Requip XL 4 mg Tablet

Requip XL 4 mg Tablet contains 4 mg of ropinirole in each extended-release tablet. It belongs to the anti-Parkinsonian medicines called dopamine agonists, which help improve movement problems caused by Parkinson’s disease. Requip XL 4 mg Tablet is used to help control symptoms such as stiffness, slowness, tremor, and trouble with movement. This specific 4 mg strength is a mid-range option in the Requip XL line and may be chosen when a lower strength is no longer enough but a higher strength is not yet needed.

How it works: Ropinirole works by stimulating dopamine receptors in the brain, which helps replace some of the dopamine activity lost in Parkinson’s disease. In this extended-release tablet, the medicine is released slowly to provide steadier symptom control over time.

Requip XL 4 mg Tablet is a middle strength, between Requip XL 2 mg Tablet and Requip XL 8 mg Tablet. Doctors may choose this strength when a person needs a moderate dose of ropinirole in a once-daily extended-release tablet. Compared with the 2 mg tablet, it delivers more medicine per tablet; compared with the 8 mg tablet, it offers a lower total dose.

• Parkinson’s disease symptom control
• Stiffness and rigidity
• Slowness of movement
• Tremor
• Difficulty with daily movement

• Swallow Requip XL 4 mg Tablet whole with water; do not crush, split, or chew it.
• Take it exactly once daily if your doctor prescribes once-daily use; follow the schedule on your prescription label.
• You may take the tablet with or without food, but taking it with food can help reduce nausea.
• Do not change from Requip XL 2 mg Tablet or Requip XL 8 mg Tablet without medical advice, because the dose is strength-specific.
• If you miss a dose, do not double up unless your prescriber tells you to; ask a pharmacist or doctor for guidance.
• Take care when standing up, especially at first, because this medicine can cause dizziness or lightheadedness.

Each Requip XL 4 mg Tablet provides 4 mg of ropinirole in one extended-release tablet. The dosing frequency and total daily amount are decided by the doctor; this strength may be taken once daily as part of a titration plan or maintenance regimen, depending on the individual patient. Do not exceed the daily dose your prescriber recommends, because higher amounts can increase side effects such as sleepiness, low blood pressure, and nausea.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Ropinirole may include:

• Nausea
• Dizziness
• Sleepiness or drowsiness
• Headache
• Constipation
• Swelling of the legs or feet
• Fatigue

• This is a higher-dose tablet than the 2 mg strength, so it is best used only when a doctor has assessed the need for 4 mg.
• It can cause sleepiness and sudden sleep episodes, so avoid driving until you know how Requip XL 4 mg Tablet affects you.
• Alcohol may worsen dizziness, sleepiness, and low blood pressure.
• Use caution if you have heart disease, low blood pressure, or a history of fainting.
• Tell your doctor if you have hallucinations, mood changes, or impulse-control problems.
• Stand up slowly from sitting or lying positions to reduce the risk of dizziness.
• Do not crush or split the extended-release tablet, because that can alter how the 4 mg dose is released.

• Other medicines that cause sleepiness, including opioids, benzodiazepines, and some antihistamines
• Blood pressure medicines, which may increase dizziness or fainting risk
• Certain antipsychotic medicines that can reduce ropinirole’s effect
• Smoking status changes may affect ropinirole response and dose needs
• Dopamine-blocking drugs, which may interfere with treatment

Store Requip XL 4 mg Tablet in its original strip/box at room temperature, away from excess heat, moisture, and out of reach of children.