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ROPINIROLE 5MG FILM-COATED TABLETS

Active substance(s): ROPINIROLE HYDROCHLORIDE

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PACKAGE LEAFLET: INFORMATION FOR THE USER
ROPINIROLE 5 mg film-coated tablets
Ropinirole
Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.





Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you only. Do not pass it on to others. It may harm them,
even if their signs of illness are the same as yours.
If you get any side effects talk to your doctor or pharmacist.This includes any possible side
effects not listed in this leaflet.

What is in this leaflet:
1.
What ROPINIROLE is and what it is used for
2.
What you need to know before you take ROPINIROLE
3.
How to take ROPINIROLE
4.
Possible side effects
5.
How to store ROPINIROLE
6.
Contents of the pack and other information

1.

WHAT ROPINIROLE IS AND WHAT IT IS USED FOR

ROPINIROLE is used to treat Parkinson’s disease.
The active ingredient in ROPINIROLE 5 mg film-coated tablets is ropinirole, which belongs to a
group of medicines called dopamine agonists. Dopamine agonists affect the brain in a similar way to a
natural substance called dopamine.
People with Parkinson’s disease have low levels of dopamine in some parts of their brains. Ropinirole
has effects similar to those of natural dopamine, so it helps to reduce the symptoms of Parkinson’s
disease.

2.

WHAT YOU NEED TO KNOW BEFORE YOU TAKE ROPINIROLE

Do not take ROPINIROLE
if you are allergic to ropinirole, or any of the other ingredients of this medicine (listed in
section 6).
if you have serious kidney disease
if you have serious liver disease.
Tell your doctor if you think any of these may apply to you.
Warnings and precautions
Tell your doctor or pharmacist before you start to take this medicine if you:
-

are pregnant or think you may be pregnant
are breast-feeding
are under 18 years old
have liver disease
have a serious heart complaint.

-

have a serious mental health problem
if you have experienced any unusual urges and / or behaviours (such as excessive gambling or
excessive sexual behaviour)
if you have an intolerance to some sugars (such as lactose)

Talk to your doctor if you think any of these may apply to you. If you and your doctor decide that you
can take ropinirole, your doctor will probably ask you to have extra check-ups while you are taking it.
Tell your doctor if you experience symptoms such as depression, apathy, anxiety, fatigue, sweating or
pain after stopping or reducing your Ropinirole treatment. If the problems persist more than a few
weeks, your doctor may need to adjust your treatment.
Take special care with this medicine
Tell your doctor if you or your family/carer notices that you are developing urges or cravings to
behave in ways that are unusual for you or you cannot resist the impulse, drive or temptation to carry
out certain activities that could harm yourself or others. These are called impulse control disorders and
can include behaviours such as addicitive gambling, excessive eating or spending, an abnormally high
sex drive or an increase in sexual thoughts or feelings. Your doctor may need to adjust or stop your
dose.
Tell your doctor if you think any of these may apply to you. Your doctor may decide that
ROPINIROLE isn’t suitable for you or that you need extra check-ups while you’re taking it.
Children
Do not give ROPINIROLE to children. ROPINIROLE is not normally prescribed for people under 18.
Other medicines and ROPINIROLE
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines
including any herbal remedies or other medicines you bought without a prescription.
Some medicines can affect the way ropinirole works, or make it more likely that you will have side
effects. Ropinirole can also affect how some other medicines work. These include:

the anti-depressant fluvoxamine

HRT (hormone replacement therapy)

the antibiotics ciprofloxacin or enoxacin

medication for other mental health problems, for example sulpiride

metoclopramide, which is used to treat nausea and heartburn

cimetidine, used in the treatment of stomach ulcers

any other medicine for Parkinson's disease
Tell your doctor if you’re taking, or have recently taken any of these medicines.
Remember to tell your doctor if you start taking any other medicine while taking ropinirole.
ROPINIROLE with food and drink
If you take this medicine with food, you may be less likely to feel sick or be sick (vomit). So it’s best
to take it with food if you can.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or planning to have a baby, ask your
doctor or pharmacist for advice before taking this medicine. Your doctor may advise you to stop
taking ROPINIROLE.
ROPINIROLE is not recommended if you are pregnant, unless your doctor advises that the benefit to
you taking ROPINIROLE is greater than the risk to your unborn baby.

