RESEARCH MONOGRAPH · KDC-MN-317
Ropinirole
Ropinirole, sold as Requip, is a non-ergot dopamine agonist that hits D2 and D3 receptors about equally, distinguishing it from the D3-preferring pramipexole. It is FDA-approved for Parkinson disease and restless legs syndrome, with broadly comparable efficacy to pramipexole in head-to-head studies. The same impulse control disorder risk applies, and clinicians choose between the two largely on side-effect tolerability and dosing schedule. Mechanistically and clinically it offers no clear advantage over pramipexole, which is why pramipexole tends to dominate prescribing in most regions. Not stocked by Kodiac. This monograph is provided for research and educational reference.
Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.
Non-ergot D2/D3 dopamine agonist
A non-ergot indolone D2/D3 dopamine receptor agonist; alternative to pramipexole in Parkinson disease and restless legs syndrome.
Abstract
Ropinirole (4-[2-(dipropylamino)ethyl]-1,3-dihydro-2H-indol-2-one; CAS 91374-21-9; molecular formula C16H24N2O; molecular weight 260.38) is a non-ergot indolone D2/D3 dopamine receptor agonist developed at SmithKline Beecham (now GSK) and approved by the FDA in 1997 under the trade name Requip. Affinity is approximately balanced at D2 and D3 (Ki approximately 24 and 30 nM respectively), distinguishing it from the more D3-preferring pramipexole. Plasma half-life is approximately 6 hours; metabolism is via CYP1A2. Approved for Parkinson disease and restless legs syndrome. Comparable efficacy and tolerability to pramipexole in head-to-head studies, with similar impulse control disorder risk. Used as an alternative reference non-ergot dopamine agonist.
Mechanism of action
Non-ergot D2/D3 dopamine receptor agonist (approximately balanced D2/D3 affinity). Mechanism comparable to pramipexole.
Reported research dose ranges
Clinical 0.25 to 24 mg in the published literature or ER. Rodent studies 0.1 to 3 mg/kg.
References
- Eden RJ, et al. Preclinical pharmacology of ropinirole. Pharmacol Toxicol 1991.
- Brooks DJ. Dopamine agonists: their role in the treatment of Parkinson's disease. J Neurol Neurosurg Psychiatry 2000.
- Stocchi F, et al. A randomized, double-blind, placebo-controlled study of dopamine agonists in advanced Parkinson disease. Mov Disord 2002.
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The full reference document is provided strictly for research use only. It reports research dose ranges from the published literature, not instructions for use in humans or animals.
FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.