medicationsMirapex Er

Mirapex ER Coupon & Prices

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Medically reviewed by  Jamie Winn, PharmD

Is NiceRx a Mirapex ER coupon provider?

NiceRx is a service provider that helps eligible individuals access patient assistance programs. We do not offer trial offers or free Mirapex ER samples. This will likely save you more money than if you were to use Mirapex ER coupons, discount cards, or Mirapex ER copay cards.

Mirapex ER patient assistance program

Patient assistance programs are typically sponsored by pharmaceutical companies and provide free or discounted medications to individuals with low income who are uninsured or under-insured and meet the eligibility criteria that vary by program. There are currently no known patient assistance programs for this medication.

How much does Mirapex ER cost without insurance?

Mirapex ER prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Mirapex ER oral tablet, extended-release 0.375 mg typically costs $165 for 7 tablets.

How much does Mirapex ER cost with insurance?

The copay for Mirapex ER will vary by the terms of your healthcare plan. To find out what you might need to pay for Mirapex ER with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.

What is Mirapex ER?

Mirapex ER is an FDA (U.S. Food and Drug Administration) approved medication distributed by Boehringer Ingelheim Pharmaceuticals, Inc. It is a non-ergot dopamine agonist used to treat the signs and symptoms of Parkinson’s disease and Restless Legs Syndrome.

What doses of Mirapex ER are available?

Mirapex ER is available in extended-release tablet form, in the following doses: 0.375 mg, 0.75 mg, 1.5 mg, 2.25 mg, 3 mg, 3.75 mg, and 4.5 mg.

Mirapex ER tablets are taken once daily, with or without food. Swallow the tablets whole. Do not chew, crush, or divide the tablets. The initial dose is 0.375 mg once daily, increased, every 5 to 7 days, first to 0.75 mg per day and then by 0.75 mg increments to a maximum dose of 4.5 mg per day. If you miss a dose take your medicine as soon as you can, but skip the missed dose if it is almost time for your next dose.

You may be switched from immediate-release pramipexole tablets to Mirapex ER tablets at the same daily dose. Dose adjustment may be needed. Mirapex ER tablets should be discontinued gradually as some conditions may become worse with sudden discontinuation of treatment. You may also have withdrawal symptoms (such as anxiety, depression, confusion, fever, and muscle stiffness) if you suddenly stop taking this medication. Your doctor may taper your dose down slowly.

Please read the patient information and drug information provided with your medicine and always speak with a healthcare professional for medical advice about any changes to your dose so they can monitor and evaluate your condition.

Mirapex ER active ingredients

Mirapex ER contains pramipexole as the active ingredient.

Mirapex ER side effects

The most common side effects of Mirapex ER in clinical trials include:

  • For early Parkinson’s disease without levodopa – somnolence, sleepiness or drowsiness, nausea, constipation, dizziness, fatigue, hallucinations, dry mouth, muscle spasms, and peripheral edema
  • For advanced Parkinson’s disease with levodopa – dyskinesia, nausea, constipation, hallucinations, headache, and anorexia

In rare instances, Mirapex ER can cause more serious side effects. These can include:

  • Falling asleep during daily activities – sudden onset of sleep may occur without warning
  • Symptomatic orthostatic hypotension (low blood pressure)
  • Compulsive behaviors and other intense urges
  • Hallucinations
  • Dyskinesia
  • Renal impairment
  • Withdrawal-emergent hyperpyrexia and confusion, fibrotic complications, and melanoma

Your doctor will assess the benefits of using Mirapex ER against your risk of adverse effects. Patients are encouraged to report negative side effects or adverse reactions of Mirapex ER to the FDA. Visit, or call 1-800-FDA-1088.

Mirapex ER drug interactions

Mirapex ER can interact with other medications. These include:

  • Dopamine antagonists which reduce the effectiveness of pramipexole dihydrochloride
  • Antipsychotics such as chlorpromazine, haloperidol
  • Cimetidine, metoclopramide
  • Antihistamines – cetirizine, diphenhydramine
  • Treatments for anxiety – alprazolam, diazepam, zolpidem
  • Opioid pain relievers such as codeine, and hydrocodone

This list is not exhaustive and other prescription drugs may interact with Mirapex ER. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Mirapex ER contraindications

You should not use Mirapex ER if you:

  • Are allergic to the active ingredient pramipexole
  • Are allergic to any of the other ingredients in Mirapex ER

Talk to your doctor about your medical condition before using Mirapex ER if you:

  • Are taking any of the medications that could interact with Mirapex ER
  • Have low blood pressure
  • Have daytime drowsiness
  • Have kidney disease
  • Have problems controlling your muscle movements
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed – This drug may pass into breast milk. Inhibition of lactation is expected because pramipexole inhibits the secretion of prolactin in humans

Mirapex ER generic

Mirapex ER is the trademark brand name for pramipexole distributed by Boehringer Ingelheim Pharmaceuticals, Inc. A generic version of pramipexole is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Mirapex ER savings through NiceRx.

The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.