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Dostinex (Generic Cabergoline)

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Why is this medication prescribed?

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.

How should this medicine be used?

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.

Other uses for this medicine

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.

What special precautions should I follow?

Before taking cabergoline,

  • If you have an allergy to cabergoline or ergot medicines like bromocriptine (Parlodel), tell your doctor and pharmacist; ergotamine (in Cafergot, in Ergomar), dihydroergotamine (D.H.E. 45, Migranal), ergoloid mesylates (Hydergine), methylergonovine (Methergine), methysergide (Sansert), and pergolide (Permax); any additional drugs or any component of cabergoline pill. 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. Antihistamines, ergot medicines including dihydroergotamine (D.H.E. 45, Migranal), ergotamine (in Cafergot, in Ergomar), and methylergonovine (Methergine), haloperidol (Haldol), levodopa (in Parcopa, Sinemet, and Stalevo), nausea drugs, metoclopramide (Reglan), or thiothixene should (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 cabergoline users have developed gambling issues or other strong impulses or behaviours that were compulsive or out of the ordinary for them, such increased sexual drives or behaviours. There isn’t enough data to determine if the individuals’ troubles were brought on by their pharmaceutical use or something else. If you have a hard time resisting the impulse to gamble, have strong urges, or find it difficult to manage your conduct, call your doctor. Informing your family about this risk can enable them to seek medical attention even if you are unaware that your gambling or any other strong cravings or strange actions have become a problem.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

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.

What side effects can this medication cause?

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

Certain adverse effects can be very harmful. Call your doctor right away if you develop any of these symptoms, or seek emergency medical assistance:

  • 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

Further negative effects of cabergoline are possible. If you experience any strange issues 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).

What should I know about storage and disposal of this medication?

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 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.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Moreover, information can be found online at 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)

What other information should I know?

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.

Brand names

  • Dostinex®
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