Ropinirole

Oral health effects

• Xerostomia (dry mouth)

  Reduced salivary flow with elevated caries and discomfort risk.

  Clinical management: Hydration, salivary substitutes, high-fluoride caries prevention.

• Dizziness on standing (orthostatic hypotension)

  Hypotension, including orthostatic hypotension, and syncope are label warnings, especially during dose escalation; Parkinson's itself impairs blood-pressure regulation.

  Clinical management: Raise the chair slowly at the end of the appointment and have the patient sit upright for a minute or two before standing; steady them as they get up. Ask about dizziness on standing, especially after dose changes or in older patients.

• Involuntary movements (dyskinesia)

  Dopamine agonists can cause or worsen dyskinesia, including orofacial movements, especially with levodopa (label: 34% vs 13% on placebo when added to levodopa).

  Clinical management: Expect involuntary jaw, tongue or limb movements that can interrupt instrumentation; use short appointments, bite blocks and good head support, and schedule care when medication is working well (patient-reported 'on' time).