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You should not take Pramipexole if your are allergic to pramipexole. Some people taking Pramipexole have fallen asleep during normal daytime activities such as working, talking, eating, or driving. You may fall asleep suddenly, even after feeling alert. Tell your doctor if you have any problems with daytime sleepiness or drowsiness. If you are unsure of how Mirapex will affect you, be careful if you drive or do anything that requires you to be awake and alert.

To make sure you can safely take Pramipexole, tell your doctor if you have any of these other conditions:

• low blood pressure;
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• tremors (dyskinesia) or uncontrolled muscle movements.

You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking Pramipexole. It is not known whether the medicine actually causes this effect. Talk with your doctor if you believe you have any intense or unusual urges while taking Pramipexole.

Some people taking Parkinson's disease medications have developed skin cancer (melanoma). However, people with Parkinson's disease may have a higher risk of melanoma. Talk to your doctor about this risk and what skin symptoms to watch for. You may need to have regular skin exams.

FDA pregnancy category C. It is not known whether Pramipexole will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using Pramipexole. It is not known whether pramipexole passes into breast milk or if it could harm a nursing baby. Do not use Pramipexole without telling your doctor if you are breast-feeding a baby.

Pramipexole may cause hallucinations (the sensation of hearing or seeing something that is not there), most commonly among elderly people. Call your doctor if you have hallucinations.

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