​noheader&​nodate&​nofooter}}
 +
 +
 +===== Resources =====
 +  * [[https://​pubmed.ncbi.nlm.nih.gov/​30361297/​|Martinez-Castrillo,​ J. C. (2019). Impulse control disorders in Parkinson’s disease: a hard-turning point. Journal of Neurology, Neurosurgery & Psychiatry, 90(1), 2-2.]]