Ramipex 0.25/Ramipex 1

Ramipex 0.25/Ramipex 1

pramipexole

Manufacturer:

Torrent

Distributor:

Torrent
Concise Prescribing Info
Contents
Pramipexole HCl
Indications/Uses
Management of Parkinson's disease either alone or as an adjunct to levodopa therapy to reduce end-of-dose or on-off fluctuations in response.
Dosage/Direction for Use
Initially 0.375 mg/day in 3 divided doses, should not increase more frequently than every 5-7 days. Ascending dosage schedule Wk 1: 0.125 mg tid. Wk 2: 0.25 mg tid. Wk 3: 0.5 mg tid. Wk 4: 0.75 mg tid. Wk 5: 1 mg tid. Wk 6: 1.25 mg tid. Wk 7: 1.5 mg tid. Maintenance 1.5-4.5 mg/day in equally divided doses tid. Patient w/ renal impairment CrCl >50 mL/min Starting dose: 0.125 mg tid. Max: 1.5 mg tid. CrCl 30-50 mL/min Starting dose: 0.125 mg bid. Max: 0.75 mg tid. CrCl 15-30 mL/min Starting dose: 0.125 mg once daily. Max: 1.5 mg once daily. Discontinuation of treatment May be tapered off at a rate of 0.75 mg/day then by 0.375 mg/day if the dose has been reduced to 0.75 mg.
Administration
May be taken with or without food.
Special Precautions
Regular ophth monitoring if vision abnormalities occur. Monitor for signs & symptoms of orthostatic hypotension. Compulsive behaviors; hallucinations & psychotic-like behavior; dyskinesia & melanoma may occur. Risk of neuroleptic malignant syndrome w/ abrupt w/drawal. May impair ability to drive or operate machinery. Renal impairment. Pregnancy & lactation.
Adverse Reactions
Dizziness, dyskinesia, somnolence; hypotension; nausea. Abnormal dreams, behavioral symptoms of impulse control disorders & compulsions, confusion, hallucinations, insomnia, restlessness; amnesia, headache; visual disturbance eg, blurred vision & reduced visual acuity; constipation, vomiting; fatigue, peripheral oedema; decreased wt.
Drug Interactions
Reduced renal clearance w/ cimetidine. Decreased oral clearance w/ ranitidine, diltiazem, triamterene, verapamil, quinidine, quinine; cisplatin & procainamide; & amantadine. Possible additive effects & risk of precipitating sudden onset of sleep w/ other sedating drugs or alcohol.
MIMS Class
Antiparkinsonian Drugs
ATC Classification
N04BC05 - pramipexole ; Belongs to the class of dopamine agonist. Used in the management of Parkinson's disease.
Presentation/Packing
Form
Ramipex 0.25 tab 250 mcg
Packing/Price
30's (P1,039.5/box)
Form
Ramipex 1 tab 1 mg
Packing/Price
30's (P2,509.5/box)
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