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Ropinirole
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ropinirole medication reviews

A non-ergoline dopamine agonist called ropinirole is used to treat the symptoms of restless legs syndrome and Parkinson's disease.

Other names for this medication:
Requip

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Description

For more details, consult your physician or pharmacist. Ropinirole extended release tablets is a prescription medicine used to treat the signs and symptoms of Parkinson's disease. Parkinson's disease and restless legs syndrome are both treated with the prescription drug ropinirole immediate release tablets. This medication may be prescribed for other uses.

Dosage

Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient. Ensure that the prescription you receive from your doctor is easy to read and clear. Even if you feel well, continue taking ropinirole. Stop taking ropinirole only after consulting your physician. If you are unsure whether the medication you plan to take is the one your doctor prescribed, don't take it. Never take it in quantities or frequencies other than those recommended by your doctor. Follow the directions on your prescription label carefully and ask your doctor or pharmacist to explain any part you do not understand. Observe your doctor's instructions precisely. When taking ropinirole, there are a number of symptoms that you might experience if you suddenly stop taking it, including fever, muscle aches, sweating, confusion, pain, loss of interest in or concern for routine activities or things you usually care about, anxiety, depression, fatigue, and problems falling or staying asleep. Your doctor is likely to only increase your dose once a week if you are taking ropinirole to treat Parkinson's disease. You might be given a starter kit containing tablets with increasing doses to take during the first two weeks of your treatment if you're taking ropinirole to treat restless legs syndrome. If you are taking ropinirole to treat restless legs syndrome, your doctor will probably increase your dose after 2 days, again at the end of the first week, and then not more often than once a week. If for any reason you stop taking ropinirole, do not start taking it again without first consulting your doctor. Speak to your pharmacist if you believe the medicine you were prescribed was incorrect. If you are asked to stop taking ropinirole by your doctor, the dose reduction will likely take place over a period of seven days. Before you find a dose that works for you, it might take several weeks. Ropinirole is available as a tablet and an oral extended-release (long-acting) tablet. Although it does not treat either RLS or Parkinson's disease, ropinirole manages their symptoms. The treatment of restless legs syndrome does not involve the use of ropinirole extended-release tablets. To avoid stomach upset, dipinirole may be taken with food. Swallow the extended-release tablets whole; do not split, chew, or crush them. Take ropinirole every day at about the same time(s). Ropinoid dosage must be followed precisely. Your body's response to the medication will determine the dosage you will require, which may vary from the doses in the kit. There are other medications that have names similar to the brand name for ropinirole. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Continue eating normally unless your doctor instructs you otherwise. When ropinirole is used to treat Parkinson's disease, the regular tablet is usually taken three times a day and the extended-release tablet is taken once daily. The regular tablet of ropinirole is typically taken once daily, 1 to 3 hours prior to going to bed, to treat restless legs syndrome. Every time you fill a prescription, make sure you get ropinirole and not one of the comparable drugs. Your medication's name and intended use should be known to you. Your doctor will likely want to gradually increase your dose once more. To help control your symptoms, your doctor will start you on a low dose of ropinirole and gradually increase it. How to use the kit and whether you should take all the tablets it contains will be determined by your doctor.

Missed dose

To make up for a missed dose, don't take more medication. If your next scheduled dose is almost due, skip the missed dose. As soon as you remember, take the missed dose.

Overdose

If you take too much this medication, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

Storage

This medication should not, however, be flushed down the toilet. A medicine take-back program is the preferable method for getting rid of your medication. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. Keep this medication out of the reach of children and tightly closed in the original container. If you are unable to participate in a take-back program, visit the FDA's Safe Disposal of Medicines website at http://goo.gl/c4Rm4p for more details. It should not be kept in the bathroom. Store it at room temperature and out of the way of bright lights, too much heat, and moisture. For information on take-back programs in your neighborhood, speak with your pharmacist or get in touch with the waste/recycling department of your city. Always lock safety caps and put medication in a secure spot right away that is up and out of the way and out of reach of young children to prevent poisoning. http://www.upandaway.org In order to prevent pets, kids, and other people from ingesting leftover medications, they should be disposed of in a specific manner.

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Side effects

Ropinirole may cause side effects.

Interactions

Ask your doctor or pharmacist for more information. This is not a complete list of ropinirole drug interactions. Tell your doctor if you take any of the following: other dopamine antagonists (like phenothiazines, butyrophenones, thioxanthenes, and metoclopramide). Inform your doctor about every medication you take, including vitamins, herbal supplements, prescription drugs, and over-the-counter medications.

