Pramipexole

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Pramipexole’s mechanism centers on its selective stimulation of dopamine D2 and D3 receptor subtypes in the brain. This activation helps to supplement or replace the dopamine that is in short supply in the brains of individuals suffering from Parkinson’s disease or related disorders.

 

By doing so, Pramipexole aids in the alleviation of symptoms such as stiffness, tremors, spasms, and poor muscle control. Additionally, its effects on the dopamine system also make it effective in treating the symptoms of restless legs syndrome, providing relief from discomfort and the uncontrollable urge to move the legs.

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Description

Pramipexole, which is available under its generic name and various brand names such as Mirapex, is a medication primarily used to treat Parkinson’s disease and restless legs syndrome (RLS). This drug belongs to a class known as dopamine agonists, which mimic dopamine’s action in the brain. Dopamine is a natural substance in the brain that helps control movement and affects mood; thus, Pramipexole plays a vital role in managing conditions associated with dopamine imbalances.

Additional information

Usage:

Indications:

●Lowering LDL cholesterol and triglycerides in the blood

●Raising HDL cholesterol levels

●Slowing down the progression of atherosclerosis

●Reducing the risk of heart attack, stroke, and associated heart complications

●Managing cholesterol levels in patients with hypercholesterolemia and mixed dyslipidemia

●In conjunction with diet change in the treatment of familial hypercholesterolemia

Administration Guidelines

●Oral Tablets: Pravastatin should be taken orally, once daily, with or without food. To gain the most benefit, it is essential to take the medication at the same time each day. Dose adjustments are usually based on individual response and tolerance to the medication. Consistency in administration is crucial for maintaining steady-state levels of the drug in the body and ensuring its maximal therapeutic effect.

Administration Details

Dosage Forms:

●Oral tablets
●Available in several strengths, commonly ranging from 10 mg to 80 mg.

Dosage:

●Pravastatin doses are individualized based on the patient’s current LDL levels, the goal of therapy, and patient response. The typical starting dose is 10 to 20 mg once daily. Your healthcare provider might increase your dosage over time to control your cholesterol levels better. The usual maximal dose for adults is 80 mg daily.

Safety Precautions

●Pregnancy and Breastfeeding: Pravastatin is classified under pregnancy category X, which means it should not be used during pregnancy as it may harm the fetus. It should also not be used when breastfeeding due to the potential for serious adverse reactions in nursing infants.

●Liver Function: Pravastatin can affect liver function, hence liver enzyme levels should be monitored before and during treatment. Patients should report any signs of liver problems, such as jaundice or darkened urine.

Drug Interactions

●Pravastatin may interact with other lipid-lowering therapies, certain antibiotics, antifungals, immunosuppressants, and antivirals, increasing the risk of muscle problems and kidney damage. Discussing all medications with healthcare providers to adjust doses and monitor for signs of drug interactions is crucial.

Side Effects:

●Headache
●Nausea
●Vomiting
●Diarrhea
●Muscle pain
●Skin rash

Serious Side Effects

In rare instances, Pravastatin can cause more severe side effects, including:

●Myopathy or rhabdomyolysis (severe muscle damage)
●Liver dysfunction or failure
●Pancreatitis
●Severe allergic reactions

Storage:

●Pravastatin should be stored at room temperature in a dry place away from light. It should be kept in its original container, tightly closed, and out of the reach of children.

Special Precaution

●Proper Administration Techniques: Patients should be advised on taking Pravastatin correctly and impressed upon the importance of not missing doses, as interruptions in the medication regimen can result in suboptimal cholesterol control.

●Monitoring: Treatment with Pravastatin typically includes routine monitoring of cholesterol levels, liver enzyme tests, and the assessment of muscle pain or weakness as potential indicators of muscle damage. The balance of risks vs. benefits should be assessed regularly.

Overdose

●Overdose with Pravastatin is not common, but, if it occurs, it may increase the risk of severe side effects, notably muscle and liver problems. In the event of an overdose, supportive treatment measures will be utilized to manage symptoms and provide necessary medical interventions.

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