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Drug side effects

pramipexole Side Effects

The reactions most often reported to the FDA for pramipexole (also sold as Mirapex), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

14,399
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2004 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of pramipexole come from 14,399 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 14,399 reports to the FDA Adverse Event Reporting System (FAERS) for pramipexole (Mirapex): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

14,399

Reports Mentioning Death

1,206

8.4% of reports — not proof the medicine caused the death

Hospitalizations

5,034

35.0% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FALL
1,066
FATIGUE
1,043
NAUSEA
832
PAIN
795
CONDITION AGGRAVATED
788
HALLUCINATION
754
DIZZINESS
734
DYSPNOEA
710
DYSKINESIA
643
GAIT DISTURBANCE
642
HEADACHE
593
TREMOR
576
DEATH
565
INSOMNIA
563
ASTHENIA
533
SOMNOLENCE
518
ARTHRALGIA
512
PNEUMONIA
501

Who Reports Side Effects

Gender Distribution

Female 8,046 (61%)
Male 5,146 (39%)
Unknown 21

Age Distribution

0-17 92 (1%)
18-44 697 (7%)
45-64 3,138 (32%)
65-74 3,174 (32%)
75+ 2,846 (29%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 1,206 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 565
COMPLETED SUICIDE 80
PARKINSON^S DISEASE 61
PNEUMONIA 60
HALLUCINATION 52
DYSPNOEA 51
GENERAL PHYSICAL HEALTH DETERIORATION 50
FALL 48
FATIGUE 47
ASTHENIA 41
SEPSIS 41
CARDIAC ARREST 40
PAIN 40
RENAL FAILURE 37
URINARY TRACT INFECTION 36
ACUTE KIDNEY INJURY 34
MULTIPLE ORGAN DYSFUNCTION SYNDROME 34
SOMNOLENCE 34
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 33

Reactions in Hospitalization Reports

Top reactions in 5,034 reports where hospitalization was an outcome.

Reaction Reports
FALL 516
FATIGUE 426
DYSPNOEA 423
PNEUMONIA 409
PAIN 385
CONDITION AGGRAVATED 351
NAUSEA 303
ASTHENIA 299
DYSKINESIA 278
HEADACHE 258
HALLUCINATION 249
ARTHRALGIA 247
TREMOR 242
CONSTIPATION 241
VOMITING 238
GENERAL PHYSICAL HEALTH DETERIORATION 232
DIARRHOEA 227
ABDOMINAL PAIN 222

Compare pramipexole vs acamprosate →

What the FAERS Data Reveals About pramipexole Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 14,399 voluntary reports linked to pramipexole and its brand equivalents (Mirapex), spanning 2004 through 2025. Of those, 1,206 (8.4%) listed death as an outcome and 5,034 (35.0%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 61% were female and 39% male; age distribution skews toward 65-74, with 3,174 reports in that bracket. The single most reported reaction is fall with 1,066 submissions, followed by fatigue and nausea.

How to read these numbers

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.