RAPONER 2 mg. 30 tablets

ACTAVIS
RAPONER 2 mg. 30 tablets
€ 19.00
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What Raponer and what it is used
The active ingredient in Raponer is ropinirole, which belongs to a group of medicines called dopamine agonists. Dopamine agonists affect the brain in a manner similar to the naturally occurring substance called dopamine.
Raponer prolonged release tablets useful for the treatment of Parkinson's disease. People suffering from Parkinson's disease have low levels of dopamine in certain areas of the brain. The effects of ropinirole are similar to those of natural dopamine, thereby it helps to reduce the symptoms of Parkinson's disease.

2. What you need to know before taking Raponer
Do not take Raponer:
if you are allergic (hypersensitive) to ropinirole or any of the other ingredients of this medicine (listed in section 6);
if you have severe kidney disease;
if you have liver disease.
Tell your doctor if you think any of the above applies to you.

Warnings and Precautions
Take special care when taking Raponer:
if you are pregnant or think you may be pregnant;
if you are breastfeeding;
if you are under the age of 18 years;
if you have serious heart complaints;
if you have a serious mental health problem;
if you are intolerant to some sugars (such as lactose).
Tell your doctor if you think any of the above applies to you. Your doctor will decide whether Raponer is suitable for you or if it is necessary to conduct additional studies while taking it.
Tell your doctor if you or your family / carer notice that you develop a need or needs to behave in a way that is unusual for you and you can not resist the impulse, the urge or temptation to perform certain activities that would could harm you or the people around you. They are called disorders of impulse control and may include behaviors associated with addiction to gambling, excessive eating or increased costs unusually strong sexual desire or increased sexual intentions or moods. Your doctor may need to adjust or stop treatment.

While taking Raponer
Tell your doctor if you or your family notice that develop abnormal behavior (such as unusual gambling and / or increased sexual urges and / or behaviors) while taking Raponer. Your doctor may adjust your dose or advise you to stop taking the drug.

Smoking and Raponer
Tell your doctor if you start smoking or stop smoking while taking Raponer. You may need your doctor may change your dosage.

Other medicines and Raponer
Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines, including medicines obtained without a prescription. Be sure to tell your doctor or pharmacist if you begin taking a new medicine while taking Raponer.

Some medicines may affect how Raponer or increase the likelihood of side effects. Raponer can also affect the way some medicines. These include:
antidepressant fluvoxamine;
other drugs for mental health problems, for example sulpiride;
Hormone replacement therapy (HRT);
Metoclopramide, which is used in the nausea and heartburn;
antibiotics ciprofloxacin or enoxacin;
All other medications for the treatment of Parkinson's disease.
Please tell your doctor if you are taking or have recently taken any of these drugs.

Raponer with food and drink
You can take Raponer with or without food according to your preferences.

Pregnancy and lactation
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine.
Raponer use is not recommended during pregnancy unless your doctor considers that the benefit to you of taking Raponer is greater than the risk to your unborn baby.
Raponer use is not recommended if you are breastfeeding or plan to breastfeed.
Your doctor will give you advice if you are breastfeeding or plan to breastfeed. Raponer not recommended during breast-feeding, as it can affect the secretion of milk. Your doctor may advise you to stop taking Raponer.

Driving and using machines
Raponer can cause drowsiness. It can lead to very strong drowsiness and sometimes causes sudden sleep without warning signs.
If this is likely to apply to you, do not drive, operate machinery or do not put in situations where sleepiness or falling asleep could put you in danger (or others) of serious injury or death. Do not take part in such activities, until these effects pass.

Raponer contains lactose and castor oil
Raponer prolonged-release tablets contain a sugar called lactose. If your doctor has told you that you have an intolerance to some sugars, please contact him before taking Raponer.
Raponer prolonged-release tablets contain castor oil. May cause stomach upset and diarrhea.

3. How to take Raponer
Always take this medicine exactly as you have been told by your doctor or pharmacist. If you're not sure, ask your doctor or pharmacist.

Use in children and adolescents
Do not give Raponer children. Raponer usually not prescribed to people under 18 years of age.

You may be given Raponer alone to treat Parkinson's disease. Also, you may be given Raponer with another medicine called levodopa (L-dopa). If you are taking levodopa can get some uncontrollable movements when you start taking Raponer. Tell your doctor if this happens, as you may not need to adjust the dose of levodopa (L-dopa), you are taking.