ROPINIROLE is not recommended if you are breast feeding, as it can affect your milk production.
Driving and using machines
ROPINIROLE can make you feel drowsy. It can make people feel extremely sleepy and it sometimes
makes people fall asleep very suddenly without warning.
If you could be affected: don’t drive, don’t operate machines and don’t put yourself in any situation
where feeling sleepy or falling asleep could put you (or other people) at risk of serious injury or death.
Don’t take part in these activities until you are no longer affected.
Talk to your doctor if this causes problems for you.
Ropinirole can cause hallucinations (seeing, hearing or feeling things that are there). If affected do not
drive or use machines.
ROPINIROLE contains lactose
This medicinal product contains lactose. If you have an intolerance to lactose or any other sugars, ask
your doctor for advice before you take this medicine.
Smoking and ROPINIROLE
Tell your doctor or nurse if you start smoking, or give up smoking, while you’re taking
ROPINIROLE. Your doctor or nurse may need to adjust your dose.

3.

HOW TO TAKE ROPINIROLE

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist
if you are not sure.
You may be given ROPINIROLE on its own to treat the symptoms of your Parkinson’s disease, or you
may be given ROPINIROLE as well as another medicine called L-dopa (also called levodopa). If you
are taking L-dopa you may experience some uncontrollable movements (dyskinesias) when you first
start taking ROPINIROLE. Tell your doctor if this happens, as your doctor may need to adjust the
dose of the medicines you are taking.
Tell your doctor if you or your family notices that you are developing any unusual behaviours
(such as an unusual urge to gamble or increased sexual urges and/or behaviours) while you are
taking ROPINIROLE. Your doctor may need to adjust or stop your dose.
How much ROPINIROLE will you need to take?
It may take a while to find out the best dose of ROPINIROLE for you.
The usual starting dose is 0.25 mg ropinirole three times each day for the first week. Then your doctor
will increase your dose each week, for the next three weeks.
After that, your doctor will gradually increase the dose until you are taking the dose that is best for
you. The usual is 1 mg to 3 mg three times each day (making a total daily dose of 3 mg to 9 mg). If
your Parkinson’s disease symptoms have not improved enough, your doctor may decide to gradually
increase your dose some more.
Some people take up to 8 mg of ROPINIROLE three times a day (24 mg daily altogether).
If you are also taking other medicines for Parkinson’s disease, your doctor may advise you to
gradually reduce the dose of the other medicine.

Don’t take any more ROPINIROLE than your doctor has recommended. It may take a few weeks for
ROPINIROLE to work for you.
Take ropinirole 3 times a day.
Swallow the ROPINIROLE tablet(s) whole with a glass of water. It’s best to take ROPINIROLE with
food, because that makes it less likely that you’ll feel sick (nauseous).
If you take more ROPINIROLE than you should
Contact a doctor or pharmacist immediately. If possible, show them the ROPINIROLE pack.
Someone who has taken an overdose of ROPINIROLE may have any of these symptoms: feeling sick
(nausea) or being sick (vomiting), dizziness (a spinning sensation), feeling drowsy, mental or physical
tiredness, fainting and hallucinations.
If you forget to take ROPINIROLE
Do not take a double dose to make up for a forgotten dose. Just take your next dose at the usual time.
If you have missed taking ROPINIROLE for more than a few days, ask your doctor for advice on how
to start taking ROPINIROLE again.
If you stop taking ROPINIROLE
Do not stop taking ROPINIROLE without advice. Take ropinirole for as long as your doctor
recommends. Don’t stop unless your doctor advises you to.
If you suddenly stop taking ropinirole your Parkinson’s disease symptoms may quickly get much
worse.
If you need to stop taking ropinirole your doctor will reduce your dose gradually.
If you have any further questions on the use of this product , ask your doctor or pharmacist.

4.

POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them.
The side effects of ropinirole are more likely to happen when you first start taking it, or when your
dose has just been increased. They are usually mild, and may become less troublesome after you have
taken the dose for a while.
If you are worried about side effects, talk to your doctor.
Very common: may affect more than 1 in 10 people

fainting

feeling drowsy


feeling sick (nausea)

Common: may affect up to 1 in 10 people

hallucinations (sensing things that are not real)

being sick (vomiting)

feeling dizzy (a spinning sensation)

heartburn

stomach pain



swelling of the legs

Uncommon: may affect up to 1 in 100 people

feeling dizzy or faint, especially when you stand up suddenly (this is caused by a drop in blood
pressure)

feeling very sleepy during the day (extreme somnolence)

falling asleep very suddenly without feeling sleepy first (sudden sleep onset episodes)

mental problems such as delirium (severe confusion), delusions (unreasonable ideas) or
paranoia (unreasonable suspicions)
You may experience the following side effects:
• inability to resist the impulse, drive or temptation to perform an action that could be harmful to you
or others, which may include:
• strong impulse to gamble excessively despite serious personal or family consequences
• altered or increased sexual interest and behaviour of significant concern to you or to
others, for example, an increased sexual drive
• uncontrollable excessive shopping or spending
• binge eating (eating large amounts of food in a short time period) or compulsive eating
(eating more food than normal and more than is needed to satisfy your hunger).
Tell your doctor if you experience any of these behaviours; they will discuss ways of managing or
reducing the symptoms.
Very rare side effects:may affect up to 1 in 10,000 people

changes in liver function, which have shown up in blood tests

allergic reactions such as red, itchy swellings on the skin (hives), swelling of the face, lips,
mouth, tongue or throat which may cause difficulty in swallowing or breathing, rash or intense
itching.
Some patients may have the following side effects (frequency not known)

aggression

After stopping or reducing your ROPINIROLE treatment: Depression, apathy, anxiety, fatigue,
sweating or pain may occur (called dopamine agonist withdrawal syndrome or DAWS
People who are taking ROPINIROLE with L-dopa may develop other side effects over time:

uncontrollable movements (dyskinesias) are a very common side effect. Tell your doctor if this
happens, as your doctor may need to adjust the doses of the medicines you are taking

feeling confused is a common side effect.

Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects
not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme, website:
www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the
safety of this medicine.

5.

HOW TO STORE ROPINIROLE

Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the blister/bottle and the outer carton
after Exp. The expiry date refers to the last day of that month.
Do not store above 30°C.

Blisters:
Store in the original package in order to protect from moisture.
Bottles:
Keep the bottle tightly closed in order to protect from moisture.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help to protect the environment.
6.
CONTENTS OF THE PACK AND OTHER INFORMATION
What ROPINIROLE contains


The active substance is ropinirole. Each film-coated tablet contains ropinirole hydrochloride
equivalent to 5.0 mg of ropinirole.

The other ingredients are:
Tablet Cores
Lactose, Anhydrous
Lactose Monohydrate
Cellulose, microcrystalline (E460)
Citric acid, anhydrous (E330)
Croscarmellose sodium (E468)
Magnesium Stearate (E572)
Film Coating
5.0 mg

Hypromellose (E464), Titanium dioxide (E171), Macrogol 400, Talc, Indigo
carmine aluminium lake (E132), Brilliant blue FCF Aluminium lake (E133)

What ROPINIROLE looks like and contents of the pack
Film-coated tablet.
5.0 mg
Blue, circular, bevelled edged, biconvex film coated tablets with ‘259’ debossed on one
side and ‘G’ on the other side.
The tablets are packed in either plain Aluminium/Aluminium blisters, white, opaque
Triplex(PVC/PE/Aclar)/Aluminium blisters or white opaque HDPE bottles with polypropylene childresistant closure
Pack Sizes
Blister: 21 and 84
Bottle: 84
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Glenmark Pharmaceuticals Europe Limited,
Laxmi House, 2-B Draycott Avenue,
Kenton, Harrow, Middlesex
HA3 0BU
United Kingdom.

Manufacturer
Glenmark Pharmaceuticals s.r.o Fibichova 143, 56617 Vysoké Mýto, Czech Republic
Glenmark Pharmaceuticals Europe Limited, Building 2, Croxley Green Business Park, Croxley Green,
Hertfordshire, WD18 8 YA, United Kingdom

This leaflet was last revised in 06/2017.

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