Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take this medication.
Behaviour changes: Ropinirole can cause behaviour changes that may include being unable to control certain behaviours such as gambling. Personality changes may also occur, including paranoia, anxiety or nervousness, or a sense of not being oneself.
If you experience changes in behaviour or are aware of these changes happening in someone who is taking ropinirole, contact the doctor as soon as possible.
Breathing problems: Ropinirole has been known to cause scarring or thickening of the tissues in the abdomen, including the lungs and heart. If you experience any difficulty breathing or chest pain, contact your doctor as soon as possible.
Dizziness: Ropinirole may cause dizziness when getting up from a lying or sitting position to a standing position. This usually happens at the start of treatment or when the dose is being increased.
Hallucinations: Ropinirole causes hallucinations for about 5% of people who take it and for about 10% of people who take it at the same time as levodopa. The incidence of hallucinations increases as the dose increases. If you experience hallucinations or are aware of a person who is taking ropinirole experiencing hallucinations, contact the doctor as soon as possible.
Heart disease: This medication has not been studied for use by people with significant heart disease. If you have heart disease and are taking ropinirole, discuss with your doctor how this medication may affect your medical condition, and how your medical condition may affect the dosing and effectiveness of this medication. Your doctor will want to monitor your heart condition closely while you are taking ropinirole.
Kidney function: If you have reduced kidney function or kidney disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed
Liver function: The safety and effectiveness of ropinirole when used by people with reduced liver function has not been studied. Ropinirole is not recommended for people with reduced liver function.
Melanoma: People with Parkinson's disease may be at increased risk of developing melanoma (a type of skin cancer). It is not known if this increased risk is due to Parkinson's disease or to the medications used to treat Parkinson's disease. Your doctor will monitor you for skin cancer while you are taking this medication. Talk to your doctor if you have any concerns.
Neuroleptic malignant syndrome (NMS): As with other medications that have an effect on movement disorders, ropinirole can trigger a potentially fatal set of symptoms known as neuroleptic malignant syndrome (NMS). If you experience symptoms of NMS, such as high fever, muscle stiffness, confusion or loss of consciousness, sweating, rapid or irregular heartbeat seek immediate medical attention.
This is more likely to occur if ropinirole is stopped suddenly or the dose is decreased rapidly. If you are considering stopping this medication, discuss the appropriate way to reduce ropinirole with your doctor.
Sudden onset of sleep: Ropinirole can cause the sudden, unpredictable onset of sleep. This can happen while participating in the daily activities of living, including driving or operating machinery. This effect may occur at any point while taking the medication.
Because there is no warning when or if this will occur, it is suggested that if you are taking ropinirole, you do not drive or operate dangerous machinery.
Pregnancy: The use of ropinirole during pregnancy is not recommended. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: Ropinirole reduces the production of breast milk, and therefore, should not be taken by women who wish to breast-feed.
Children: The safety and effectiveness of this medication have not been established for use by children.