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Molecule

Ropinirole

Also known as ropinirole hydrochloride
Available on requestNeurology
Presentations
12
Brands
0
Manufacturers
0
Available from stock
0

Ropinirole is a nonergot dopamine agonist indicated for the treatment of Parkinson’s disease (PD) and moderate-to-severe primary Restless Legs Syndrome (RLS), among other approved uses. It is available as tablets and extended-release tablets for oral use. MedsAcross supplies Ropinirole for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Nonergot Dopamine Agonist, Dopamine Agonists
ATC classification
N04BC04 Ropinirole · Dopamine agonist
US FDA first approval
19 September 1997
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Extended-release tablet
Identifiers
UNII 030PYR8953RxCUI 72302CAS 91374-21-9DrugBank DB00268Q420590

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Ropinirole Tablets are a non-ergoline dopamine agonist indicated for the treatment of Parkinson’s disease (PD) and moderate-to-severe primary Restless Legs Syndrome (RLS).

Source: US FDA prescribing information

How it works

Ropinirole is a non-ergoline dopamine agonist. The precise mechanism of action of ropinirole as a treatment for Parkinson’s disease is unknown, although it is thought to be related to its ability to stimulate dopamine D2 receptors within the caudate-putamen in the brain. The precise mechanism of action of ropinirole as a treatment for RLS is unknown, although it is thought to be related to its ability to stimulate dopamine receptors.

Source: US FDA prescribing information

Dosing overview

• Ropinirole tablets can be taken with or without food. • Retitration of ropinirole tablets may be warranted if therapy is interrupted. Parkinson’s Disease: • The recommended starting dose is 0.25 mg taken three times daily, titrate to a maximum daily dose of 24 mg. • Renal Impairment: The maximum recommended dose is 18 mg/day in patients with end-stage renal disease on hemodialysis. Restless Legs Syndrome: • The recommended starting dose is 0.25 mg once daily, 1 to 3 hours before bedtime, titrate to a maximum recommended dose of 4 mg daily. • Renal Impairment: The maximum recommended dose is 3 mg/day in patients with end-stage renal disease on hemodialysis.

Source: US FDA prescribing information

Contraindications

Ropinirole tablets are contraindicated in patients known to have a hypersensitivity/allergic reaction (including urticaria, angioedema, rash, pruritus) to ropinirole or to any of the excipients. History of hypersensitivity/allergic reaction (including urticaria, angioedema, rash, pruritus) to ropinirole or to any of the excipients

Source: US FDA prescribing information

Warnings and precautions

• Sudden onset of sleep and somnolence may occur. • Syncope may occur. • Hypotension, including orthostatic hypotension may occur. • May cause hallucinations and psychotic-like behaviors. • May cause or exacerbate dyskinesia. • May cause problems with impulse control or compulsive behaviors

Source: US FDA prescribing information

Side effects

The following adverse reactions are described in more detail in other sections of the label: Hypersensitivity Falling asleep during activities of daily living and somnolence Syncope Hypotension/orthostatic hypotension Hallucinations/psychotic-like behavior Dyskinesia Impulse control/compulsive behaviors Withdrawal-emergent hyperpyrexia and confusion Withdrawal Symptoms Augmentation and early-morning rebound in RLS Fibrotic complications Retinal pathology Most common adverse reactions (incidence with ropinirole tablets at least 5% greater than placebo) in the respective indications were: Early PD: Nausea, somnolence, dizziness, syncope, asthenic condition, viral infection, leg edema, vomiting, and dyspepsia. Advanced PD: Dyskinesia, somnolence, nausea, dizziness, confusion, hallucinations, sweating, and headache. RLS: Nausea, vomiting, somnolence, dizziness, and asthenic condition.

Source: US FDA prescribing information

Interactions

• Inhibitors or inducers of CYP1A2: May alter the clearance of ropinirole tablets, dose adjustment of ropinirole tablets may be required. • Hormone replacement therapy(HRT): Starting or stopping HRT may require dose adjustment of ropinirole tablets. • Dopamine antagonists (e.g., neuroleptics, metoclopramide): May reduce efficacy of ropinirole tablets

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

12 presentations of Ropinirole, sorted by availability.

MedicineManufacturerRegisterAvailability
Ropinirole 1 mg tabletOralGeneric name—US FDAAvailable on request
Ropinirole 0.25 mg tabletOralGeneric name—US FDAAvailable on request
Ropinirole 0.5 mg tabletOralGeneric name—US FDAAvailable on request
Ropinirole 2 mg tabletOralGeneric name—US FDAAvailable on request
Ropinirole 4 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Ropinirole 8 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Ropinirole 12 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Ropinirole 2 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Ropinirole 6 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Ropinirole 3 mg tabletOralGeneric name—US FDAAvailable on request
Ropinirole 4 mg tabletOralGeneric name—US FDAAvailable on request
Ropinirole 5 mg tabletOralGeneric name—US FDAAvailable on request

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 19 September 1997Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Ropinirole in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Ropinirole available for export from India?

Yes, on request. MedsAcross lists 12 presentations of Ropinirole and sources them for licensed hospitals, importers and physicians against valid import documents.

Is Ropinirole approved by the US FDA?

Yes. The US FDA first approved Ropinirole on 19 September 1997, according to Drugs@FDA.

Does Ropinirole need cold chain shipping?

No listed presentation of Ropinirole is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Ropinirole in?

Ropinirole is classified under ATC code N04BC04 (Ropinirole).

References

  1. ROPINIROLE prescribing information (Alembic Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 2 September 2026

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