Ropinirol is a dopamine agonist of the second generation with highly specif
ic D-2/D stimulation. Since it is a non-ergoline structure there are less s
ide effects such as fibrosis or Raynaud's syndrome. Ropinirol was as effect
ive as levodopa when patients were treated who fulfilled the criteria of st
age I and II of Hoehn and Yahr. In all HY stages ropinirol was more effecti
ve than bromocriptine. Ropinirol indices almost no motor fluctuations of hy
perkinesias. Besides bromocriptine ropinirol is the only dopamine agonist p
ermitted for monotherapy in Germany. It is also highly potent in combinatio
n therapy.