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Ropinirole (By mouth)

Ropinirole (roe-PIN-i-role)

There may be other brand names for this medicine.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to ropinirole.

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
You may take this medicine with or without food. Taking this medicine with food may help reduce nausea.
The extended-release tablets work differently from the regular tablets, even at the same dose. Do not switch from one form to the other unless your doctor tells you to.
Swallow the extended-release tablet whole. Do not crush, break, or chew it.
Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.
Missed dose: Skip the missed dose, and take your next dose at the regular time. Do not use extra medicine to make up for a missed dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Some medicines can affect how ropinirole works. Tell your doctor knows if you are using any of the following:
- Ciprofloxacin, levodopa, metoclopramide, thiothixene
- Birth control pills, or estrogen to treat menopausal symptoms
- Phenothiazine medicine (including chlorpromazine, perphenazine, prochlorperazine, promethazine, thioridazine)
Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.
Do not drink alcohol while you are using this medicine.

Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, a sleep disorder, high or low blood pressure, heart disease, heart rhythm problems, lung disease, dyskinesia (trouble with muscle control), or a history of mental health problems. Tell your doctor if you smoke or drink alcohol.
This medicine may cause the following problems:
- High or low blood pressure
- Hallucinations
- Unusual changes in thoughts or behavior, including an urge to gamble, spend money, binge eat, or an increased sex drive
- Increased risk for skin cancer, including melanoma
This medicine may make you dizzy, drowsy, lightheaded, or faint. It may even cause you to fall asleep without warning while you drive, talk, or eat. Do not drive or do anything that could be dangerous until you know how this medicine affects you. Stand up slowly if you feel dizzy or lightheaded.
Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.
Call your doctor if your symptoms do not improve or if they get worse. For RLS, the symptoms might get worse in the early morning, start earlier in the afternoon, or spread to your arms.
Keep all medicine out of the reach of children. Never share your medicine with anyone.

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Changes in vision
Chest pain, trouble breathing, fast or slow heartbeat
Extreme sleepiness or drowsiness
Fever, sweating, confusion, muscle stiffness
Lightheadedness, dizziness, fainting
Skin changes or growths
Twitching or muscle movements you cannot control (either new or worse than usual)
Unusual changes in mood or behavior, behaviors you cannot control, seeing or hearing things that are not really there

Last Updated: 4/23/2024