General
Preferred name
pramipexole
Synonyms
SND919CL2Y ()
PNU-98528E ()
Pramipexole dihydrochloride ()
SND 919 ()
Mirapex ()
Pramipexole 2HCl Monohydrate ()
Pramipexole hydrate dihydrochloride ()
Pramipexole (dihydrochloride) ()
Pramipexole (dihydrochloride hydrate) ()
SND 919,Mirapexin,Sifrol,Mirapex ()
SND919 ()
NSC-760426 ()
Neliprax ()
U-98528E ()
Ctc-501 ()
Oprymea ()
Pramipexol ()
SUD919CL2Y ()
Pipexus ()
Mirapexin ()
SUD-919CL2Y ()
Pramipexole hydrochloride ()
Daquiran ()
SND-919CL2Y ()
Pramipexole dihydrochloride monohydrate ()
Pramipexole hydrochloride hydrate ()
Pramipexole dihydrochloride anhydrous ()
Mirapex Extended Release ()
Mirapex Er ()
Pramipexole accord ()
Pramipexole teva ()
Sifrol ()
(S)-Pramipexole (hydrochloride) ()
(S)-Pramipexole-d5 (hydrochloride) ()
(S)-Pramipexole ()
P&D ID
PD002907
CAS
104632-26-0
191217-81-9
104632-25-9
104617-85-8
1217601-58-5
Tags
available
drug
Approved by
EMA
FDA
First approval
1997
Drug indication
Parkinson disease
Antiparkinsonian,Antiparkinsonian
Dopamine Agonist
Antiparkinsonian
Antischizophrenic
Antidepressant
Drug Status
approved
withdrawn
investigational
Max Phase
4.0
Structure
Probe scores
P&D probe-likeness score
[[ v.score ]]%
Structure formats
[[ format ]]
[[ compound[format === 'MOL' ? 'molblock' : format.toLowerCase()] ]]
Description
(extracted from source data)
HALF-LIFE About 8.5-12 hours [FDA label].
ROE The main route of pramipexole elimination, with 90% of a pramipexole dose found in the urine, almost entirely as unchanged drug [FDA label].
PHARMACODYNAMICS **Parkinson's Disease**; ; Through the stimulation of dopamine receptors, pramipexole is thought to relieve the symptoms of Parkinson's Disease [FDA label]. The motor symptoms of Parkinson's disease occur partly due to a reduction of dopamine in the substantia nigra of the brain [A176894]. Dopamine is an essential neurotransmitter that has major effects on motor movements in humans.; ; **Restless Legs Syndrome**; ; Pramipexole likely restores balance to the dopaminergic system, controlling the symptoms of this condition. Restless legs syndrome is thought to occur, in part, through dysfunction of the dopaminergic system, resulting in unpleasant lower extremity symptoms [A176876], [F4301]. ; ; **Other effects**; ; In addition to the abovementioned effects, animal studies demonstrate that pramipexole blocks dopamine synthesis, release, and turnover. Additionally, this drug is neuroprotective to dopamine neuron degeneration after ischemia or methamphetamine neurotoxicity [F4301].
INDICATION This drug is indicated for the symptomatic treatment of Parkinson’s disease [FDA label]. This drug can be administered as monotherapy or in conjunction with levodopa. It is also indicated for symptomatic treatment of moderate to severe primary Restless Legs Syndrome (RLS) [FDA label].
METABOLISM This drug undergoes little metabolism in humans [FDA label].
ABSORPTION The bioavailability of pramipexole is higher than 90%, indicating a high level of absorption [FDA label].
