Ramixole Tablets

Ramixole Tablets

For parkinsonism

Composition

Ramixole 1 mg:

 

Each tablet contains Pramipexole dihydrochloride monohydrate                                             

1 mg

(equivalent to Pramipexole 0.7 mg)

 

 

Ramixole 0.25 mg:

 

Each tablet contains Pramipexole dihydrochloride monohydrate                                             

0.25 mg

(equivalent to Pramipexole 0.175 mg)

 

 

Properties

Pramipexole dihydrochloride - a benzothiazolamine derivative - is a non-ergot dopamine receptor agonist. Its action is through mimicking brain activities of a PD patient who would otherwise normally respond to dopamine. Pramipexole may be used with or without levodopa and has been shown to be effective in delaying the development of levodopa-associated motor fluctuations and dyskinesias

Indications

  • For treatment of signs and symptoms associated with idiopathic Parkinson's disease. It can be used alone or in combination with other therapies and it is effective in treating both early and advanced stages of the disease.

Contra-indication

Hypersensitivity to any of the product's ingredients.
Breast feeding.

Side effects

Nausea, insomnia, asthenia, constipation, drowsiness and hallucinations.

Dosage

  • Initial dose is 0.125 mg of Pramipexole dihydrochloride monohydrate to be repeated three times daily, the dose is increased to 0.25 mg three times daily within 5 to 7 days. The dose may be increased by 0.75 mg at weekly intervals up to a maximum dose of 4.5 mg per day. Ramixole may be taken with or without food and should not be discontinued abruptly.

Drug interactions

  • When combined with levodopa/carbidopa  pramipexole caused an earlier T max for levodopa but resulted in no changes in the extent of levodopa absorption or elimination.
  • Avoid concomitant use of antipsychotic.
  • Excretion of pramipexole reduced by cimetidine .
  • Effects of dopaminergics possibly enhanced by memantine.

Precaution

  • Dosage reduction should be adjusted by physician in renal and hepatic impairment, in psychotic disorders, in severe cardiovascular diseases and in pregnancy.

Storage

 Store in its original pack at a temperature below 30°C, protect from light.

Package

Ramixole 1 mg: Boxes of one or two blisters each containing 10 tablets.
Ramixole 0.25 mg: Boxes of one or two blisters each containing 10 tablets.