A patient with Parkinson's disease is switched from levodopa to ropinirole. The nurse should be alert for which side effect unique to ropinirole?


• Unlike other dopaminergic medications, ropinirole and pramipexole can cause sleep attacks and extreme drowsiness. It has also been reported to cause hypersexuality and compulsive gambling in patients with no prior history.

• Postural hypotension, dry mouth, and psychosis are potential side effects for all dopaminergic medications.

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