DESCRIPTION Marketed formulations may contain pramipexole dihydrochloride monohydrate (PubChem CID 166589). (GtoPdb)
MOA The exact mechanism of action of pramipexole as a treatment for Parkinson's disease is unknown at this time. It is thought, however, that the ability of pramipexole to cause stimulation of the dopamine receptors in the striatum of the brain, a region that receives a vast array of neurological input and is responsible for a wide variety of functions, may be involved[A176891]. Studies performed in animals show that pramipexole influences striatal neuronal transmission rates following activation of dopamine receptors [FDA label]. ; ; Pramipexole is considered a non-ergot dopamine agonist that shows specificity and strong activity at the D2 subfamily of dopamine receptors in vitro, binding selectively and dopamine D2 receptors and showing a preference for the dopamine D3 receptor subtype rather than other subtypes [A176873]. The clinical significance of this binding specificity is unknown [FDA label], [A176873]. ;
TOXICITY **LD50**; ; Rat Oral LD 50 >800 mg/kg [F4298].; ; **Carcinogenicity, mutagenicity, impact on fertility**; ; Pramipexole was not found to be carcinogenic in 2-year studies on mice and rats at 0.3, 2.2, and 11 times the maximum recommended human dose (MRHD). No increased incidence of tumors was observed [FDA label]. No mutagenicity was detected in various assays, including the Ames test. Finally, pramipexole given to rat models at a dose of 2.5 mg/kg/day (5 times the maximum recommended human dose), increased estrus cycles and inhibited implantation of a fertilized ovum. Decreased levels of prolactin, a hormone necessary for implantation and maintenance of early pregnancy, were measured [FDA label]. The significance of these findings in humans is unknown. ; ; **Pregnancy**; ; This drug is considered a pregnancy category C drug, showing teratogenic effects in animals. Currently, there no studies of pramipexole in human pregnancy. Animal reproduction studies are not always predictive of human response. This drug should only be used in pregnancy if the potential benefit outweighs the possible fetal risks [FDA label]. ; ; **Nursing**; ; Whether pramipexole is excreted in human milk is unknown. A decision should be made regarding the administration pramipexole during nursing, or whether to discontinue it during nursing, as many drugs are excreted in human milk. The potential exists for risk to the infant if pramipexole is, in fact, excreted in the milk [FDA label].
DESCRIPTION GPR119 receptor agonist (Tocris Bioactive Compound Library)
DESCRIPTION Selective D3 agonist (Tocriscreen Plus)
DESCRIPTION Pramipexole (Mirapex) is a partial/full D2S, D2L, D3, D4 receptor agonist with a Ki of 3.9, 2.2, 0.5 and 5.1 nM for D2S, D2L, D3, D4 receptor, respectively. (BOC Sciences Bioactive Compounds)
Compound Sets
35
BOC Sciences Bioactive Compounds
Cayman Chemical Bioactives
CeMM library of unique drugs (CLOUD)
ChEMBL Approved Drugs
Concise Guide to Pharmacology 2017/18
Concise Guide to Pharmacology 2019/20
Concise Guide to Pharmacology 2021/22
Concise Guide to Pharmacology 2023/24
CZ-OPENSCREEN Bioactive Library
Drug Repurposing Hub
DrugBank
DrugBank Approved Drugs
DrugCentral
DrugCentral Approved Drugs
DrugMAP
DrugMAP Approved Drugs
Enamine BioReference Compounds
EU-OPENSCREEN Bioactive Compound Library
EUbOPEN Chemogenomics Library
Guide to Pharmacology
LSP-MoA library (Laboratory of Systems Pharmacology)
Mcule NIBR MoA Box Subset
MedChem Express Bioactive Compound Library
NCATS Inxight Approved Drugs
NIH Clinical Collections (NCC)
Novartis Chemogenetic Library (NIBR MoA Box)
NPC Screening Collection
Prestwick Chemical Library
TargetMol Bioactive Compound Library
The Spectrum Collection
Tocris Bioactive Compound Library
Tocriscreen Plus
Withdrawn 2.0
External IDs
93
Properties
(calculated by RDKit )
Molecular Weight
211.11
Hydrogen Bond Acceptors
4
Hydrogen Bond Donors
2
Rotatable Bonds
3
Ring Count
2
Aromatic Ring Count
1
cLogP
1.58
TPSA
50.94
Fraction CSP3
0.7
Chiral centers
1.0
Largest ring
6.0
QED
0.8
Structural alerts
0
No structural alerts detected
Custom attributes
(extracted from source data)
Target Type
7-TM Receptors
MOA
Dopamine Receptor agonist
Agonist
Dopamine D3 Agonists
Target
D2-like dopamine receptor
D2L
D3
D4
D2S
ADRA2A, ADRA2B, ADRA2C, DRD1, DRD2, DRD3, DRD4, DRD5, HTR1A, HTR1B, HTR1D, HTR2A, HTR2B, HTR2C
Dopamine Receptor
Pathway
GPCR/G protein
Neuroscience
Neuronal Signaling
Primary Target
D3 Receptors
Member status
member
Indication
Parkinson's Disease
ATC
N04BC05
Therapeutic Class
Antiparkinson Agents
Recommended Cell Concentration
None
Source data