Country: United States
Language: English
Source: NLM (National Library of Medicine)
PRAMIPEXOLE DIHYDROCHLORIDE (UNII: 3D867NP06J) (PRAMIPEXOLE - UNII:83619PEU5T)
A-S Medication Solutions
PRAMIPEXOLE DIHYDROCHLORIDE
PRAMIPEXOLE DIHYDROCHLORIDE 0.5 mg
ORAL
PRESCRIPTION DRUG
Pramipexole dihydrochloride tablets are indicated for the treatment of the signs and symptoms of idiopathic Parkinson's disease. None. Risk Summary There are no adequate data on the developmental risk associated with the use of pramipexole in pregnant women. No adverse developmental effects were observed in animal studies in which pramipexole was administered to rabbits during pregnancy. Effects on embryofetal development could not be adequately assessed in pregnant rats; however, postnatal growth was inhibited at clinically relevant exposures [see Data]. In the U.S. general population, the estimated background risk of major birth defects and of miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively. The background risk of major birth defects and miscarriage for the indicated population is unknown. Data Animal Data Oral administration of pramipexole (0.1, 0.5, or 1.5 mg/kg/day) to pregnant rats during the period of organogenesis resulted in a high incidence of total
Product: 50090-3009 NDC: 50090-3009-0 30 TABLET in a BOTTLE
Abbreviated New Drug Application
PRAMIPEXOLE - PRAMIPEXOLE TABLET A-S MEDICATION SOLUTIONS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION PRAMIPEXOLE DIHYDROCHLORIDE TABLETS RX ONLY HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE PRAMIPEXOLE DIHYDROCHLORIDE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR PRAMIPEXOLE DIHYDROCHLORIDE TABLE TS. PRAMIPEXOLE DIHYDROCHLORIDE TABLETS FOR ORAL USE INITIAL U.S. APPROVAL: 1997 INDICATIONS AND USAGE PRAMIPEXOLE DIHYDROCHLORIDE tablets is a non-ergot dopamine agonist indicated for the treatment of • the signs and symptoms of idiopathic Parkinson's disease (PD) (1.1) DOSAGE AND ADMINISTRATION PARKINSON'S DISEASE-NORMAL RENAL FUNCTION* (2.2) WEEK DOSAGE (MG) TOTAL DAILY DOSE (MG) 1 0.125 TID 0.375 2 0.25 TID 0.75 3 0.5 TID 1.5 4 0.75 TID 2.25 5 1 TID 3 6 1.25 TID 3.75 7 1.5 TID 4.5 * Doses should not be increased more frequently than every 5-7 days. Titrate to effective dose. If used with levodopa, may need to reduce levodopa dose. PARKINSON'S DISEASE-IMPAIRED RENAL FUNCTION (2.2) CREATININE CLEARANCESTARTING DOSE (MG)MAXIMUM DOSE (MG) > 50 mL/min 0.125 TID 1.5 TID 30 to 50 mL/min 0.125 BID 0.75 TID 15 to 30 mL/min 0.125 QD 1.5 QD < 15 mL/min and hemodialysis patients Data not available DOSAGE FORMS AND STRENGTHS Tablets: 0.125 mg, 0.25 mg (functional scored tablets), 0.5 mg (functional scored tablets), 0.75 mg, 1 mg (functional scored tablets), and 1.5 mg (functional scored tablets) (3). CONTRAINDICATIONS None (4) (4) WARNINGS AND PRECAUTIONS • Falling asleep during activities of daily living: Sudden onset of sleep may occur without warning. Advise patients to report symptoms to the prescriber. (5.1) • Symptomatic orthostatic hypotension. Monitor during dose escalation (5.2) • Impulse control/Compulsive behaviors: Patients may experience compulsive behaviors and other intense urges (5.3) • Hallucinations: May occur. Risk increases with age. (5.4) • Dyskinesia: May be caused or exacerbated by PRAMIPEXOLE DIHYDROCHLORIDE Read the complete document