Cabergoline for men & women: Dostinex (Know Your Medicine)

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If you have an allergic reaction, call your doctor or local poison control center right away. If your symptoms are severe, call 911 or go to the nearest emergency room. Don’t take this drug again if you’ve ever had an allergic reaction to it. Taking it again could be fatal (cause death). Warnings for people with certain health conditions

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If you stop taking the drug suddenly or don’t take it at all: The levels of prolactin in your blood will stay high. In women, high prolactin levels can change ovulation, menstrual cycles, and breast milk production. In men, high prolactin levels can affect reproduction and cause sexual issues. These include a decreased sex drive and not being able to get or keep an erection. Increased dopamine from the use of Cabergoline provides benefits in terms of and cognition as well as improved sleep patterns. Others have noticed an increase in sex drive while using Cabergoline. Dosages of Cabergoline Hormones like estrogen and testosterone are crucial to your health, and a hormonal imbalance can cause symptoms like acne and weight gain. Learn more. READ MORECabergoline is used to treat hyperprolactinemia (high levels of prolactin in your body). This happens when your pituitary gland makes extra prolactin. High prolactin levels may be caused by a hormone problem or by a tumor in your pituitary gland. If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.

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BNF. 2016. Endocrine system. British National Formulary. www.evidence.nhs.uk Opens a new window [Accessed October 2016] What to do if you miss a dose: Take your dose as soon as you remember. If you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects. To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist.Cabergoline works well to help you ovulate regularly, and it's thought to be as safe as bromocriptine to take (Glezer and Bronstein 2014). Although the usual recommendation is to stop cabergoline at least a month before trying to conceive, your doctor will advise if and when you should stop taking it (BNF 2016). Express Delivery (1-2 Working Days) ( Excluding Saturday Delivery) (Please be aware when you select Courier Next Day for northern parts of Scotland, DPD may take 2 days to deliver)

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As cabergoline suppresses milk production, you should not take it whilst breast feeding. It is often helpful to see whether your periods start again when you have stopped breast feeding, and reassess your prolactin levels, before deciding whether or not to resume cabergoline treatment. Sometimes microprolactinomas resolve after a pregnancy. Rarely, women with large macroprolactinomas will be advised to continue cabergoline treatment and not to breast feed. Your endocrinologist will discuss these decisions with you. Are there any medicines I should avoid when taking cabergoline? HFEA. 2015. Getting started: your guide to fertility treatment. Human Fertilisation & Embryology Authority. www.hfea.gov.uk Opens a new window [Accessed October 2016] You may find that any side effects you experience are strongest at the beginning of your treatment. However, they should subside or disappear as your body adjusts to the drug (Allen 2014a,b). Taking your medication with meals, or just after a meal, may help, particularly if you feel nauseous after you take your tablets (Allen 2014a,b).

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Cabergoline, also known as “Caber” is from a family of drugs called dopamine agonists. This medication was first marketed in The Netherlands as Dostinex in 1992. Dopamine agonists are fertility drugs that can help you to conceive if you are experiencing problems with ovulation. Cabergoline and Bromocriptine are most commonly used for this purpose. They are used to correct a hormonal imbalance that can prevent your ovaries from releasing an egg every month. They work by stimulating the dopamine receptors in your brain and suppressing the release of prolactin from your pituitary gland. Once your prolactin levels are within a normal range, you’ll be expected to begin to ovulate and then menstruate again. You can then try to conceive naturally, unless you need help with another type of fertility problem. If that’s the case, you may need to try assisted-conception treatments.

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Talk to your doctor if you’re pregnant or plan to become pregnant. Animal studies do not always predict the way humans would respond. Therefore, this drug should only be used in pregnancy if clearly needed.What are dopamine agonists?Dopamine agonists are fertility drugs that can help you to conceive if you are experiencing problems with ovulation. Cabergoline and bromocriptine are most commonly used for this purpose. They are used to correct a hormonal imbalance that can prevent your ovaries from releasing an egg every month. They work by stimulating the dopamine receptors in your brain (BNF 2016, NICE 2013) and suppressing the release of prolactin from your pituitary gland (BNF 2016).