Cabergoline / Dostinex
What Is Cabergoline?
Cabergoline is a medicine used to treat hyperprolactinemia, a condition characterized by high levels of prolactin — a natural substance in the body that helps breastfeeding women produce milk.
Too much prolactin can cause health problems in men, and in women who aren't breastfeeding.
Cabergoline can help treat symptoms associated with irregular menstruation, unwanted breast milk production, infertility, bone loss, and sexual problems.
People with pituitary gland tumors also produce too much prolactin. Cabergoline is often used to help treat this condition.
The drug is also occasionally used to help treat Parkinson's disease (a nervous system disorder that causes problems with movement, balance, and muscle control).
Cabergoline is in a class of medicines knowns as dopamine receptor agonists. It works by reducing levels of prolactin in the body.
The Food and Drug Administration (FDA) approved cabergoline in 1996. This generic medicine is manufactured by various pharmaceutical companies.
Before taking cabergoline, tell your doctor if you have, or have ever had:
Cabergoline may cause dizziness or fainting if you get up too quickly from a lying position.
To avoid these issues, get out of bed slowly and rest your feet on the floor for a few minutes before standing up.
Some people who take cabergoline experience behavioral changes, such as compulsive gambling or feeling an increase in sexual urges.
These effects typically go away when treatment with the drug is stopped.
Call your doctor if you experience any unusual urges or behaviors.
Tell your healthcare provider that you're taking cabergoline before having any surgery, including a dental procedure.
Your doctor will probably want to perform frequent tests to check your body's response to cabergoline. Keep all appointments with your doctor and laboratory while taking this medicine.
Pregnancy and Cabergoline
Cabergoline isn't likely to harm an unborn baby, but be sure to tell your doctor if you're pregnant or might become pregnant while taking this medicine.
It's not known whether cabergoline can pass into breast milk.
Tell your doctor if you're breastfeeding or plan to breastfeed while taking this drug, as it may slow or stop the production of breast milk.
Cabergoline Side Effects
Common Side Effects of Cabergoline
Tell your doctor if any of the following side effects become severe or don't go away:
- Upset stomach
- Numbness, burning, or tingling in the hands, arms, legs, or feet
Serious Side Effects of Cabergoline
Tell your doctor right away if you experience any of the symptoms listed in the Cabergoline Warnings section above, or any of the following serious side effects:
- Shortness of breath
- Chest pain
- Persistent cough
- Difficulty breathing when lying down
- Painful menstruation
- Breast pain
- Decrease in urination
- Swelling of the hands, feet, ankles, or lower legs
- Sudden, unexplained weight gain
- Pain in the side, back, or groin
- Vision problems
- Pain or lumps in the stomach area
- Unusual or extreme tiredness
- Mood changes
- Signs of an allergic reaction (may include hives, rash, itching, chest tightness, or swelling of the face, lips, tongue, or throat)
Tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking, especially:
Cabergoline and Other Interactions
Cabergoline may cause dizziness or drowsiness.
Don't drive or perform activities that require alertness until you know how this medicine affects you.
Cabergoline and Alcohol
Alcohol may worsen certain side effects of cabergoline.
Talk to your doctor before drinking alcohol while taking this drug.
Cabergoline comes as a tablet to take by mouth. It's typically taken with or without food twice a week.
Your doctor will most likely start you on a low dose of the drug and gradually increase it.
Follow the instructions on your prescription label carefully when taking this medicine.
Don't take more or less cabergoline than is recommended.
Don't stop taking this medicine without first talking to your doctor.
Cabergoline is usually stopped when prolactin levels are normal for six months, but your doctor will probably take you off the drug gradually.
Symptoms of a cabergoline overdose may include:
- Nasal congestion
If you suspect an overdose, contact a poison control center or emergency room immediately.
You can get in touch with a poison control center at 800-222-1222.
Missed Dose of Cabergoline
If you miss a dose of cabergoline, take it as soon as you remember.
But call your doctor for instructions if you've missed a dose and it's almost time for the next one.
Don't take an extra dose of cabergoline unless directed by your doctor to do so.
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