Requip Pd 24hr 4mg Tablet
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Overview
Requip Pd 24hr 4mg Tablet contains ropinirole 4mg in a prolonged-release (once-daily) formulation, a non-ergot dopamine agonist used to treat Parkinson’s disease, either alone in early disease or together with levodopa as the disease progresses.
Ropinirole works by directly stimulating dopamine D2/D3 receptors in the brain, mimicking the action of dopamine, a chemical messenger that is deficient in Parkinson’s disease. This helps improve motor symptoms such as tremor, stiffness, and slowness of movement.
How it Works
Ropinirole is a non-ergot dopamine agonist that selectively binds to and activates D2 and D3 dopamine receptors in the brain’s striatum, compensating for the reduced dopamine production characteristic of Parkinson’s disease. The prolonged-release tablet releases the drug gradually over 24 hours to maintain steadier receptor stimulation.
Directions for Use
Swallow Requip Pd 24hr 4mg Tablet tablets whole with water once daily at about the same time each day – do not crush, chew, or split them, as this can disrupt the prolonged-release mechanism and cause the dose to be released too quickly. It may be taken with or without food; taking it with food can help reduce nausea.
Dosage
Requip Pd 24hr 4mg Tablet is started at a low dose and increased gradually over several weeks according to your doctor’s individualised titration schedule, based on your symptom control and tolerability. Do not change your dose without your doctor’s guidance, as both under- and over-treatment can affect symptom control.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Dizziness or light-headedness
- Nausea or vomiting
- Fatigue or drowsiness
- Headache
- Sleepiness or sudden sleep onset
- Dry mouth
- Constipation
- Swelling in the legs or arms
- Unusual urges (e.g., gambling, shopping)
Contraindications
- Known hypersensitivity to ropinirole or any ingredient in this product
- Severe kidney impairment without appropriate dose adjustment
- Use with caution in pregnancy and breastfeeding, only if clearly assessed as necessary by your doctor
Drug / Food Interactions
- Antipsychotic medicines that block dopamine receptors may reduce the effectiveness of ropinirole
- CYP1A2 inhibitors such as ciprofloxacin and fluvoxamine can raise ropinirole blood levels
- Oestrogen-containing medicines (e.g. hormone replacement therapy) can increase ropinirole levels
- Cigarette smoking can lower ropinirole blood levels, so your doctor may need to adjust the dose if you start or stop smoking
Quick Tips
- Swallow the tablet whole – never crush, chew, or split a prolonged-release tablet
- Rise slowly from sitting or lying down to reduce dizziness
- Avoid driving or operating machinery if you feel drowsy or experience sudden sleepiness
- Tell your doctor promptly about any new urges such as gambling, shopping, or other compulsive behaviours
- Do not stop this medicine abruptly without medical advice, as symptoms can worsen suddenly
Frequently Asked Questions
What is Requip Pd 24hr 4mg Tablet used for?
Requip Pd 24hr 4mg Tablet is used to treat Parkinson’s disease, either on its own in early disease or together with levodopa as the disease progresses, to help control tremor, stiffness, and slowness of movement.
Why must I swallow this tablet whole?
This is a prolonged-release tablet designed to release ropinirole gradually over 24 hours. Crushing, chewing, or splitting it can release the full dose at once, increasing the risk of side effects.
Is this the same as the regular ropinirole tablet?
No, this prolonged-release (PD/XL) formulation is taken once daily and is not directly interchangeable with the immediate-release form, which is taken multiple times a day. Your doctor will decide which formulation and dose are right for you.
Why does my doctor ask about gambling or shopping habits during follow-up?
Dopamine agonists such as ropinirole can rarely cause new compulsive behaviours like gambling, shopping, or hypersexuality. Your doctor checks for this so the dose can be adjusted if needed.
What should I do if I miss a dose of Requip Pd 24hr 4mg Tablet?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue your regular schedule. Do not take a double dose.
Can I buy Requip Pd 24hr 4mg Tablet from DoctorOnCall?
Yes, Requip Pd 24hr 4mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Requip Pd 24hr 4mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Requip Pd 24hr 4mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Requip Pd 24hr 4mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Requip Pd 24hr 4mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Requip Pd 24hr 4mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Ropinirole 4mg prolonged-release (as ropinirole hydrochloride)
Safety Advice
Pregnancy
This medicine should be used cautiously during pregnancy. Monitoring may be required.
Breastfeeding
This medicine is generally safe during breastfeeding with minimal risk to the infant.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
It is not advisable to drive if you experience side effects from this medicine.
Medical Review
