Pramirol SR 2.1 Tablet is used in the treatment of Parkinson's disease and restless leg syndrome (an urge to move the legs usually accompanied or caused by uncomfortable and unpleasant leg sensations). It helps to treat excessive shaking by slowing down the body movements.
Pramirol SR 2.1 Tablet can be taken with or without food. However, take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration as advised by your doctor and if you have missed a dose, take it as soon as you remember it. You should never skip any doses and finish the full course of treatment even if you feel better. This medication must not be stopped suddenly without talking to your doctor.
Some common side effects of this medicine include nausea, dry mouth, fatigue, hallucinations, constipation, and peripheral edema. It also causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Inform your doctor if you develop any unusual changes in mood, an abnormally high sex drive, an urge to gamble, or uncontrolled spending as these may prove very harmful.
Before you start Pramirol SR 2.1 Tablet, let your doctor know if you have any medical conditions. Inform your doctor about all the medications you are taking, as some medicines may interact with Pramirol SR 2.1 Tablet. Pregnant or breastfeeding women should consult their doctor before taking Pramirol SR 2.1 Tablet to ensure safety.
Pramirol SR 2.1 Tablet is used to help manage symptoms such as tremors, stiffness, and slowed movement in Parkinson’s disease, supporting better mobility and daily functioning.
In Restless leg syndrome
In rest leg syndrome, Pramirol SR 2.1 Tablet helps relieve the uncomfortable urge to move the legs, especially at night, leading to improved sleep quality and overall comfort.
Side effects of Pramirol Tablet PR
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Pramirol
Dizziness
Sleepiness
Nausea
Fatigue
Hallucination
Constipation
Weakness
Insomnia (difficulty in sleeping)
Headache
How to use Pramirol Tablet PR
Use it as advised by your doctor or check the label for directions before use. Pramirol SR 2.1 Tablet may be taken with or without food.
How Pramirol Tablet PR works
Pramirol SR 2.1 Tablet works by mimicking the action of dopamine, a chemical messenger that is needed to control movement in the brain.
Safety advice
Alcohol
UNSAFE
Do not drink alcohol while you are taking this medicine. Pramirol SR 2.1 Tablet may cause excessive drowsiness when taken with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
The safety of Pramirol SR 2.1 Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding
CONSULT YOUR DOCTOR
Pramirol SR 2.1 Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor. Pramirol SR 2.1 Tablet suppresses serum prolactin and may interfere with breastfeeding.
Driving
UNSAFE
Pramirol SR 2.1 Tablet may cause side effects that could affect your ability to drive. Pramirol SR 2.1 Tablet can cause hallucinations (seeing, hearing or feeling things that are not there). This may affect your ability to drive.
Kidney
CAUTION
Pramirol SR 2.1 Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Liver
SAFE IF PRESCRIBED
Pramirol SR 2.1 Tablet is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.
What if you forget to take Pramirol Tablet PR?
If you miss a dose of Pramirol SR 2.1 Tablet, skip it and continue with your normal schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine
Quick tips
You have been prescribed Pramirol SR 2.1 Tablet to treat your symptoms of Parkinson's disease and/or restless leg syndrome.
It can be taken with or without food. Taking it with food may reduce nausea.
For restless leg syndrome, take this medicine 2 to 3 hours before bedtime.
Avoid activities that require you to be alert, such as driving a car until you know how this medication affects you.
When you first start taking Pramirol SR 2.1 Tablet, it may cause sudden drop in your blood pressure when you change positions. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Talk to your doctor in case you develop hallucinations or other changes in your behavior.
Inform your doctor if you develop compulsive behaviors that are hard to control, such as binge eating, gambling, spending money, and sexual urges.
Do not stop taking the medication suddenly without talking to your doctor.
You have been prescribed Pramirol SR 2.1 Tablet to treat your symptoms of Parkinson's disease and/or restless leg syndrome.
It can be taken with or without food. Taking it with food may reduce nausea.
Inform your doctor if you develop compulsive behaviors that are hard to control, such as binge eating, gambling, spending money, and sexual urges.
Avoid activities that require you to be alert, such as driving a car until you know how this medication affects you.
When you first start taking Pramirol SR 2.1 Tablet, it may cause sudden drop in your blood pressure when you change positions. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Talk to your doctor in case you develop hallucinations or other changes in your behavior.
Do not stop taking the medication suddenly without talking to your doctor.
For restless leg syndrome, take this medicine 2 to 3 hours before bedtime.
Fact Box
Chemical Class
Aralkylamines
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Dopamine Agonists
Interaction with drugs
Taking Pramirol with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
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i was suffering restless leg syndrome for the past 15 years , its symptoms started when i was 17 years old as burning sensation in both feet. now feeling pain in both knees and calf muscle along with burning sensation
I am suffering from RLS since many years.cannot sleep all nite.day time everything is Normall.but as soon as i go to bed leg starts irritating.some times right leg.sometimes left.can sleep only after someone beats the leg with fights.please help.
