Requip XL (Ropinirole) Dosage and Side Effects
REQUIP XL, also known as ropinirole, is used to treat the signs and symptoms of Parkinson’s disease. You may receive REQUIP on its own but it may also be given with another drug used to treat Parkinson’s disease.
Proper Use of this medication
Follow the doctor’s instructions about how and when you should take your tablets. Your doctor will decide how many tablets you need to take each day and you should always follow his/her instructions. When you first start taking REQUIP, the amount you take will be increased gradually.
Your doctor may adjust the amount that you are taking. You will usually be told to take REQUIP three times a day. You should not change the dose or discontinue treatment with REQUIP without the recommendation of your doctor.
If you are taking other medicines for Parkinson’s disease, the doctor may adjust the dose of these medicines while you are taking REQUIP.
You should swallow the tablets whole with water. Do not chew. REQUIP can be taken with or without food.
You should continue to take your medicine even if you do not feel better, as it may take a number of weeks for the medicine to work.
REMEMBER: THIS MEDICINE IS FOR THE PERSON NAMED BY THE DOCTOR. DO NOT GIVE IT TO ANYBODY ELSE.
In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.
If you or someone you know have taken too many tablets all at once, you should get medical help immediately, either by calling your doctor, the Regional Poison Control Centre, or the nearest hospital (do not drive yourself). Always take the labelled medicine container with you even if there are no tablets left.
If you have forgotten to take REQUIP, do not take extra doses to make up for forgotten individual doses. When you do remember to take REQUIP, take your next dose of REQUIP at the usual time. If you have missed taking REQUIP for one day or more consult your doctor for advice on restarting REQUIP.
Like all medications, REQUIP tablets can cause some side effects. You may not experience any of them. For most patients these side effects are likely to be minor and temporary. However, some may be serious. Consult your doctor if you experience these or other side effects.
Some of the most commonly reported side effects of REQUIP tablets are:
- Feeling or being sick
- Stomach ache
- Dizziness or light-headedness, fainting
- Some leg swelling
- Viral infection
- Feeling full and bloated or experiencing heartburn
Warnings and Precautions
You are warned of a sudden onset of sleep condition which may occur without warning, while taking REQUIP. You should not operate machinery or engage in activities that require alertness, as you may put yourself and others at risk of serious injury or death. This sudden onset of sleep condition has also been reported in patients taking other similar anti-Parkinson drugs.
What should I know before taking REQUIP XL:
Studies of people with Parkinson’s disease show that they may be at an increased risk of developing melanoma, a form of skin cancer, when compared to people without Parkinson’s disease. It is not known if this problem is associated with Parkinson’s disease or the drugs used to treat Parkinson’s disease. REQUIP is one of the drugs used to treat Parkinson’s disease, therefore, patients treated with REQUIP should have periodic skin examinations.
Drop in Blood Pressure:
While taking REQUIP, you may experience a drop in blood pressure that may make you feel dizzy or faint especially when standing up from a sitting or lying position.
Symptoms resembling a neurological disorder (Neuroleptic Malignant Syndrome) characterized by fever, muscle stiffness, stupor and unstable involuntary actions have been reported in relation to changes in treatment, reduction of treatment dose and stopping treatment.
REQUIP XL taken with L-dopa:
REQUIP may amplify the side effects of L-dopa (also called levodopa) and may cause or worsen pre-existing uncontrolled jerky movements (dyskinesia). Tell your doctor if this happens as the dose of your medicines may need adjusting.
If you have albinism (lack of pigmentation in skin or hair), you may have an increased risk of eye disorders while taking REQUIP compared to people without albinism. Therefore, you should take REQUIP only under an ophthalmologist’s (doctor who specializes in eye disorders) care.
While taking REQUIP, you may experience hallucinations, such as seeing or hearing things that aren’t really there.
Impulse control symptoms including compulsive behaviours, e.g. feeling an urge to gamble, hypersexuality, compulsive shopping, or binge eating, as well as aggression have been reported with the use of REQUIP.
BEFORE you use REQUIP XL talk to your doctor or pharmacist if you:
- have any health problem, especially any heart, liver or kidney condition.
- have previously taken REQUIP and became unwell.
- have any allergies or reactions to foods or drugs.
- are pregnant or think you may be pregnant, or if you are breast feeding. You should not be taking REQUIP if you are pregnant or breast feeding.
- are taking any other medications, including any drugs you can buy without a prescription.
- have experienced any unusual urges and/or behaviours (such as excessive gambling or excessive sexual behaviour).
Interactions with this medication
Other medications may be affected by REQUIP or may affect how REQUIP works. Do not take any other medication, including any drugs or herbal products you can buy without a prescription. Tell any other doctor, dentist or pharmacist that you talk to that you are taking REQUIP.
Drugs that may interact with REQUIP include:
- a drug used to help with breathing difficulties called theophylline
- an antibiotic called ciprofloxacin
- any hormone replacement therapy (HRT)
- other dopamine agonists, e.g. L-dopa: REQUIP may make some of the side effects of L-dopa worse, e.g. jerky movement
- certain medicines called neuroleptics used to treat schizophrenia and other serious mental illnesses
- digoxin, a heart medicine that is used to treat congestive heart failure or certain heartbeat irregularities
- REQUIP may affect your ability to remain alert while doing normal daily activities. You should refrain yourself from doing activities such as driving a car, doing physical tasks or using hazardous machinery until you know how REQUIP affects you.
- Because REQUIP can make you feel sleepy, tell your doctor or pharmacist if you are planning to drink alcohol.
Before making any change to other medications you are taking, or stopping them, talk to your doctor first.