How many Raponer have to take?
It may take some time to determine the best dose for you Raponer.
The recommended starting dose is 2 mg Raponer prolonged-release tablets once daily for the first week. Then your doctor may increase your dose to 4 mg Raponer prolonged-release tablets once daily from the second week of treatment. If you are in very elderly, your doctor may increase your dose slowly. Then your doctor may adjust your dose while taking the most appropriate dose for you. Some people take Raponer to 24 mg prolonged-release tablets every day.
If at the beginning of your treatment experience side effects that are difficult endure, consult your doctor. Your doctor may advise you to switch to a lower dose of ropinirole film-coated (immediate release) tablets, which will take three times a day.
It may take several weeks before Raponer start you act. Do not take more Raponer than you recommend your doctor.

Method of administration
Take Raponer once daily at the same time each day.
Swallow your Raponer prolonged-release tablets whole with a glass of water. Do not crush, chew or crush. If you do, there is a danger of overdose, because the medicine will be released into your body too quickly.

If you switch from ropinirole film-coated (immediate release) tablets to prolonged-release tablets
Your doctor will determine your dose Raponer prolonged-release tablets based on the dose of ropinirole film-coated (immediate release) tablets you are taking.
Take your ropinirole film-coated (immediate release) tablets as normal the day before you go to prolonged-release tablets. Take your Raponer prolonged-release tablets next morning and do not take more ropinirole film-coated (immediate release) tablets.

If you take more dose Raponer
Immediately contact your doctor or pharmacist. If possible, show them the pack of Raponer.
When people take more dose Raponer can be observed following symptoms: nausea, vomiting, dizziness (spinning sensation), sleepiness, mental or physical tiredness, fainting, hallucinations.

If you forget to take Raponer
Do not take extra dose or double dose of tablets to make up for a missed dose.
If you forget to take Raponer for a day or more, ask your doctor for advice on how to start taking it again.

If stop taking Raponer
Do not stop taking Raponer without being advised of this. Raponer take as long as your doctor advises.
Do not stop your medicine unless your doctor has told you to do it. If you suddenly stop taking Raponer, the symptoms of Parkinson's disease can quickly worsen.
If you need to stop taking Raponer, your doctor will reduce your dose gradually.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.

Adverse reactions Raponer is more likely to occur when you start taking the drug immediately or after a dose increase. They are usually mild and can be relieved after you have taken the drug for some time. Talk to your doctor if you are worried about side effects.

The frequency of adverse reactions listed below is defined using the following classification:
Very common: affects more than 1 in 10;
Common: affects 1 to 10 patients in 100;
Uncommon: affects 1 to 10 patients in 1000;
Rare: affects 1 to 10 patients in 10,000;
Very rare: affects less than 1 in 10,000;
Not known: frequency can not be estimated from the available data.
Very common:
loss of consciousness;
drowsiness;
nausea.
Common:
hallucinations ('seeing' things that are not there);
vomiting;
dizziness (vertigo);
stomach acids;
abdominal pain;
constipation;
swelling of the legs, feet or hands.
Uncommon:
dizziness or fainting, especially when standing up (this is caused by low blood pressure);
excessive daytime somnolence (excessive sleepiness);
falling asleep suddenly without preceding sleepiness (episodes of sudden sleep onset);
mental problems such as delirium (severe confusion), delusions (unreasonable ideas) or paranoia (unreasonable suspicions).
Not known:
changes in liver function, which are registered in blood tests;
Hypersensitivity reactions including rash, swelling of face, lips, throat or tongue which may cause difficulty in swallowing or breathing, rash and pruritus.
You can experience the following side effects:
Inability to resist the impulse, the urge or temptation to perform certain actions that could harm you or the people around you and may include:
Strong impulse gambling with excessive gambling, despite serious personal or family consequences;
Changed or increased sexual interest and behavior of serious concern to you or others, for example, increase sexual desire;
Uncontrollable, excessive shopping or increased costs;
Binge eating (ingestion of large amounts of food in a short period of time) or compulsive eating (eating more food than normal and more than is necessary to satisfy their hunger).
Tell your doctor if you experience any of the above changes in behavior, he will discuss ways to control or reduce symptoms.

If you take Raponer with levodopa (L-dopa)
People taking Raponer with levodopa (L-dopa) may develop other side effects over time:
very common side effects are uncontrollable jerky movements. If you are taking levodopa (L-dopa) can get uncontrollable movements when you start taking Raponer. Tell your acre if this happens, as you may need your doctor to adjust the dosage of the medicines you are taking;
common side effect is a sense of confusion.
If you get any side effects, contact your doctor or pharmacist. This includes all listed in this leaflet.

5. How to store Raponer
Keep out of reach of children.
Do not use this medicine after "EXP" stated on the blister and carton. The date of the expiration date corresponds to the last day of that month.
Keep at temperatures below 30 ° C.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.

6. Contents of the pack and further information
What Raponer
The active substance is ropinirole. Each prolonged-release tablet contains 2 mg, 3 mg, 4 mg, 6 mg or 8 mg of ropinirole (as hydrochloride).
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