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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pramipexole Prescribed For Restless Legs. Leg Cramps Due To Potassium Deficiency. Need To Stop Medication. Safe?

Hi my 72 yr old mother was prescribed .25mg /day of Pramipexole for restless legs, and has been taking it for 12 days. She wants to discontinue it because she actually has leg cramps from a calcium and possibly potassium deficiency we think (she is correcting these), not restless legs and she is getting a lot of side-effects from Pramepexole- she is at the mid point between mild cognitive deficiency and mild dementia and Pramepexole has made memory her much worse, and is causing her to feel depressed, tired, and she has dry mouth and some diarrhea (its possibly unrelated). She is super sensitive to drugs and dose reductions, she tapered off Effexor extremely slowly last year (2 beads per day) is on 14mg of Prosac now- and has been doing well prior to the pramipexole. She is no longer cutting down Prozac but when she was, she was only able to reduce Prozac at a rate of .5mg/month without developing confusion- just as an example of her sensitivity. Should she try to taper Pramipexole slowly? We might be able to quarter her 0.125 tablet or should she just go down to half right away? Do dopamine receptors get down-regulated in such a short time? What if any withdrawal symptoms can we expect. Other meds she takes- synthroid, meloxicam, pantaloc, and the 14mg prozac. Thanks!
Tue, 21 May 2013
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Psychiatrist 's  Response
Hi,
thanks for using healthcare magic.
Pramipexole in some case may impair the memory especially at higher dose. Pramipexole may also cause dryness of mouth and some confusion especially in elderly.

But you should consult your psychiatrist before doing any change in dose of pramipexole.

She should also rule out Vitamin B12 and vitamin D level for her symptoms.

Thanks.
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Psychologist Dr. K. V. Anand's  Response
Dear
Welcome to HCM
I understand your concern.
You want to see your mother cured.
Good. You seem to know a lot about psychotic drugs.
Any way the conditions you mention are somehow corresponding to medicinal reaction.
But your general physician and psychiatrist are the best judges.
Never ever under estimate their credentials.
Never ever come to self conclusions and discontinue medictions.
Such act will do more harm than good.
It is a bit disheartening to hear that your mother is super sensitive to drugs.
Wish her speedy recovery.
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Pramipexole Prescribed For Restless Legs. Leg Cramps Due To Potassium Deficiency. Need To Stop Medication. Safe?

Hi, thanks for using healthcare magic. Pramipexole in some case may impair the memory especially at higher dose. Pramipexole may also cause dryness of mouth and some confusion especially in elderly. But you should consult your psychiatrist before doing any change in dose of pramipexole. She should also rule out Vitamin B12 and vitamin D level for her symptoms. Thanks.