Sifrol 0.18Mg(0.25) 30Tab is a medication that contains the active ingredient Pramipexole. It is used to treat Parkinson’s disease and Restless Legs Syndrome (RLS). It belongs to a class of drugs known as dopamine agonists, as it works by stimulating dopamine receptors in the brain to improve motor control.
Parkinson’s Disease:
Helps relieve symptoms such as tremors, slowed movements, and muscle stiffness.
Can be used alone or in combination with Levodopa at all stages of the disease.
Restless Legs Syndrome (RLS):
Treats moderate to severe symptoms when no clear underlying cause is identified, such as the persistent urge to move the legs.
The dosage is determined by the doctor.
Initial dose: Usually 0.088 mg three times daily (for immediate-release tablets) or 0.26 mg once daily (for extended-release tablets).
Dose may be gradually increased every 5–7 days.
Maximum daily dose: 3.3 mg.
The dosage is determined by the doctor.
Immediate-release tablets are taken once daily, 2 to 3 hours before bedtime.
Starting dose: 0.088 mg, which may be increased gradually every 4–7 days up to a maximum of 0.54 mg.
Tablets should be swallowed with water.
Extended-release tablets should not be chewed or crushed.
Should be taken at approximately the same time each day.
If the medication is stopped for a few days, treatment should be restarted at the lowest dose under medical supervision.
Common side effects:
In Parkinson’s: dyskinesia (involuntary movements), dizziness, drowsiness, nausea.
In RLS: nausea.
Other possible side effects include:
Hallucinations (seeing or hearing things that aren’t there).
Sudden sleep attacks.
Behavioral changes, such as compulsive overeating.
Visual impairment.
Low blood pressure when standing (orthostatic hypotension).
Use with caution in cases of:
Kidney disease.
Cardiovascular conditions.
Psychiatric disorders (e.g., psychosis or compulsive behaviors).
Additional precautions:
Regular monitoring of blood pressure and eye health is advised.
Not recommended for children and adolescents under 18 years of age.
May impair the ability to drive or operate machinery due to possible drowsiness or hallucinations.
Consult your doctor before using this medication during pregnancy or breastfeeding.
Inform your doctor of all medications you are using. Use caution with:
Antipsychotic medications.
Cimetidine, Amantadine, Mexiletine, Zidovudine, Cisplatin, Quinine, and Procainamide.
Store below 30°C.
Keep in the original packaging to protect from light.
Keep out of reach of children.
Do not use after the expiry date stated on the package.
Do not dispose of via wastewater or household waste—ask your pharmacist how to dispose of it properly.
Active ingredient:
Pramipexole.
Other ingredients:
Mannitol.
Maize starch.
Colloidal anhydrous silica.
Povidone K25.
Magnesium stearate.