Cabergoline is the most effective dopamine agonist in treating prolactin-secreting pituitary tumors. It is also well tolerated, with few side effects.

Some people who take this medicine develop intense urges or compulsive behaviors that they cannot control. Call your doctor right away if you have these symptoms.

This medication may cause low blood pressure. Be careful when getting up from a lying or sitting position.

What is Cabergoline?

Cabergoline for Bodybuilding also known as Dostinex and Cabaser, is a dopamine receptor agonist that reduces prolactin levels in the brain. It is used to treat a number of medical conditions that occur when prolactin levels are too high, such as certain menstrual problems, fertility issues in women and men, and pituitary prolactinomas (tumors). Cabergoline is usually given by mouth and can be taken once or twice a week. It is a very effective medication that can be given for long periods of time, although it is typically stopped when prolactin levels have returned to normal for 6 months or more.

This medication may cause some unwanted side effects that should be monitored by your health care professional. These include dizziness, fatigue, nausea and vomiting, heartburn, constipation, and pain during menstrual periods. Cabergoline may also increase your risk of developing liver disease. If you experience any of these side effects, contact your doctor immediately.

Before starting this medication, tell your doctor if you have a history of heart valve disease. Rare cases of heart valve damage have been reported while taking cabergoline, and your doctor will want to listen to your heart and order an echocardiogram before beginning treatment with this drug.

Other medications can interact with cabergoline, including lorcaserin, metoclopramide, and other anti-seizure drugs. Tell your doctor about all of the medicines you use, including prescription and non-prescription drugs.

What are the side effects of Cabergoline?

Side effects of Cabergoline can include drowsiness and dizziness. If these side effects are mild, they may go away on their own within a few days or a couple weeks. If they are severe or do not go away, talk to your doctor.

Other side effects of this medication can include a decrease in blood pressure when changing from a sitting or lying position to standing. This can increase your risk for falling and injury. Talk to your doctor about this and how to prevent falls while taking this medication.

In some people, Cabergoline can cause intense urges, such as binge eating or compulsive buying. If you have these side effects, call your doctor right away.

This medication can affect a woman’s menstrual periods and breast milk production. Women should not breastfeed while taking this medication. It is also recommended that women who are pregnant do not take this medication until their prolactin levels have returned to normal after delivery.

Talk to your doctor if you are allergic to this medication, or to any ergot medications such as bromocriptine (Parlodel), dihydroergotamine (D.H.E 45, Migranal), ergotamine (Cafergot, in Ergot), methylergonovine (Methergine), or pergolide (Permax). It is also important to tell your doctor if you have high blood pressure, liver disease, or any condition that causes thickening or scarring of the lungs or heart.

How should I take Cabergoline?

Cabergoline comes as a tablet to take by mouth. It is usually taken two times a week, but your doctor may adjust your dose depending on your condition. Follow the directions on your prescription label and ask your doctor or pharmacist to explain any part you do not understand. Take this medication with a glass of water at a mealtime to help reduce nausea. Nausea is a common side effect of this drug, but it typically goes away as your body gets used to the medication.

Cabergoline may cause dizziness, especially when you get up from a sitting or lying position. This is more likely to happen when you first start taking this medication or increase your dosage. To reduce the risk of this side effect, try to rise slowly from a sitting or lying position, and be sure to rest for several minutes before standing up.

Some people treated with this medication have developed gambling problems or other intense urges or behaviors that were compulsive or unusual for them. Call your doctor right away if you or family members notice these symptoms.

Women who are breastfeeding should not take this medication, as it may suppress breast milk production and possibly harm the baby. If you are planning to become pregnant, your doctor should discontinue the medication one month before conception to limit in utero exposure.

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How long should I take Cabergoline?

Cabergoline comes as an oral tablet you take twice a week. It’s usually started at 0.25 mg and gradually increased by your doctor until you reach the desired dose based on your prolactin levels. You’re more likely to feel nauseated when you first start taking it and shortly after you increase your dosage, but this side effect usually fades with time. Eating foods that are less fatty and chewing them well can help to reduce your nausea. You can also ask your prescriber for other tips to manage this side effect.

Getting up too quickly from a sitting or lying position may cause dizziness, lightheadedness, or fainting while you’re on this medication. It’s best to get up slowly from a chair or bed, resting your feet on the floor for a few minutes before standing up. Your doctor will check your heart before and during treatment with this medication. It’s important to tell your doctor if you have a history of heart valve problems.

Some people treated with this medication have developed gambling problems, intense urges or behaviors that were compulsive or unusual for them (such as increased sexual urges), or other behavioral changes. Call your doctor right away if you experience these symptoms or notice them in a family member. You should also call if you or your family members develop any other mental/emotional symptoms, such as sadness, anxiety, depression, hallucinations, nightmares, psychosis, and mania.