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Pramipexole (Mirapex) is a dopamine agonist that can be used in Parkinson’s disease and Restless Legs Syndrome.
Dopamine agonists like pramipexole can worsen psychiatric symptoms in some patients by causing hallucinations, and obsessive/compulsive symptoms.
Nausea, vomiting, hypotension, and fatigue are the most common adverse effects of pramipexole.
Pramipexole is primarily eliminated through the urine. I discuss how this matters clinically in greater detail in this podcast episode.
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