Treatment for hyperprolactinemia with cabergoline (high levels of prolactin, a natural substance that helps breast-feeding women produce milk but can cause symptoms such as infertility, sexual problems, and bone loss in women who are not breast-feeding or men). Dopamine receptor agonists are a group of drugs that includes cabergoline. By reducing prolactin levels in the body, it has an effect.

Cabergoline is available as an oral tablet. It is typically taken twice a week with or without food. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Cabergoline should be taken as prescribed. Never take it in larger or less amounts or more frequently than directed by your doctor.

Initially prescribed at a low dose, cabergoline is likely progressively increased by your doctor, not more frequently than once every four weeks.

Without consulting your doctor, do not discontinue taking cabergoline. Your dose will likely be gradually reduced by your doctor.

Parkinson’s disease can also occasionally be treated with cabergoline (a disorder of the nervous system that causes difficulties with movement, muscle control, and balance). The dangers of using this drug for your illness should be discussed with your doctor.

Before taking cabergoline,

• If you have an allergy to cabergoline, ergot medicines like bromocriptine (Parlodel), dihydroergotamine (D.H.E. 45, Migranal), or ergoloid mesylates, let your doctor and pharmacist know right away (Hydergine),
  any other drugs, or any of the components in cabergoline pills, including ergotamine (found in Cafergot and Ergomar), methylergonovine (Methergine), methysergide (Sansert), and pergolide (Permax). Get a list of the components from your pharmacist.
• Inform your doctor and pharmacist about any additional prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products you are now taking or intend to use. Incorporate any of the following: antihistamines; ergot medicines such as methylergonovine (Methergine), dihydroergotamine (D.H.E. 45, Migranal), and ergotamine (in Cafergot, in Ergomar); metoclopramide (Reglan), thiothixene, levodopa (in Parcopa, Sinemet, and Stalevo), drugs for high blood pressure, mental disease, or nausea (Navane). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
• Inform your doctor if you use or have ever used street drugs, if you have or have ever had high blood pressure, and if you have or have ever had any medical conditions that cause the lungs, heart, or abdomen to thicken or scar. Moreover, let your doctor know whether you now or ever had heart valve problems. In order to determine whether your heart valves are healthy, your doctor will evaluate you and prescribe tests. If you exhibit symptoms of heart valve disease or any of these disorders, your doctor could advise against using cabergoline.
• If you have liver illness now or previously, let your doctor know.
• If you are pregnant or plan to become pregnant, let your doctor know. Call your doctor if you become pregnant while taking cabergoline.
• If you are currently breastfeeding or plan to do so, let your doctor know. The production of breast milk may be reduced or stopped by cabergoline.
• You should be aware that if you stand up too soon from a reclining position after taking cabergoline, you could have dizziness, lightheadedness, and fainting. When you initially start taking cabergoline, this happens more frequently. Get out of bed gradually, resting your feet on the floor for a few minutes before standing up, to avoid this issue.
• You should be aware that some individuals treated with cabergoline have experienced gambling issues as well as other strong desires or behaviours that were obsessive or out of the ordinary for them, such as increased sexual drives or behaviours. It is impossible to determine if the people’s troubles were brought on by their pharmaceutical use or something else because there is not enough data. If you have an overwhelming desire to gamble, strong cravings, or find it difficult to control your conduct, call your doctor. Share this danger with your loved ones so that they can contact a doctor even if you are unaware that your gambling or any other strong desires or unusual actions have become a problem.

Keep eating normally unless your doctor instructs you otherwise.

If you miss a dosage, take it as soon as you recall. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

Cabergoline could have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

• Nausea
• Vomiting
• Heartburn
• Constipation
• Tiredness
• Dizziness
• Breast ache
• Gruelling menstrual cycles
• Arms, hands, legs, or feet that are hot, numb, or tingly

Some adverse effects may be severe. Call your doctor right away or seek emergency medical assistance if you have any of these symptoms:

• Breathing difficulty
• Breathing difficulties when lying down
• Cough
• Chest ache
• Edoema of the lower legs, ankles, feet, or hands
• Reduced urination
• Discomfort in the side, back, or groyne
• Lumps or discomfort in the lower abdomen
• Distorted vision

Other adverse reactions to cabergoline are possible. If you have any strange side effects while taking this medicine, contact your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

Keep this medication tightly closed in the original container and out of the reach of children. Keep it away from excessive heat and moisture at room temperature (not in the bathroom).

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medications website at http://goo.gl/c4Rm4p for additional information.

Although many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Moreover, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose signs could include the following:

• Blocked nose
• Fainting
• Hallucinations (seeing things or hearing voices that do not exist)

Keep all of your appointments with your physician and the lab. To determine how well your body is responding to cabergoline, your doctor may conduct several lab and other tests.

No one else should take your medication. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.