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Pramipexole Side Effects

The most commonly reported side effects of pramipexole include fall, fatigue, and nausea, based on 33,827 FDA adverse event reports from 2004 to 2025. 7.1% of reports found the drug to be ineffective.

Pramipexole side effects

Percentages show how often each reaction appears relative to total reports for pramipexole.

1
Drug Ineffective7.1%2,390
2
Fall5.6%1,911
3
Fatigue5.5%1,860
4
Nausea4.7%1,590
5
Pain4.2%1,418
6
Dizziness4.0%1,355
7
Dyspnoea3.9%1,322
8
Off Label Use3.8%1,282
9
Hallucination3.7%1,240
10
Condition Aggravated3.6%1,211
11
Headache3.4%1,151
12
Insomnia3.3%1,131
13
Gait Disturbance3.2%1,081
14
Pathological Gambling3.0%1,013
15
Asthenia3.0%1,011

These are voluntary reports and do not establish that pramipexole caused these reactions.

Report severity

65.0%Serious21,979 reports
32.0%Hospitalizations10,811 reports
7.2%Fatal2,421 reports

Seriousness is determined by the reporter, not by OpenClaim.

Pramipexole drug interactions

Other drugs that appear in adverse event reports alongside pramipexole. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Levodopa10.1%3,411
2
Carbidopa8.4%2,840
3
Sodium-oxybate5.4%1,843
4
Pimavanserin4.0%1,348
5
Adalimumab2.8%939
6
Pregabalin2.3%771
7
Entacapone2.2%741
8
Amantadine2.1%697
9
Gabapentin1.9%646
10
Apomorphine-hydrochloride1.9%636
11
Quetiapine-fumarate1.9%629
12
Lenalidomide1.8%605
13
Pantoprazole-sodium1.7%580
14
Rasagiline-mesylate1.5%520
15
Ropinirole-hydrochloride1.4%460

Taken alongside

1
Acetaminophen15.2%5,139
2
Aspirin15.0%5,087
3
Ergocalciferol14.4%4,885
4
Levodopa14.3%4,826
5
Carbidopa14.1%4,768
6
Gabapentin13.8%4,659
7
Levothyroxine-sodium13.5%4,581
8
Omeprazole11.9%4,040
9
Furosemide11.4%3,870
10
Atorvastatin-calcium10.5%3,543
11
Albuterol9.9%3,352
12
Pantoprazole-sodium8.5%2,884
13
Metformin8.4%2,857
14
Metoprolol8.2%2,778
15
Fluticasone8.1%2,739

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports pramipexole side effects

56.6% of pramipexole adverse event reports involve female patients and 34.7% involve male patients. The largest age group is elderly at 57%. These figures reflect who reports side effects, not underlying risk.

Sex

Female56.6%
Male34.7%
Unknown8.7%

Age group

< 20.2%
2–110.2%
12–170.2%
18–6442.1%
65+57.4%

What is pramipexole used for

Conditions and purposes for which patients were taking pramipexole when the adverse event was reported.

Abdominal DiscomfortAbnormal BehaviourAccidentAccidental ExposureAccidental OverdoseAcute Coronary SyndromeAdjuvant TherapyAdverse Drug ReactionAdverse EventAffect LabilityAffective DisorderAggressionAgitationAkathisiaAkinesia

Showing 15 of 369 indications

Pramipexole brand names and reporting trend

Pramipexole is sold under the brand name Mirapex Er.

Brand names

Mirapex Er22,520

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking pramipexole with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.