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Precautions
PRECAUTIONS
Ropinirole
CAS Registry Number 91374-21-9
Tell your doctor if you have a history of: heart disease or heart
arrhythmias (abnormal rhythms), hallucinations, mental confusion, difficulty
walking, any allergies, kidney problems, liver disease, low blood pressure.
To avoid dizziness and lightheadedness when rising from a seated or lying
position, get up slowly. Use caution when performing tasks requiring mental
alertness such as driving or using machinery. Limit alcohol use because it
may intensify the drowsiness and dizziness effects of this drug. This drug
should be used only when clearly needed during pregnancy.
Before taking ropinirole,
tell your doctor and pharmacist if you are allergic to ropinirole, any other
medications, or any of the ingredients in ropinirole tablets or
extended-release tablets. Ask your doctor or pharmacist for a list of
ingredients in ropinirole regular or extended-release tablets.
tell your doctor and pharmacist what prescription and nonprescription
medications, vitamins, nutritional supplements, and herbal products you are
taking or plan to take. Be sure to mention any of the following:
antidepressants ('mood elevators'); antipsychotics (medications for mental
illness); cimetidine (Tagamet, Tagamet HB); fluoroquinolone antibiotics such
as ciprofloxacin (Cipro), and norfloxacin (Noroxin); fluvoxamine (Luvox);
hormone replacement therapy and hormonal contraceptives (birth control pill,
patches, rings, and injections); insulin; lansoprazole (Prevacid); levodopa
(in Sinemet, in Stalevo); medications for anxiety and seizures; medications
that cause drowsiness; metoclopramide (Reglan); mexiletine (Mexitil);
modafanil (Provigil); nafcillin; omeprazole (Prilosec, Zegerid); sedatives;
sleeping pills; and tranquilizers. Your doctor may need to change the doses
of your medications or monitor you carefully for side effects. Be sure to
tell your doctor or pharmacist if you stop taking any medications while you
are taking ropinirole.
tell your doctor if you have ever had an urge to gamble that was difficult
to control and if you have or have ever had unexpected daytime sleepiness or
a sleep disorder other than restless legs syndrome; high or low blood
pressure; a psychotic disorder (mental illness that causes abnormal thinking
or perceptions); or heart, liver, or kidney disease.
remember that alcohol can add to the drowsiness caused by this medication.
Tell your doctor if you regularly drink alcoholic drinks.
tell your doctor if you use tobacco products. Call your doctor if you start
or stop smoking during your treatment with ropinirole. Smoking may decrease
the effectiveness of this medication.
you should know that some people who took medications such as ropinirole
developed gambling problems or other intense urges or behaviors that were
compulsive or unusual for them, such as increased sexual urges or behaviors.
There is not enough information to tell whether the people developed these
problems because they took the medication or for other reasons. Call your
doctor if you have an urge to gamble that is difficult to control, you have
intense urges, or you are unable to control your behavior. Tell your family
members about this risk so that they can call the doctor even if you do not
realize that your gambling or any other intense urges or unusual behaviors
have become a problem.
you should know that ropinirole may cause dizziness, lightheadedness,
nausea, or sweating when you get up too quickly from a sitting or lying
position. This is more common when you first start taking ropinirole or with
an increase in the dose of ropinirole. To avoid this problem, get out of the
chair or bed slowly, resting your feet on the floor for a few minutes before
standing up.
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