Visit Worksheet

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A Doctor Visit Worksheet is a helpful tool that you can use when you see your doctor. Print out a Doctor Visit Worksheet and fill it in with your medical information. At your next appointment, bring it with you to your doctor to track your ongoing management.

You, your doctor, and your family and friends can all work together on your management program.

Learn how

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Important Safety Information

REQUIP^® (ropinirole HCl) Tablets are indicated for the signs and symptoms of idiopathic Parkinson’s disease. Prescription REQUIP is not for everyone. REQUIP may cause you to fall asleep or feel very sleepy during normal activities such as driving; or to faint or feel dizzy, nauseated, or sweaty when you stand up. Tell your doctor if you experience these problems or if you drink alcohol or are taking other medicines that make you drowsy. Side effects include nausea, dizziness, drowsiness or sleepiness, headache, and dyskinesia (uncontrolled movements). Hallucinations may occur at any time during treatment. Also tell your doctor if you experience new or increased gambling, sexual, or other intense urges while taking REQUIP. REQUIP may potentiate the side effects of L-dopa. Most patients were not bothered enough to stop taking REQUIP.

This is not a complete list of side effects and should not take the place of discussions with your healthcare providers. Your doctor or pharmacist can give you a more complete list of side effects. Talk to your doctor about any side effects you may have.

For More Safety Information about REQUIP, click here.