2025년 11월 25일 화요일

Medicine Sifrol = Pramipexole

 medicine

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Dr Yu: 20251126

Sifrol not effective. Reduce Sifrol. from 250 to 125/week, then off. 



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sifrol

Sifrol is used to treat

the symptoms of Parkinson's disease and 

Restless Legs Syndrome (RLS). 

PARKINSON'S DISEASE Parkinson's disease is a disease of the brain that affects body movement. The symptoms of Parkinson's disease are caused by a lack of dopamine, a naturally occurring chemical produced by certain brain cells.

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Pramipexole Side Effects

Medically reviewed by Drugs.com. Last updated on Jul 13, 2024.


Serious side effects

Other side effects

Professional info

Applies to pramipexole: oral tablet, oral tablet extended release.


Precautions

It is very important that your doctor check your progress at regular visits. This is to allow for changes in your dose and to check for any unwanted effects.


Do not change your dose or Stop taking pramipexole without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping it completely. Stopping this medicine suddenly may cause anxiety, discouragement, feeling sad or empty, irritability, lack of appetite, lack of feeling or emotion, loss of interest or pleasure, sweating, tiredness, trouble concentrating, trouble sleeping, uncaring, or unusual tiredness or weakness.


People taking pramipexole have reported falling asleep without warning during activities of daily living, including driving, which sometimes resulted in accidents. This may happen as late as one year after taking the medicine. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are not alert, well-coordinated, or able to think or see well.


Check with your doctor before using this medicine with alcohol or other medicines that affect the central nervous system (CNS). This medicine will add to the effects of alcohol and other CNS depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever or colds, sedatives, tranquilizers, or sleeping medicine, prescription pain medicine or narcotics, barbiturates or medicine for seizures, muscle relaxants, or anesthetics, including some dental anesthetics. .


Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. These symptoms are more likely to occur when you begin taking this medicine, or when the dose is increased. Getting up slowly may help. If you have this problem, talk to your doctor.


Hallucinations (seeing, hearing, or feeling things that are not there) may occur in some patients. This is more common with elderly patients. If you have hallucinations, check with your doctor.


This medicine may cause posture changes that you cannot control. Tell your doctor right away if you have your neck bending forward, bending forward at the waist, or tilting sideways when you sit, stand, or walk.


Check with your doctor right away if you have dark-colored urine, fever, muscle cramps or spasms, muscle pain or stiffness, or unusual tiredness or weakness. These may be symptoms of a condition called rhabdomyolysis (muscle disease that can lead to kidney problems).


Some people who have used this medicine had unusual changes in their thoughts or behavior, including an urge to gamble, spend money, binge eat, or an increased sex drive. Talk with your doctor if this is a concern for you.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Serious side effects of pramipexole

Along with its needed effects, pramipexole may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur while taking pramipexole:


More common side effects

dizziness, lightheadedness, or fainting, especially when standing up suddenly from a sitting/lying position

drowsiness

nausea

seeing, hearing, or feeling things that are not there

trouble sleeping

twitching, twisting, or other unusual body movements

unusual tiredness or weakness

Less common side effects

chest tightness

confusion

cough

difficulty with swallowing

double vision or other changes in vision

falling asleep without warning

fearfulness, suspiciousness, or other mental changes

fever

frequent urination

memory loss

muscle or joint pain

muscle weakness

restlessness or need to keep moving

swelling of the body

trouble breathing

writhing, twisting, or other unusual body movements

Rare side effects

abnormal thinking

anxiety

bloody or cloudy urine

chest pain

difficult, burning, or painful urination

dizziness

frequent urge to urinate

loss of bladder control

swelling of the arms or legs

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Dr Timothy Chan report + Sejin Bone density

Acacia Fiori Geriatrics 
09/05/2025 
Jason Tan, 
Adelaide Internal Medicine 194 Payneham Road EVANDALE S069 0468 934 027 


Past medical history 
REM sleep behaviour disorder (15-year history) 
- Periodic limb movement disorder 
- Constipation 
- Hyperlipidaemia 
- Lactose intolerance 
- Osteopenia 
Medication list; 
Pramipexole (Sifrol) 250 micrograms at night 
Clonazepam 0.5 mg, one to two tablets at night (most nights) 
- Multivitamin tablet (not regular) 
- Magnesium supplement (not regular) 
- Atorvastatin 10 mg once dally 
Alcohol history: no r

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