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ropinirole (oral) (cont.)

What should I discuss with my healthcare provider before taking ropinirole (Requip, Requip XL)?

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

You should not use this medication if you are allergic to ropinirole.

If you have certain conditions, you may need a dose adjustment or special tests to safely take this medication. Before you take this medication, tell your doctor if you are allergic to any drugs, or if you have:

You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking ropinirole. It is not known whether the medicine actually causes this effect. Talk 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 harmful to an unborn baby. Before taking this medication, tell 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 baby. Ropinirole may reduce breast milk production. Do not take ropinirole without telling your doctor if you are breast-feeding a baby.

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

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

How should I take ropinirole (Requip, Requip XL)?

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

The dose and timing of ropinirole in treating Parkinson's disease is different from the dose and timing in treating RLS.

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

You may have a brief increase in side effects whenever your dose is changed.

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

It may take several weeks or months of using this medicine before your symptoms improve. For best results, keep using the medication 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. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.

Do not share this medication with another person, even if they have the same symptoms you do.

Store ropinirole at room temperature away from moisture and heat.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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