Adapted from: "The Parkinson's Disease Treatment Book Partnering with Your Doctor to Get the Most from Your Medications" by J. Eric Ahlskog
Two tablet sizes required:
- 0.25 mg
- 1.5 mg
You will be given a prescription for 150 tablets of the 0.25 mg size, which should be sufficient to slowly raise the dose to therapeutic levels. You should not need this size pill after that.
Start low and increase weekly, if tolerated. Take with meals, 3 times daily. Note that the doses used the first few weeks are too low to provide benefit.
Take one-half of a 0.25 mg tablet 3 times daily
Take one 0.25 mg tablet 3 times daily
Take two 0.25 mg tablets 3 times daily
Take one-half of a 1.5 mg tablet 3 times daily
Take one-half of a 1.5 mg tablet plus one 0.25 mg tablet 3 times daily
Take one-half of a 1.5 mg tablet plus two 0.25 mg tablets 3 times daily
Take one 1.5 mg tablet 3 times daily. This is the typical dose used long-term. Maintain this dose if no substantial side effects.
Mirapex possible side effects:
Note that it is not imperative that the Mirapex dose be raised to 1.5 mg 3 times daily. A lower dose can be maintained if that is preferred. However, the dose of 1.5 mg 3 times daily is the dose found to provide the greatest balance between benefit and side effects in most people.