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| Parkinson's
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Pergolide
BRAND: Permax
Pergolide is a semisynthetic, clavine ergot derivative dopamine agonist. In contrast to bromocriptine, it is a strong D2 receptor agonist and a
weak Dl receptor agonist. Pergolide is used to treat the stiffness, tremors, spasms, and
poor muscle control of Parkinson's disease.
In one study, Pergolide permitted a mean levodopa dose reduction of 24.7%, motor function improved by
35% in pergolide-treated patients and 'off' time decreased by 32%.
Important Information About
Pergolide
 | Use caution when driving, operating machinery, or performing
other hazardous activities. pergolide may cause low blood pressure (leading to dizziness
and other symptoms), especially when you rise from a sitting or lying position. Rise
slowly and use caution when performing hazardous activities until you know how this
medication affects you. |
 | Hallucinations may occur if pergolide is taken with
levodopa. Call your doctor if you experience hallucinations. |
Do Not Take Pergolide If
 | You may require a lower dose or special monitoring during
your therapy with pergolide if you have any type of heart disease, such as irregular
heartbeats or a history of a heart attack. |
 | Pergolide is in the FDA pregnancy category B. This means
that it is unlikely to harm an unborn baby. Do not take pergolide without first talking to
your doctor if you are pregnant. |
 | It is not known whether pergolide passes into breast milk.
Do not take pergolide without first talking to your doctor if you are breast-feeding a
baby. |
Drug overdose
Seek emergency medical attention if you have taken an
overdose.
Symptoms of a pergolide overdose include nausea, vomiting,
weakness, dizziness, fainting, agitation, confusion, hallucinations, muscle twitching,
uncontrollable movements, a tingling sensation, and irregular heartbeats.
Avoid while taking pergolide
Use caution when driving, operating machinery, or
performing other hazardous activities. pergolide may cause low blood pressure (leading to
dizziness and other symptoms), especially when you rise from a sitting or lying position.
Rise slowly and use caution when performing hazardous activities until you know how this
medication affects you.
Side effects of pergolide
Potential side effects include nausea, vomiting,
orthostatic hypotension, cognitive dysfunction, increased liver enzymes, erythromelalgia,
and peripheral edema.
Stop taking pergolide and seek emergency
medical attention if you experience:
 | An allergic reaction (difficulty breathing; closing of your
throat; swelling of your lips, tongue, or face; or hives). |
 | Notify your doctor immediately if you experience irregular
heartbeats, hallucinations, or dizziness (especially when rising from a sitting or lying
position). Your doctor may want to discontinue this medication or lower your dosage. |
Continue to take pergolide and talk to your
doctor if you experience the following less serious, but more common, side reactions:
 | Mild nausea, vomiting, upset stomach, or decreased appetite |
 | Diarrhea or constipation |
 | Dry mouth |
 | Drowsiness |
 | Insomnia |
 | Agitation or anxiety. |
Drug Interaction
Before taking pergolide, tell your doctor if you are taking
any of the following medicines:
 | A phenothiazine such as chlorpromazine (Thorazine),
fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine
(Mellaril), promazine (Sparine), trifluoperazine (Stelazine), and Others |
 | Haloperidol (Haldol) |
 | Thiothixene (Navane) |
 | Metoclopramide (Reglan). |
The medicines listed above may decrease the effects of
pergolide. Your doctor may want to adjust your pergolide dosage if you are taking any of
these medicines.
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