Compare Mirapex vs. Requip

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Mirapex (pramipexole)

Prescription only

Requip (Ropinirole)

Prescription only
Helps with movement problems.

Mirapex (pramipexole) is effective for Parkinson's disease or restless legs syndrome, but can cause extreme drowsiness that affects daily living.

Helps with movement problems.

Requip (Ropinirole) is an effective medicine for Parkinson's disease or restless leg syndrome, but there are potentially serious side effects.

Upsides
  • Mirapex (pramipexole) may be better for older people with Parkinson's since it causes fewer movement and mental changes than its alternatives.
  • Mirapex (pramipexole) comes in extended-release form to help reduce side effects and ease administration.
  • Available as a generic so it will be cheaper than similar brand medications.
  • In studies, Requip (Ropinirole) when taken by itself or with other medicines, was effective in lowering movement fluctuations for people with Parkinson's disease.
  • Requip (Ropinirole) is sometimes preferred over other medicines that treat Parkinson's disease in older people since it causes fewer movement and mental fluctuations.
  • Is effective for treating restless leg syndrome.
  • Available in a short-acting and a long-acting form.
Downsides
  • Mirapex (pramipexole) can be used by itself, but is usually used in combination with other medications to treat Parkinson's.
  • Not the best choice if you have kidney problems.
  • You cannot suddenly stop taking Mirapex (pramipexole) if you have been taking it for a long time.
  • Requip (Ropinirole) isn't a first-choice treatment for Parkinson's disease. It can be used by itself, but it's usually used with other medicines.
  • Requip (Ropinirole) can cause hallucinations in older people.
  • Not the best choice if you have kidney problems. Your doctor may have to adjust your dose based on your kidney function.
  • You can't suddenly stop taking Requip (Ropinirole). You'll have to slowly lower your dose, especially if you've been using it for a long time.
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Dosage forms
  • Pill
  • Extended release
  • Pill
  • Extended release
Price
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Reviews
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Side effects
36possible side effects
  • Postural hypotension
    53%
  • Muscle rigidity
    47%
  • Extrapyramidal syndrome
    28%
  • Insomnia
    27%
  • Dizziness
    26%
  • Hallucinations
    17%
  • Accidental injury
    17%
  • Dream abnormalities
    11%
  • Confusion
    10%
  • Muscle weakness
    10%
  • Constipation
    10%
  • Sleepiness
    9%
  • Muscle problems
    8%
  • Gait abnormalities
    7%
  • Muscle tenseness
    7%
  • Dry mouth
    7%
  • Memory loss
    6%
  • Urinary frequency
    6%
  • General swelling
    4%
  • Urinary tract infection
    4%
  • Shortness of breath
    4%
  • Accomodation abnormalities
    4%
  • Restlessness
    3%
  • Thinking abnormalities
    3%
  • Chest pain
    3%
  • Malaise
    3%
  • Runny nose
    3%
  • Vision abnormalities
    3%
  • Arthritis
    3%
  • Paranoid reaction
    2%
  • Urinary incontinence
    2%
  • Lung infection
    2%
  • Twitching
    2%
  • Swelling of joints
    2%
  • Peripheral swelling
    2%
  • Skin disorders
    2%
See more detailed side effects
49possible side effects
  • Dyskinesia
    34%
  • Nausea
    30%
  • Dizziness
    26%
  • Adverse events
    24%
  • Somnolence
    20%
  • Headache
    17%
  • Falls
    10%
  • Hallucinations
    10%
  • Abdominal pain
    9%
  • Confusion
    9%
  • Upper respiratory tract infection
    9%
  • Hallucination
    8%
  • Increased sweating
    7%
  • Increased drug level
    7%
  • Vomiting
    7%
  • Arthralgia
    7%
  • Abdominal pain/discomfort
    6%
  • Adverse reactions
    6%
  • Tremor
    6%
  • Constipation
    6%
  • Anxiety
    6%
  • Urinary tract infection
    6%
  • Orthostatic hypotension
    5%
  • Dry mouth
    5%
  • Pain
    5%
  • Hypokinesia
    5%
  • Paresthesia
    5%
  • Diarrhea
    5%
  • Amnesia
    5%
  • Nervousness
    5%
  • Vertigo
    4%
  • Edema peripheral
    4%
  • Back pain
    3%
  • Hypertension
    3%
  • Syncope
    3%
  • Paresis
    3%
  • Arthritis
    3%
  • Abnormal dreaming
    3%
  • Dyspnea
    3%
  • Fall/injury
    2%
  • Hypotension
    2%
  • Dysphagia
    2%
  • Flatulence
    2%
  • Increased saliva
    2%
  • Weight decrease
    2%
  • Anemia
    2%
  • Pyuria
    2%
  • Urinary incontinence
    2%
  • Diplopia
    2%
See more detailed side effects
Risks and risk factors
  • Impulse control problems
  • Problems with concentration
    • Taking with alcohol
    • Taking other medicines that make you sleepy
    • Sleep disorders
  • Low blood pressure
    • Taking blood pressure medicines
  • Kidney problems
    • Kidney problems
  • Skin cancer
    • Parkinson's disease
  • Hallucinations and behavior changes
    • Age 65 years or older
    • History of psychosis
    • Advanced Parkinson's disease
See more detailed risks and warnings
  • Impulse control problems
  • Driving impairment
    • Taking with alcohol
    • Taking other medicines that make you less alert
  • Low blood pressure
    • Taking blood pressure-lowering medicines
  • Worsening kidney function
    • Current kidney problems
  • Skin cancer
    • Parkinson's disease
  • Hallucinations
    • Age 65 years or older
See more detailed risks and warnings