Prescription medication · Dopamine Agonist

ropinirole

Also sold as Requip. Ropinirole is used to treat Parkinson's disease.

Data updated 2026-05-15

14,664
FDA reportsModerately reported
3
InteractionsFew interactions
$0.04
Generic price (NADAC)

What the data shows

ropinirole (Requip) is a prescription Dopamine Agonist, reported less often than most tracked drugs (14,664 FDA reports), with 3 documented drug interactions.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

ropinirole (Requip) is a prescription Dopamine Agonist. Ropinirole is used to treat Parkinson's disease.

Ropinirole is a medicine that acts like dopamine in your brain. It is used to treat Parkinson's disease and restless legs syndrome.

Drug Pricing (NADAC)

Generic Price

$0.04/unit

Generic Available

Yes (11 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

NADAC price trail: ROPINIROLE HCL 0.25 MG TABLET

Same CMS presentation as the headline generic unit price above (2 effective dates). Adjacent % compares consecutive NADAC releases for this description only, not a patient out-of-pocket quote. Latest step: +2.1% vs prior release.

Effective NADAC / unit vs prior NDCs
July 17, 2024 $0.0400/EA - 1
December 18, 2024 $0.0408/EA +2.1% 10
View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

Ropinirole is used to treat Parkinson's disease.

Common side effects

Nausea, Sleepiness, Dizziness

Key warnings

Ropinirole can cause you to fall asleep suddenly, even during normal daily activities.

The sections below are summarized in plain English from ropinirole's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Ropinirole works by mimicking the effects of dopamine, a natural chemical in the brain. Dopamine helps control movement and coordination. By acting like dopamine, ropinirole can help reduce the symptoms of Parkinson's disease and RLS.

Side Effects (from patient reports)

Based on 14,664 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for ropinirole, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for ropinirole each year to the FDA Adverse Event Reporting System (FAERS).

05001,0001,500 20042008201120142017202020232025 1,077

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where ropinirole sits

ropinirole has more FDA adverse-event reports than 48% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is ropinirole; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 14,664 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

14,664

Reports Mentioning Death

1,369

9.3% of reports — not proof of cause

Hospitalization Reports

4,485

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 8,371 (62%)
Male 5,136 (38%)

Age Distribution

0–17 49
18–44 639
45–64 3,446
65–74 3,021
75+ 2,586

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
2 FALL 1,004
3 FATIGUE 920
4 NAUSEA 852
5 DIZZINESS 721
6 HALLUCINATION 711
7 PAIN 630
8 DEATH 623
9 DIARRHOEA 602
10 DYSPNOEA 591
11 ASTHENIA 567
13 INSOMNIA 537
14 HEADACHE 528
15 GAIT DISTURBANCE 512
16 SOMNOLENCE 504
17 DYSKINESIA 494

Reactions in Death Reports

DEATH 622
COMPLETED SUICIDE 139
FALL 76
PNEUMONIA 74
CARDIAC ARREST 63
PARKINSON^S DISEASE 63
HALLUCINATION 56
ACUTE KIDNEY INJURY 53
TOXICITY TO VARIOUS AGENTS 52
RENAL FAILURE 49

Reactions in Hospitalization Reports

FALL 551
DYSPNOEA 328
PNEUMONIA 314
FATIGUE 285
NAUSEA 253
URINARY TRACT INFECTION 235
HALLUCINATION 224
ASTHENIA 223
PAIN 213
CONFUSIONAL STATE 196

Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Ropinirole can cause you to fall asleep suddenly, even during normal daily activities. Some people have fainted while taking ropinirole. Ropinirole can lower your blood pressure, especially when you stand up. It may also cause hallucinations or unusual behaviors. Some people taking ropinirole have reported problems with impulse control, such as gambling or overeating.

Known Drug Interactions

Coadministration of ciprofloxacin, an inhibitor of CYP1A2, increases the AUC and C max of ropinirole [see Clinical Pharmacology (12.3)].

Mechanism: Ciprofloxacin blocks the liver enzyme that normally clears ropinirole from your body, which can lead to higher levels of the drug in your blood.