Contraindications

Also tell your doctor if you are breast-feeding. Ask your doctor or pharmacist for a list of ingredients in ropinirole regular or extended-release tablets. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: antidepressants ('mood elevators'); antipsychotics (medications for mental illness); cimetidine (Tagamet, Tagamet HB); fluoroquinolone antibiotics such as ciprofloxacin (Cipro), and norfloxacin (Noroxin); fluvoxamine (Luvox); hormone replacement therapy and hormonal contraceptives (birth control pill, patches, rings, and injections); insulin; lansoprazole (Prevacid); levodopa (in Sinemet, in Stalevo); medications for anxiety and seizures; medications that cause drowsiness; metoclopramide (Reglan); mexiletine (Mexitil); modafanil (Provigil); nafcillin; omeprazole (Prilosec, Zegerid); sedatives; sleeping pills; and tranquilizers. Be sure to tell your doctor or pharmacist if you stop taking any medications while you are taking ropinirole. tell your doctor if you have ever had an urge to gamble that was difficult to control and if you have or have ever had unexpected daytime sleepiness or a sleep disorder other than restless legs syndrome; high or low blood pressure; a psychotic disorder (mental illness that causes abnormal thinking or perceptions); or heart, liver, or kidney disease. tell your doctor if you are pregnant or plan to become pregnant. If you have an allergy to ropinirole, any other medications, or any of the ingredients in ropinirole tablets or extended-release tablets, tell your doctor and pharmacist before taking ropinirole. If you find it difficult to resist the urge to gamble, if you experience strong cravings for food, sex, shopping, or other activities, or if you find it difficult to control your behavior, call your doctor. If you start or stop smoking while receiving treatment with ropinirole, contact your doctor right away. Do not drive a car, operate machinery, work at heights, or participate in potentially dangerous activities at the beginning of your treatment until you know how the medication affects you. Remember that alcohol can increase the drowsiness brought on by this medication, so refrain from driving, working in heights, or operating machinery until you have spoken with your doctor. If you become pregnant while taking ropinirole, call your doctor. Call your doctor if you start to feel very sleepy, especially during the day, or if you fall asleep while doing something else such as talking on the phone, eating, or driving. You should be aware that ropinirole may make you drowsy or may cause you to suddenly fall asleep during your regular daily activities. You should be aware that some people who took or used medications like ropinirole developed strong urges or behaviors that were compulsive or unusual for them, such as gambling, increased sexual urges or behaviors, excessive shopping, and binge eating. Smoking may reduce the effectiveness of this medication. Tell your doctor if you regularly drink alcoholic drinks. tell your doctor if you use tobacco products. You should know that ropinirole may cause dizziness, lightheadedness, nausea, or sweating when you get up too quickly from a sitting or lying position. Inform your family members about this risk so that they can call the doctor even if you do not realize that your gambling or any other strong urges or unusual behaviors have become a problem. This happens more frequently when you first start taking ropinirole or when the dosage is increased. Get out of the chair or bed slowly, resting your feet on the floor for a while before standing up, to avoid this issue. Before you suddenly fall asleep, you might not feel sleepy or experience any other warning signs. Your physician might need to adjust the dosage of your medications or keep a close eye on you for side effects.

Is ropinirole used for anxiety?

Conclusion: In addition to controlling motor symptoms, ropinirole improved both anxiety and depressive symptoms in PD patients with motor fluctuations and/or dyskinesias. Changes in mood and anxiety correlated with changes in sleep scores.

What does the drug ropinirole do?

Ropinirole is used alone or with other medicines to treat Parkinson's disease. Ropinirole tablets are also used to treat a condition called Restless Legs Syndrome (RLS). RLS is a neurologic disorder that affects sensation and movement in the legs and causes the legs to feel uncomfortable.

Can I drive or ride a bike?

Some people find ropinirole can make them feel dizzy or sleepy, or makes them fall asleep suddenly. This is more likely to happen when your dose is being increased. If this happens to you, do not drive, cycle or use tools or machinery. Speak to your doctor. They will tell you when you can start driving again once these side effects stop. If you've been diagnosed with Parkinson's disease, you must tell the DVLA and your car insurance company as soon as possible.

How long does it take to work?

You may notice an improvement after taking your first dose. However, it can take up to 1 week for ropinirole to have its full effect. Talk to your specialist if your symptoms do not improve after taking ropinirole for 2 to 3 weeks.

How does ropinirole work?

Ropinirole belongs to a group of medicines called dopamine agonists. Dopamine is an important chemical which sends nerve messages from your brain to your muscles. With Parkinson's disease, you have less dopamine, so it's harder for your brain to send these messages. This can give you the shakes, as well as making your muscles stiff and your movements slow. Ropinirole works by copying natural dopamine in the brain. This helps improve movement symptoms related to low dopamine levels in the body, such as in Parkinson's and restless legs syndrome.

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Testimonials
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Purbar Feb 2, 2020, 9:54:50 AM

Treatment initiation: The initial dose should be 0.25 mg three times daily for 1 week. As with other dopamine agonists, it is necessary to discontinue ropinirole treatment gradually by reducing the number of daily doses over the period of one week (see section 4.4). Ropinirole should be taken three times a day, preferably with meals to improve gastrointestinal tolerance. If treatment is interrupted for one day or more re-initiation by dose titration should be considered (see above). Although a dose adjustment is not required, ropinirole dose should be individually titrated, with careful monitoring of tolerability, to the optimal clinical response.

Avlaxis Dec 29, 2016, 2:34:10 AM

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Mayur Chaudhari Oct 25, 2020, 1:27:07 PM

But this won’t be true for everyone. Check with your healthcare professional for specific advice on when to take dopamine agonist medication you are prescribed for restless legs syndrome. Helping levodopa work better Dopamine agonists can be taken with levodopa medication to help when levodopa wears off or doesn’t work as well.

Mary Plog Dec 17, 2020, 2:38:59 PM

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