Ropinirole is used on its own or together with other medicines to treat Parkinson's disease. Parkinson's disease is a disorder that affects movement of a person, causing symptoms such as tremors, muscle stiffness, slowed movement and impaired balance or walking.
Ropinirole cannot cure Parkinson's disease but it can improve the quality of life for people who have the disease.
Ropinirole may also be used to treat Restless Legs Syndrome.
Take Ropinirole exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
Ropinirole may be taken with or without food. If nausea occurs, Ropinirole may be taken with food. Try to take it at the same time each day.
If you are taking the prolonged-release or extended-release type of tablet (may be labelled “XL” or “PD”), swallow it whole. Do not divide, chew or crush the tablet.
Ropinirole must be taken regularly for it to be effective. Continue taking Ropinirole even when you feel better. Do not stop taking it unless instructed otherwise, as stopping it suddenly could worsen your condition.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor or pharmacist know.
Inform your doctor if you smoke cigarettes or if you have:
- heart disease
- severe kidney disease
- liver disease
- a history of mental illness
- a condition called dyskinesia (uncontrollable movements such as jerking or twitching)
Let your doctor know if you are pregnant or breastfeeding.
Ropinirole may cause tiredness and dizziness. Ropinirole may also cause you to suddenly fall asleep during your daily activities such as eating and watching television. You may not feel drowsy before you fall asleep. If affected, do not drive or take part in any activity in which you need to be alert.
Ropinirole may cause your blood pressure to fall suddenly when you get up from a sitting or lying down position and you may feel giddy. To minimise this problem, stand up slowly.
Other side effects include any of the following: vomiting, nausea, stomach pain, constipation, headache and leg swelling. These side effects are common especially when you have just started taking Ropinirole.
Let your doctor know if you experience:
- confusion and hallucinations (seeing, hearing or feeling things that are not existent)
- unusual changes in mood or behaviour (being too depressed, agitated, or having compulsive and impulsive behaviour)
- uncontrollable movements such as twitching or jerking
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- medicines for mood disorder or depression e.g. haloperidol, fluphenazine, fluvoxamine
- medicine for nausea or vomiting e.g. metoclopramide
- antibiotics e.g. ciprofloxacin
- warfarin (blood-thinning medicine)
- products that contain the hormone oestrogen such as birth control pills or hormone replacement therapy (HRT)
This list does not include all medicines that may interact with Ropinirole.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicine, supplements and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.