Type:10 Tablets
Generic Name:Ropinirole
Manufacturer:Incepta Pharmaceuticals Ltd.
Price:৳20.00
Parkinson's disease, Restless leg syndrome
May be taken with or without food. May be taken w/ meals to reduce occurrence of nausea.
Oral As monotherapy in Parkinson's disease Adult: Initially, 250 mcg tid, may increase by 750 mcg at wkly intervals for the first 4 wk. Subsequent increments can be made in steps of 1.5 mg at wkly intervals up to 9 mg/day, then in steps of 3 mg at wkly intervals. Usual dose ranges from 3-9 mg daily. Max: 24 mg/day. Higher dose may be necessary if used in conjunction with levodopa. Gradual withdrawal is recommended. Restless leg syndrome Adult: Initially, 250 mcg daily for 2 days, taken 1-3 hr before bedtime. May increase to 500 mcg daily for the next few days. Subsequent increments may be made in steps of 500 mcg at wkly intervals until 3 mg daily is reached. Max: 4 mg daily. Hepatic impairment: Dosing adjustments may be required.
Lactation.
Ropinirole is a non-ergot dopamine D2-agonist with similar actions to those of bromocriptine. It is used in the management of Parkinson's disease, either alone or as an adjunct to levodopa.
Pregnancy. May impair ability to drive or operate machinery. Withdrawal should be gradual. Hepatic or renal impairment. May cause daytime sleepiness or episodes of falling asleep during activities. May cause or worsen pre-existing dyskinesia.
>10% Nausea (40-60%),Dizziness (6-40%),Somnolence (11-40%),Syncope (1-12%),Vomiting (12%),Fatigue (8-11%),Viral infection (11%),Dyspepsia (10%) 1-10% Hypertension (5%),Flushing (3%),Orthostasis (1-6%),Chest pain (4%),Palpitation (3%),Extrasystoles (2%),Tachycardia (2%),Hyperhidrosis (3%),Abnormal pain (3-7%),Anorexia (4%),Flatulence (3%),Malaise (3%),Hypoesthesia (4%),Urinary tract infection (5%),Impotence (3%),Alkaline phosphatase (3%),Abnormal vision (6%),Xerophthalmia (2%),Increased diaphoresis (3-6%) <1% Agitation,Aneurysm,Aphasia,Bradycardia,Cardiac arrest,Valvulopathy,Cellulitis,Colitis,Delusion,Delirium,Diaphoresis,Dyspnea,Ulceration,Glaucoma,Psychotic-like behavior,Impulse control/compulsive behavior,Withdrawal-emergent hyperpyrexia and confusion,Melanoma,Fibrotic complications
Inhibitors of CYP1A2 e.g. cimetidine, ciprofloxacin, erythromycin, fluvoxamine, isoniazid, ritonavir and zileuton may increase serum concentrations of ropinirole. Oestrogens and tobacco smoking may decrease clearance of ropinirole. Efficacy may be reduced by dopamine antagonists such as phenothiazines and metoclopramide.
