NZ Formulary

Ropinirole

roe-pin-ih-role

What does it do?

Ropinirole is used to treat Parkinson’s disease and sometimes other conditions. It acts like a chemical in your brain called dopamine.

Before you start

  • Tell your doctor if you have heart problems, low blood pressure, or mental health problems.
  • Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

How should you take it?

Take ropinirole regularly as directed with a glass of water.

What if you forget a dose?

If it is nearly time for your next dose, skip the missed dose and take your next dose at the usual time. Otherwise, take the missed dose as soon as you remember. Do not take two doses at the same time.

Can you take other medicines?

Tell your pharmacist or doctor about all medicines or treatments that you may be taking, including vitamins, herbal products (e.g. kava) or recreational drugs.

What side effects might you notice?

Side EffectsRecommended action

Confusion, hallucinations, unusual behaviour or thinking

Unusual urges (e.g. gambling, eating, spending, sex)

Fainting

Falling asleep without warning

Tell your doctor

Abdominal pain, nausea, vomiting, constipation

Anxiety

Dizziness, drowsiness, tiredness or weakness

Strange or uncontrolled movements

Swollen feet or legs

Tell your doctor if troublesome

Lightheaded or dizzy after standing up

Stand up slowly. If it continues, or is severe, tell your doctor

If you notice any other effects, discuss them with your doctor or pharmacist.

Other information:

  • Ropinirole can impair your ability to do tasks such as driving or using machines. Alcohol makes this worse. Discuss your risk with your health professional. (search NZTA - Are you safe to drive?)
  • Smoking can change the effect of ropinirole. Tell your doctor if you give up, cut down or start smoking.
  • If you are taking ropinirole for restless leg syndrome, your symptoms might get worse when you start. Discuss this with your doctor, as changing the dose can help.
  • Do not stop taking ropinirole suddenly without talking to your doctor first. Your doctor may reduce the dose gradually.