A client with Parkinson disease is started on Mirapex (pramipexole) 0.125 mg three times daily. The family has been told to return to the physician's office in 4 wk. Which of the following statements by the nurse is best?
A) "This medication may cause insomnia, so you may want to take melatonin to help you sleep."
B) "You can break the extended release tablet up to make it easier to swallow."
C) "If you forget to take the extended release tablet in the morning, just take it at bedtime."
D) "Be sure to let the physician know if you notice any confusion or hallucinations."

Question

Quizplus · Accepted Answer

Mirapex may cause confusion or hallucinations as a side effect, especially in elderly patients. It is important for the nurse to remind the family to report any such symptoms to the physician. Option A is not correct, as melatonin may interact with Mirapex and is not always recommended. Option B is not correct, as Mirapex is not an extended release tablet. Option C is not correct, as Mirapex should be taken at specific times of the day as prescribed by the physician.

A Client with Parkinson Disease Is Started on Mirapex (Pramipexole)