What is Requip?Requip is a medicine containing ropinirole (usually taken 3 times a day) used to treat Parkinson's disease. It is also used to treat a condition called restless legs syndrome.
Requip XL is a long-acting prescription medicine containing ropinirole (taken once a day) used to treat Parkinson's disease.
What is the most important information I should know about Requip?Requip may cause drowsiness, and some people have reported falling asleep without warning during their daily activities. Do not drive a car or operate machinery until you know how the drug affects you. If you find that Requip makes you sleepy or that you are suddenly falling asleep in the middle of routine activities, tell your doctor immediately.
Requip can decrease or increase your blood pressure. If you feel faint, dizzy, nauseated, or sweaty when you stand up, this may mean that your blood pressure is decreased. If you notice this, you should contact your doctor. Also, when changing position from lying down or sitting to standing up, you should do it carefully and slowly. Lowering of your blood pressure can happen especially when you start taking Requip or when your dose is increased.
Skin cancer (melanoma) has been reported in people taking Requip. Be sure to see your doctor regularly for screenings.
There have been some reports of symptoms getting worse during therapy for restless legs syndrome. Contact your doctor if this occurs.
A few patients, especially older ones, can also develop hallucinations. Let your doctor know if this occurs.
If you are taking Sinemet with Requip, you may experience jerking muscle movements. Tell your doctor right away. He will need to decrease your dose of Sinemet.
As with other Parkinson's medications, a sudden dose reduction has been known to cause high fever, muscle stiffness, and loss of consciousness. Although this has not happened with Requip, be alert for such problems and contact your doctor immediately if they occur.
Some patients taking Requip get urges to behave in a way unusual for them. Examples of this are an unusual urge to gamble or increased sexual urges and behaviors. If you or your family notices that you are developing any unusual behaviors, talk to your doctor.
Who should not take Requip?You should not take Requip if you are allergic to it or any of its ingredients.
What should I tell my doctor before I take the first dose of Requip?Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with this drug. Also, talk to your doctor about your complete medical history, especially if you have a past history of heart disease, you have daytime sleepiness from a sleep disorder, if you or are pregnant, plan to become pregnant, or if you smoke or drink alcohol.
What is the usual dosage?The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.
Adults: Requip is usually taken three times daily and Requip XL is usually taken once daily. Your doctor will start you on a low dose and change the dose over a course of several weeks until you are taking the right amount to control your symptoms.
Restless Legs Syndrome
Adults: Requip is taken about 1-3 hours before bedtime. Your doctor will start you on a low dose of the medication and then gradually increase it if needed to control your symptoms.
How should I take Requip?Take this medication as directed by your doctor. Requip tablets are usually taken three times each day for Parkinson's disease. Take Requip XL tablets once a day for Parkinson's disease, preferably at or around the same time of the day. Tablets should be swallowed whole. Do not chew, crush, or split them.
Requip can be taken with or without food. If you feel stomach upset, taking it with food will help to prevent it.
What should I avoid while taking Requip?Avoid alcohol and other medications that will make you drowsy.
What are possible food and drug interactions associated with Requip?If Requip is taken with certain other drugs, the effects of either can be increased, decreased, or altered. It is especially important to check with your doctor before combining Requip with the following: alcohol, benzodiazepines such as alprazolam, certain antidepressants, ciprofloxacin, drugs that contain levodopa, estrogen medications such as ethinyl estradiol, metoclopramide, or tranquilizers.
What are the possible side effects of Requip?Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.
Side effects may include: abdominal pain, abnormal dreaming, abnormal muscle movements, anxiety, change in blood pressure, chest pain, confusion, constipation, diarrhea, difficulty breathing, dizziness, drowsiness, dry mouth, eye problems, fainting, hallucinations, headache, increased sweating, joint pain, leg swelling, muscle spasms, nausea, nervousness, skin tingling, sore throat, stomach discomfort, tremor, vision changes, vomiting, weakness
Can I receive Requip if I am pregnant or breastfeeding?The effects of Requip during pregnancy are unknown. If you are pregnant or plan to become pregnant, inform your doctor immediately. Requip may block production of breast milk. There is also a possibility that it will appear in breast milk and affect the breastfeeding baby. If this medication is essential to your health, your doctor may advise you to stop breastfeeding.
What should I do if I miss a dose of Requip?If you miss a dose of Requip, take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.
How should I store Requip?Store at room temperature.
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