7 DRUG INTERACTIONS · Inhibitors or inducers of CYP1A2: May alter the clearance of ropinirole tablets; dose adjustment of ropinirole tablets may be required (7.1, 12.3) · Hormone replacement therapy(HRT): Starting or stopping HRT may require dose adjustment of ropinirole tablets (7.2, 12.3) · Dopamine antagonists (e.g., neuroleptics, metoclopramide): May reduce efficacy of ropinirole tablets (7.3) 7.1 Cytochrome P450 1A2 Inhibitors and Inducers In vitro metabolism studies showed that CYP1A2 is the major enzyme responsible for the metabolism of ropinirole. 7.3 Dopamine Antagonists Because...

Mechanism: These drugs have opposite effects on dopamine in the brain, which can stop ropinirole from working properly.

7 DRUG INTERACTIONS · Inhibitors or inducers of CYP1A2: May alter the clearance of ropinirole tablets; dose adjustment of ropinirole tablets may be required (7.1, 12.3) · Hormone replacement therapy(HRT): Starting or stopping HRT may require dose adjustment of ropinirole tablets (7.2, 12.3) · Dopamine antagonists (e.g., neuroleptics, metoclopramide): May reduce efficacy of ropinirole tablets (7.3) 7.1 Cytochrome P450 1A2 Inhibitors and Inducers In vitro metabolism studies showed that CYP1A2 is the major enzyme responsible for the metabolism of ropinirole. 7.3 Dopamine Antagonists Because...

Mechanism: Metoclopramide blocks the brain receptors that ropinirole needs to activate, making the treatment less effective.

This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.

Common Questions

Can I drive while taking ropinirole?
Ropinirole can cause sleepiness and sudden sleep attacks. Do not drive or operate heavy machinery until you know how this medicine affects you.
What should I do if I feel dizzy?
Get up slowly from a sitting or lying position to avoid dizziness.
Can I drink alcohol while taking ropinirole?
Alcohol can increase the sleepiness caused by ropinirole. Talk to your doctor about drinking alcohol while taking this medicine.
How long does it take for ropinirole to work?
It may take a few weeks for ropinirole to start working fully. Talk to your doctor if your symptoms do not improve.
Can I stop taking ropinirole suddenly?
Do not stop taking ropinirole suddenly. Your doctor will tell you how to gradually reduce your dose.
Does ropinirole interact with other medications?
Yes, ropinirole can interact with other medications. Tell your doctor about all the medicines you take, including prescription and over-the-counter drugs, vitamins, and herbal supplements.
What if I have kidney problems?
If you have kidney problems, your doctor may need to adjust your dose of ropinirole.
Can ropinirole cause weight gain?
Weight gain is not a common side effect of ropinirole, but it is possible.
Is ropinirole addictive?
Ropinirole is not considered to be addictive, but some people may develop compulsive behaviors while taking it.
What should I do if I experience hallucinations?
Contact your doctor immediately if you experience hallucinations while taking ropinirole.
What are the common side effects of ropinirole?
The registry lists Nausea, Sleepiness, Dizziness, Fainting, Feeling weak or tired among the most-reported FAERS reaction terms for ropinirole. The compiled record contains 14,664 FDA adverse-event reports. These counts are not an individual symptom assessment.
Does ropinirole interact with other medications?
The registry has 3 documented interaction rows for ropinirole. Notable source-record pairings include ciprofloxacin, dopamine, metoclopramide. These rows are not a complete medication review.
What drug class is ropinirole?
ropinirole belongs to the Dopamine Agonist drug class. It requires a prescription (Rx). Ropinirole is used to treat Parkinson's disease.
What pregnancy or breastfeeding source fields are listed for ropinirole?
The FDA label for ropinirole contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.

Other drugs grouped near ropinirole - same-class peers and common alternatives.

Compare ropinirole vs acamprosate side-by-side →

Compare beyond drug class

Nationwide peers by FAERS volume & death-report share

Two PlainMeds-derived comparison paths for ropinirole: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.

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What the FDA Data Shows for ropinirole

The FDA label for ropinirole (sold under brand names such as Requip) classifies it as a prescription-only medication in the Dopamine Agonist class. Ropinirole is used to treat Parkinson's disease. Official labeling lists 14 commonly reported side effects, including Nausea, Sleepiness, Dizziness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 14,664 voluntary reports. The database also lists 3 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $0.04.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. This registry does not provide medication decisions.

Last updated: October 7, 2024

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page