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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest An Alternative Of Mirapex To Manage Parkinson S Disease

I was on Mirapex for 15 years for Parkinsons. My script expired and my primary care Dr, not a neurologist, would not renew it, saying he wasn t qualified to prescribe it. I have been off o it for 6 days now. Can t sleep, can t stand still, but fatigued beyond belief. What should I do?
posted on Sat, 23 Jun 2018
Twitter Mon, 23 Jul 2018 Answered on
Twitter Tue, 24 Jul 2018 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Pramipexole (Mirapex) can be replaced by another non ergot dopamine agonists like Ropinirole. Even Levodopa-Carbidopa combination also can be taken in lieu of as though many physicians initiate therapy with a dopamine agonist, supplemental Levodopa is eventually required in virtually all patients of Parkinsonism.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T.K. Biswas
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Suggest An Alternative Of Mirapex To Manage Parkinson S Disease

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pramipexole (Mirapex) can be replaced by another non ergot dopamine agonists like Ropinirole. Even Levodopa-Carbidopa combination also can be taken in lieu of as though many physicians initiate therapy with a dopamine agonist, supplemental Levodopa is eventually required in virtually all patients of Parkinsonism. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T.K. Biswas