I am a diabetic patient. And having diabetic neuropathy problem. Daily i am getting cramp in the leg or in the hand fingers. Taking cobasoft OD in the morning & pregaba M 75 in the night. Please advice to continue or else to take some other medicine
Dr. Vikas Sharma
Neurology
do nerve conduction ; start tab pramirol 0.25 mg hs
What were the side-effects while using Pramirol SR 2.1 Tablet?
Constipation
25%
Sleepiness
25%
No Side Effec*
25%
Fatigue
25%
*No Side Effect
How do you take Pramirol Tablet PR?
With food
67%
Empty stomach
33%
Please rate Pramirol SR 2.1 Tablet on price
Expensive
56%
Average
22%
Not Expensive
22%
FAQs
Does Pramirol SR 2.1 Tablet cause weight gain?
A common side effect of Pramirol SR 2.1 Tablet is decrease in body weight which may be due to decrease in appetite. Uncommonly, it can also cause increase in weight. However, if you have concerns regarding your weight talk to your doctor or a nutritionist.
Does Pramirol SR 2.1 Tablet make you sleepy?
Yes, Pramirol SR 2.1 Tablet may cause sleepiness. You may also experience sudden episodes of falling asleep. If it occurs, restrict driving and using heavy machinery and inform your doctor.
How does Pramirol SR 2.1 Tablet work for restless legs?
Restless leg syndrome (RLS) is a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down. Pramirol SR 2.1 Tablet belongs to dopamine (neurotransmitter) agonist class of medicines. It acts by stimulating the dopamine receptors which is needed in the brain to control movement. Hence, it is used to improve RLS.
Is Pramirol SR 2.1 Tablet a muscle relaxant?
No, Pramirol SR 2.1 Tablet is not a muscle relaxant. It helps in improving movements and muscle control in Parkinson’s disease. It is a dopamine agonist and acts on dopamine receptors.
Can I stop taking Pramirol SR 2.1 Tablet if my symptoms of Parkinson’s disease have improved?
You should not stop Pramirol SR 2.1 Tablet without talking to your doctor. Sudden discontinuation of Pramirol SR 2.1 Tablet may cause neuroleptic malignant syndrome. The symptoms of malignant syndrome include loss of muscle movement, rigid muscles, fever, unstable blood pressure, increased heart rate, confusion, and depressed level of consciousness.
How should Pramirol SR 2.1 Tablet be taken?
You should take Pramirol SR 2.1 Tablet as directed by your doctor. The doctor will decide your dose depending on the condition you are being treated for. Preferably it should be taken 2-3 hours before bedtime. Swallow the tablets whole with water. It can be taken with or without food, but taking it with food may help reduce the chances of nausea.
What are the serious side effects of Pramirol SR 2.1 Tablet?
The serious side effects of Pramirol SR 2.1 Tablet include hallucinations (seeing things or hearing voices that do not exist), confusion, aggressive behavior, agitation, abnormal thoughts, changes in vision, abnormal body movements, and motions that you cannot control. It may also cause changes in the way you sit or stand that you cannot control, such as your neck bending forward, bending forward at the waist, or tilting sideways when you sit, stand or walk. Additionally, it may cause dark, red or cola-colored urine, muscle tenderness, muscle stiffness or aching and muscle weakness. Call your doctor immediately if you experience any of these.
What are impulse control disorders caused by Pramirol SR 2.1 Tablet?
Pramirol SR 2.1 Tablet may cause impulse control disorders in which you may have cravings or urge to behave in an unusual manner, which normally you would not do. Pramirol SR 2.1 Tablet may also make it hard for you to resist the impulse to carry certain activities which can harm you or others, like addictive gambling, excessive eating or spending money. Along with that, it may cause an abnormally high sex drive or preoccupation with an increase in sexual thoughts or feelings.
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
Aminoff MJ. Pharmacologic Management of Parkinsonism & Other Movement Disorders. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 475-76.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1140-41.
Pramipexole dihydrochloride. Ridgefield, Connecticut: Boehringer Ingelheim International GmbH; 2010. [Accessed 22 Jan. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 22 Mar. 2019] (online) Available from:
Pramipexole. South Ruislip, Middlesex: Aurobindo Pharma - Milpharm Ltd.; 2012 [revised 7 Feb. 2018]. [Accessed 22 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 07 Aug. 2023] (online) Available from:
Pramipexole dihydrochloride [Prescribing Information]. Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals, Inc.; 2021. [Accessed 05 Aug. 2023] (online) Available from:
Pramipexole dihydrochloride. Prescribing Information. Bryant Ranch Prepack Inc., Burbank, CA, USA.; 2024. [Accessed 10 Sep. 2025] (online) Available from:
Address: Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Country of origin: India Expires on or after: December, 2026
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