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Pramipexole is a dopamine agonist of the non-ergoline class. Dopamine agonists act directly on dopamine receptors and mimic the endogenous neurotransmitter. It has selective affinity for dopamine receptors of the D2 subfamily, in particular D3. Traditionally it has been used to treat early stage Parkinson's disease and restless legs syndrome. More recently prami has been used for cluster headaches and to counteract problems with sexual dysfunction experienced by some users of selective serotonin reuptake inhibitor (SSRI) antidepressants. Moreover pramipexole can be extremely beneficial for the natural or enhanced bodybuilder. These benefits include it's effects on prolactin, gh and anxiety to name a few.

Pramipexoles effects on dopamine are especially important to the bodybuilder. Dopamine controls physiologic responses, movement and emotional response. Good motor control and mood are critical to becoming a successful bodybuilder. Moreover dopamine also stimulates growth hormone levels as seen in trials by the Human Pharmacology Centre in Germany.

Schilling JC et al. (1992) has demonstrated similar results when testing it's effects and tolerability on prolactin, human growth hormone, thyrotropin, cortisol, and corticotropin levels in a randomized, double-blind, crossover study in 12 healthy volunteers. Single oral doses of 0.1, 0.2, and 0.3 mg pramipexole and placebo were studied over a period of 24 hours. Pramipexole decreased serum prolactin levels in a dose-dependent manner, with a maximum effect after 2 to 4 hours. Serum levels of human growth hormone were dose-dependently increased; however, this effect was only significant 2 hours after drug administration. Furthermore, a slight increase in serum cortisol levels and a slight decrease in serum thyrotropin levels was observed.

During any research negative side effects or health issues should be a priority. Patterson TA et al. (2010) investigated the toxicity of prami by administering it orally to juvenile rhesus monkeys once daily for 30 weeks. Rhesus monkeys were orally treated daily for 30 weeks with 0.0, 0.1, 0.5 or 2.0 mg/kg PPX, and subjects were assessed daily using the NCTR Operant Test Battery (OTB). Blood pressure significantly decreased over time in all groups including control. Near the end of treatment, there were statistically significant decreases in heart rate for the 0.5 and 2.0 mg/kg/day groups compared to control. After 4 weeks of dosing, serum prolactin was significantly decreased in all treatment groups compared to control. This decrease remained at the end of treatment in the 0.5 and 2.0 mg/kg/day groups. Pramipexole's effective lowering of prolactin is the main reason I will be using it when I start my hexarelin research. Hexarelin can raise prolactin so by adding even a small dose of pramipexole this increase can be neutralized.

Many people report severe sickness when using pramipexole. It is a very strong drug and should be treated with care. Most people start far too high in dose and as a result discontinue usage. I recommend anyone wanting to try it to start at 0.05mg for a few days and move up to 0.1mg when ready. I don't feel anyone needs more than 0.2-0.3mg per day. If used correctly it can be a fantastic compliment to any peptide cycle. Moreover it can also be utilized to great effect when certain aas are being used.

Anxiety and it's related effects can have a debilitating impact on it's sufferers. Many compounds bodybuilders take can act as a catalyst for anxiety. I know many bodybuilders who suffer from mild to crippling anxiety when using the likes of trenbolone or boldenone. I feel pramipexole's effects on dopamine can have a substantial positive effect on general anxiety. Dopamine can induce fascinating, complex human behavioural states, including disinhibition, euphoria, whereas dopamine deficiency can cause anxiety or sadness.
 
Prami is a nice compound for prolactin inhibition, it does cause nausea though and even sedation at high doses...I recommend either taking ginger throughout the day, or a long acting anti nausea drug of the serotonin 3 antagonist class with it. And yes...any dopamine d2 agonist can decrease thyroid t4 output namely..because anything that decreases cyclic AMP will reduce t4 conversion....and dopamine d2 receptors are the one of the bodies strongest negatively coupled adenylyl cyclase receptors. This means they inhibit cyclic adenosine monophosphate the most...and this can actually reduce total dopamine production by inhibiting tyrosine hydroxylase....thus, my recommendation when using dopaminergics...is taking either forskolin, or a beta agonist during the day..or most preferably...a histamine h3 antagonist...this will help blunt the tiredness and maximize dopamine output while blunting the thyroid decreasing effect of prami.

I also would say cortisol blockers; cissus, erase and other similar compounds , and based on experience, stack very well with prami.
Prami and any dopaminergic acting on the d2 family enhances GABA so be careful about combining it with benzo's or gaba analogues

Also, be very careful about adding beta blockers and other blood pressure lowering compounds with dopaminergics..as dopaminergic themselves lower blood pressure...
Alpha blockers are not recommended with them either, unless you are blocking both alpha 1's and alpha'2's...in which case the net sympathetic effect is enough to over ride the cns depression caused by dopaminergics...thus yohimbine is also very synergistic with prami....

Only take prami at night, as it can make you tired.

If you prefer a similar dopaminergic with every 3 day or more convenient dosing...try cabergoline...which has less thyroid reducing effects due to serotonin modulation.
However...cabergoline can produce psychological effects such as delirium and even hallucinations more frequently than other dopaminergics which do not have affinity for serotonergic / adrenergic receptors....caber also acts as an alpha2b blocker...and a serotonin 5-ht7 antagonist...with serotonin 5-ht2a agonist properties..making it more stimulating in some ways.
 
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