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Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Pramipexole Dihydrochloride

The Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension is a liquid dosage form that ensures the active ingredient, pramipexole dihydrochloride, is uniformly dispersed throughout the liquid medium. This homogeneous mixture allows for accurate dosing and ease of administration for patients. Pramipexole is primarily used in the treatment of Parkinson's disease, providing relief from motor symptoms associated with this condition. Additionally, it is indicated for the treatment of moderate to severe primary Restless Legs Syndrome (RLS), offering symptom control for patients experiencing this neurological disorder. The oral suspension form is particularly beneficial for patients who may have difficulty swallowing tablets or require precise dose adjustments.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Pramipexole Dihydrochloride
Suspension
65ce359827a6f9edbc000b26
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension is a liquid medication specifically formulated to provide a consistent dose of pramipexole in each milliliter of suspension. This oral suspension is designed to be a homogeneous mixture, ensuring that the active ingredient, pramipexole, is evenly distributed throughout the liquid medium. This is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, or who require a precise dosage that cannot be achieved with solid dosage forms.

Pramipexole is a dopamine agonist that mimics the action of dopamine in the brain. It is primarily used in the treatment of Parkinson's disease, a neurodegenerative disorder characterized by a deficiency of dopamine, leading to motor symptoms such as tremors, stiffness, and bradykinesia (slowness of movement). By activating dopamine receptors, pramipexole can help to alleviate these motor symptoms and improve the quality of life for patients with Parkinson's disease. The medication works by providing dopaminergic stimulation, which is believed to help reduce the symptoms of RLS.

For prescribers, it is important to note that the dosing of Pramipexole Dihydrochloride Oral Suspension should be individualized based on the patient's clinical response and tolerability. The suspension allows for flexible dosing, which can be particularly useful during the titration phase or when adjusting the dose for patients with renal impairment. As with all medications, monitoring for efficacy and side effects is essential. Common side effects of pramipexole may include nausea, dizziness, somnolence, and orthostatic hypotension, among others. Patients should be counseled on the potential for these effects and advised on measures to minimize them, such as taking the medication with food to reduce gastrointestinal discomfort.

Patients should be instructed on how to properly measure and administer the oral suspension, including shaking the bottle well before each use to ensure the medication is evenly mixed. It is also important for patients to understand the need to adhere to their dosing schedule and to not adjust their dose without consulting their healthcare provider. Storage instructions for the suspension should be followed to maintain the stability and effectiveness of the medication.

If you have any questions or require further information about Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support to both patients and healthcare providers to ensure the safe and appropriate use of this medication.

Drug Interactions

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Pramipexole dihydrochloride is a dopamine agonist that is commonly used to treat symptoms of Parkinson's disease and restless legs syndrome (RLS). The oral suspension formulation of pramipexole dihydrochloride 0.5 mg/ml provides a liquid dosage form that ensures a uniform distribution of the active ingredient for ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or capsules.

When considering the use of pramipexole dihydrochloride oral suspension, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects. Pramipexole can interact with other central nervous system (CNS) depressants, such as benzodiazepines, opioids, antipsychotics, and alcohol, which may potentiate sedation and drowsiness. Caution is advised when co-administering these agents.

Antipsychotic medications, particularly those with dopamine antagonist properties, can diminish the effectiveness of pramipexole, as they work in opposition to its mechanism of action. Patients taking antipsychotics should be closely monitored if pramipexole is prescribed, and dosage adjustments may be necessary.

Cimetidine, a medication commonly used to treat heartburn and peptic ulcers, can increase pramipexole plasma levels by reducing its renal clearance. This interaction may necessitate a reduction in the pramipexole dose to avoid side effects. Similarly, other medications that are eliminated by renal tubular secretion, such as triamterene, amantadine, or quinine, may also interact with pramipexole and affect its plasma concentration.

Concomitant use of pramipexole with other medications that lower blood pressure, including diuretics, beta-blockers, ACE inhibitors, and calcium channel blockers, may increase the risk of orthostatic hypotension (a sudden drop in blood pressure upon standing). Blood pressure should be monitored, and dose adjustments may be required for either pramipexole or the antihypertensive medication.

It is also important to note that pramipexole may have additive effects with other medications that increase dopamine levels, such as monoamine oxidase inhibitors (MAOIs) and other dopamine agonists. This could lead to an increased risk of side effects, such as dyskinesia or hallucinations. A careful assessment of the risk-benefit ratio is necessary when these drugs are prescribed concurrently.

Patients should be advised to inform their healthcare provider of all medications they are taking, including prescription drugs, over-the-counter medications, and herbal supplements, to ensure that any potential interactions can be assessed and managed appropriately. If you have any questions or require further information regarding drug interactions with pramipexole dihydrochloride oral suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to both patients and prescribers.

How Does it Work

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Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension is a liquid medication designed for ease of administration, particularly for patients who may have difficulty swallowing tablets or capsules. This formulation is a homogeneous mixture, meaning that the active ingredient, pramipexole dihydrochloride, is evenly dispersed throughout the liquid medium. This ensures that each dose taken by the patient contains a consistent amount of the medication, which is crucial for maintaining therapeutic levels in the body.

