What can I do about electric shocks in my left arm and left leg at 2 a.m. every night? It starts with my left arm contracting and then the leg jumping high every 5 seconds. I take 0.26 mg Pramipexol at 6 p.m. and 0.18 mg at 10 p.m.

I’m assuming that you have Parkinson’s? So it sounds like a so-called dystonia cramp in your arm. But the fact that your leg has these single-step spasms doesn’t sound like dystonia, but more like what’s called sleep myoclones, especially if they happen when you’re asleep and that you wake up from them. You can talk to your neurologist about a possible increase in pramipexol, or other optimization of Parkinson’s treatment.