Pramipexole alternative.

[Carowind]

I have just been informed by Pharmacy2U that they can’t supply my usual Pramipexole, which I have been taking for 25 years, gradually increasing dose from minimum to maximum with no problems. I therefore need an alternative. Any recommendations, please? Thanks.

[Madlegs1]

Firstly--- congratulations on getting on so well with the dreaded Prami!

You will be inundated with horror posts for allowing this to happen, and suggesting all sorts of alternatives,.

Prami is a Dopamine Antagonist, so you are looking for a similar med.

The pharmacist should be able to help you.

Neupro is one, off the top of my head, it comes as a 7 day patch.

There are others, but I'm not up to speed with them .

You could check out DA meds on Google. Or I'm sure someone will come on with them.

The one question I would ask is - did you have to increase your Prami dose because it wasnt working for you ? If so, then you may need to resaerch "Augmentation" which is a whole new ball game.

Anyway, see how you go!

And , good luck.

[FLAME43 in reply to Madlegs1]

thank you i was reading as the same has been told to me

[SueJohnson]

Ropinirole is the usual alternative. The equivalent dose of ropinirole to pramipexole is 4 ropinirole to 1 pramipexole.

[macewan13]

I am on the Neupro patch (2mg, applied at about 6pm every day). It is a dopamine agonists as is Pranipexole. I also take a Tramadol (100mg, slow release) at the same time. This has been working for several years.

I hope this helps.

[TheDoDahMan]

Did your supplier give a reason for not being able to continue? Would that also apply to the other dopamine agonists?

[Rlsy]

My husband had this problem but it is only the one strength that was unavailable,0.52mg he has been taking 2 of these. Spent all morning on the phone had to eventually go back to GP surgery and get them to prescribe a different strength.