Taking ropinirole with other medicines and herbal supplements - Brand names: Requip, Ipinnia, Repinex

Cautions with other medicines

Some medicines do not mix well with ropinirole.

Tell your doctor, specialist nurse or pharmacist if you're taking any other medicines, including:

• anti-sickness medicines, such as metoclopramide or prochlorperazine
• antidepressants or antipsychotic medicines, such as fluvoxamine, sulpiride, amisulpride, risperidone or haloperidol
• hormone replacement therapy (HRT) or contraceptives that contain high levels of oestrogen (ethinylestradiol)
• medicines that can lower your blood pressure – examples include blood pressure medicines, medicines that remove extra fluid from your body (diuretics), or erectile dysfunction medicines such as sildenafil (Viagra) or tadalafil (Cialis)
• ciprofloxacin, an antibiotic
• warfarin, to prevent blood clots (an anticoagulant)

These are not all the medicines that may cause problems if you take them with ropinirole. For a full list, see the leaflet inside your medicine packet.

Taking painkillers with ropinirole

It's usually OK to take mild painkillers, such as paracetamol or ibuprofen, if you need pain relief.

Check with your doctor before taking any stronger prescription painkillers, including opioids such as codeine, morphine or tramadol.

Mixing ropinirole with herbal remedies and supplements

There's not enough information to say that complementary medicines and herbal remedies are safe to take with ropinirole. They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines.