Pramipexole (Mirapex®) is a dopamine agonist used in Parkinson’s disease to improve tremor, stiffness, and slowness of movement. It can be prescribed alone in the early stages or combined with levodopa later to help smooth out “off” periods and reduce the total levodopa dose needed. While effective, it is generally less potent than levodopa. Common side effects include nausea, dizziness, drowsiness, leg swelling, and impulse-control problems such as compulsive gambling or shopping. Despite these risks, pramipexole is an important option for managing Parkinson’s symptoms, particularly in younger patients.