Pramipexole is a dopamine agonist that mimics the action of dopamine, a naturally occurring neurotransmitter in the brain. In diseases such as Parkinson's disease and Restless Legs Syndrome (RLS), there is a deficiency or imbalance of dopamine, which leads to the characteristic symptoms of these conditions. In Parkinson's disease, pramipexole works by stimulating dopamine receptors in the brain, which helps to improve motor symptoms such as tremors, stiffness, and slowness of movement. For patients with RLS, pramipexole alleviates the discomfort and the uncontrollable urges to move the limbs that typically occur during periods of rest or inactivity.

The oral suspension form of pramipexole is particularly beneficial for patients who require a tailored dosage that may not be available in standard tablet or capsule forms. It also allows for dose adjustments to be made easily and accurately. The liquid form can be more palatable and easier to swallow, which can improve patient compliance with their medication regimen. Additionally, the suspension can be a valuable option for patients with dysphagia (difficulty swallowing) or those who require enteral feeding tubes.

It is important for prescribers to consider the pharmacokinetic properties of pramipexole when prescribing this medication. Pramipexole is absorbed from the gastrointestinal tract and has a relatively long half-life, which allows for dosing to be typically administered once daily in the treatment of Parkinson's disease and once or twice daily in the treatment of RLS. The oral suspension should be shaken well before each use to ensure that the medication is evenly distributed throughout the liquid.

Patients and prescribers should be aware of the potential side effects of pramipexole, which can include dizziness, nausea, and somnolence, among others. It is also important to monitor for signs of impulse control disorders, which have been reported in patients taking dopamine agonists. As with any medication, it is crucial to follow the dosing instructions provided by the healthcare provider and to report any adverse effects or concerns promptly.

If you have any questions about Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension or its use in treating Parkinson's disease and Restless Legs Syndrome, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure the best possible outcomes for your patients.

Frequently Asked Questions

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What is Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension?

Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension is a liquid medication prescribed for the treatment of conditions such as Parkinson's disease and Restless Legs Syndrome (RLS). The active ingredient, pramipexole, is suspended uniformly in a liquid medium to ensure consistent dosing.

How should I take Pramipexole Dihydrochloride Oral Suspension?

Take the oral suspension as directed by your healthcare provider. Use the measuring device that comes with the product to measure your dose accurately. You can take the medication with or without food, but taking it with food may decrease the chances of nausea.

What is the proper way to store this medication?

Store the Pramipexole Dihydrochloride Oral Suspension at room temperature, away from light and moisture. Do not freeze the suspension, and make sure the bottle is tightly closed when not in use. Always keep medications out of reach of children and pets.

Can I mix the suspension with food or liquids?

While it's generally recommended to take the suspension on its own, if you have difficulty swallowing, you may be able to mix it with a small amount of food or liquid. Consult your healthcare provider or pharmacist before doing this to ensure that it doesn't affect the efficacy of the medication.

How long does it take for Pramipexole Dihydrochloride Oral Suspension to work?

The time it takes for Pramipexole Dihydrochloride Oral Suspension to work can vary from person to person. Some might notice an improvement in symptoms within a few days, while for others, it might take several weeks. Follow up with your healthcare provider if you do not notice any improvement or if your symptoms worsen.

What should I do if I miss a dose?

If you miss a dose of Pramipexole Dihydrochloride Oral Suspension, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Pramipexole Dihydrochloride Oral Suspension?

Like any medication, Pramipexole Dihydrochloride Oral Suspension may cause side effects. Common side effects include nausea, dizziness, drowsiness, trouble sleeping, and constipation. If any side effects persist or worsen, contact your healthcare provider promptly.

Can this medication be taken during pregnancy or while breastfeeding?

If you are pregnant or planning to become pregnant, or if you are breastfeeding, discuss the risks and benefits of using Pramipexole Dihydrochloride Oral Suspension with your healthcare provider.

Will Pramipexole Dihydrochloride Oral Suspension affect my ability to drive or operate machinery?

Pramipexole Dihydrochloride Oral Suspension might cause dizziness or drowsiness. It is important not to drive, use machinery, or perform any activities that require alertness until you are certain you can do so safely.

What should I do in case of an overdose?

If you suspect an overdose of Pramipexole Dihydrochloride Oral Suspension, seek emergency medical attention immediately. Overdose symptoms might include nausea, drowsiness, fainting, or hallucinations.

Can I stop taking Pramipexole Dihydrochloride Oral Suspension abruptly?

Do not stop taking Pramipexole Dihydrochloride Oral Suspension without consulting your healthcare provider. Abruptly stopping the medication can lead to withdrawal symptoms or worsen your condition. Your doctor may gradually reduce your dose to prevent such effects.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Pramipexole Dihydrochloride 0.5 mg/ml Oral Suspension
Suspension
30 mL
controlled

Take orally

Three times daily