ROPINIROLE (ORAL)

(roe PIN i role) Brand: Requip, Requip XL

What is the most significant information I must know about ropinirole?

• Ropinirole may reason you to fall asleep during usual daytime activities such as working, talking, eating, or driving. You may fall asleep suddenly, even after feeling alert. Speak your doctor if you have any problems with daytime sleepiness or drowsiness. If you are unsure of how this medication will affect you, be careful if you drive or do anything that requires you to be awake and alert.

• You may have heighten sexual urges, unusual urges to gamble, or another intense urges while taking this medicine. Conversation with your doctor if you believe you have any intense or unusual urges while taking ropinirole.

• Do not share this medicine with other face, even if they have the same symptoms you do.

• Avoid drinking alcohol, which can magnify some of the side effects of ropinirole.

• Cool or allergy medication, narcotic pain medication, sleeping pills, muscle relaxers, and medication for seizures, depression or anxiety can add to sleepiness caused by ropinirole. Speak your doctor if you regularly use any of these another medicines.

• Ropinirole may reason hallucinations (the sensation of hearing or seeing something that is not there), most commonly among elderly people. Call your doctor if you experience hallucinations.

• Do not stop using ropinirole or change your doze without first talking to your doctor. You may have side effects such as fever, muscle stiffness, and confusion if you stop the medicine suddenly or if you change doses.

• Some people taking medicines for Parkinson's malady have developed skin cancer (melanoma). However, people with Parkinson's malady may have a higher risk than most people for developing melanoma. Conversation to your doctor about your specific risk and what skin symptoms to watch for. You may need to have regular skin exams.

What is ropinirole?

• Ropinirole has some of the same effects as a chemical called dopamine, which occurs naturally in your body. Low levels of dopamine in the brain are associated with Parkinson's disease.

• Ropinirole is used to treat symptoms of Parkinson's malady, such as stiffness, tremors, muscle spasms, and poor muscle control. Ropinirole is also used to treat restless legs syndrome (RLS).

• Ropinirole may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking ropinirole?

• You must not use this medicine if you are allergic to ropinirole.

• If you have determined conditions, you may need a doze adjustment or particular trials to safely take this medicine. Till you take this medicine, speak your doctor if you are allergic to any drugs, or if you have:

· heart disease;

· tall or low blood pressure;

· mental diseases or compulsive behaviors;

· kidney disease;

· liver malady; or

· if you smoke.

• You may have heighten sexual urges, unusual urges to gamble, or another intense urges while taking ropinirole. It is not known whether the medication actually causes this effect. Conversation with your doctor if you believe you have any intense or unusual urges while taking ropinirole.

• FDA pregnancy category C. It is not known whether ropinirole is deleterious to an unborn child. Till taking this medicine, speak your doctor if you are pregnant or plan to become pregnant during treatment.

• It is not known whether ropinirole passes into breast milk or if it could harm a nursing child. Ropinirole may reduce breast milk manufacture. Do not take ropinirole without telling your doctor if you are breast-feeding a baby.

• Ropinirole may reason hallucinations (the sensation of hearing or seeing something that is not there), most commonly among elderly people. Call your doctor if you experience hallucinations.

How must I take ropinirole?

• Take this medicine exactly as it was predesigned for you. Do not take the medicine in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

• The doze and timing of ropinirole in treating Parkinson's malady is various from the doze and timing in treating RLS.

• You may receive ropinirole in a starting kit that has every pill marked with the day you must take it. Do not mix these pills up because they every contain various amounts of ropinirole. The pills should be taken in order so that you gradually receive higher doses of the medication.

• You may have a brief magnify in side effects whenever your doze is changed.

• Ropinirole can be taken with or without food. Taking the medication with food may help prevent nausea, which is a general side effect of ropinirole.

• It may take different weeks or months of using this medication till your symptoms improve. For excellent results, hold using the medicine as directed.

• Do not stop taking ropinirole suddenly or change your doses, or you could have unpleasant withdrawal symptoms such as fever, muscle stiffness, and confusion. Conversation to your doctor about how to avoid withdrawal symptoms when stopping the medication.

• Do not share this medicine with other face, even if they have the same symptoms you do.

• Store ropinirole at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. If it is nearly time for your following doze, skip the missed doze and take the medication at the following regularly scheduled time. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention if you think you have used too many of this medicine.

• Overdose symptoms may include nausea, vomiting, weakness, fainting, agitation, confusion, hallucinations, muscle twitching, tingly feeling, and chest pain.

What must I avoid while taking ropinirole?

• Ropinirole can reason side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

• Avoid smoking, which can create ropinirole smaller effective.

• Avoid drinking alcohol. It can magnify some of the side effects of ropinirole.

• Avoid getting up too quick from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

What are the possible side effects of ropinirole?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have any of these serious side effects:

· feeling like you might pass out;

· fever, stiff muscles, confusion, sweating, quick or uneven heartbeats (especially if you stop taking ropinirole or use a lower dose);

· hallucinations;

· tremors (uncontrolled shaking); or

· tight feeling in your chest, trouble breathing.

• Call your doctor promptly if you fall asleep during a daily activity, if you faint, or if you have hallucinations (hearing or seeing something that is not there). Your doctor may want you to stop taking ropinirole, or take a lower dose.

• Smaller serious side effects may occur, such as:

· mild nausea, vomiting, stomach pain, or loss of appetite;

· worsened RLS symptoms early in the morning;

· diarrhea or constipation;

· dry mouth, sweating;

· headache;

· dizziness, drowsiness;

· sleep problems (insomnia); or

· agitation or anxiety.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect ropinirole?

• Till taking ropinirole, speak your doctor if you are using any of the next drugs:

· levodopa;

· ciprofloxacin (Cipro);

· fluvoxamine (Luvox);

· metoclopramide (Reglan);

· omeprazole (Prilosec);

· a medicine used to treat nausea and vomiting or mental diseases, such as chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), promazine (Sparine), trifluoperazine (Stelazine), thiothixene (Navane), or haloperidol (Haldol); or

· an estrogen such as Premarin, Prempro, Estratest, Ogen, Estraderm, Climara, Vivelle, estradiol, and others.

• This list is not complete and there may be another drugs that can interact with ropinirole. Speak your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal commodity, and drugs predesigned by another doctors. Do not start using a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about ropinirole.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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