How to use Pramipexole for Bipolar Depression?

Pramipexole is currently FDA-approved for Parkinson’s disease & Moderate-to-severe primary Restless Legs Syndrome but Pramipexole has promising data as an augmentation option for the management of treatment-resistant unipolar and bipolar depression. 

The serotonergic and noradrenergic hypotheses do not fully account for the neurobiology of depression or the mechanism of action of effective antidepressants. Research implicates a potential role of the dopaminergic system in the pathophysiology of bipolar disorder. (Biol Psychiatry. 2004 Jul 1;56(1):54-60)

HERE IS ONE SLIDE FROM ACADEMY PRESENTATION:

PRAMIPEXOLE DOSING FOR BIPOLAR 1 VS 2 DISORDER:

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This chapter is summarized in the following clinically relevant topics:

  1. Mechanism of Action
  2. How to Dose & Titrate: Bipolar 1 vs Bipolar 2
  3. Drug Interactions: Antipsychotics D3 Affinity
  4. Monitor for Adverse Events
  5. How to Discontinue: Taper Schedule?

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