Cabergoline is used to reduce the symptoms of Parkinson's disease. It also treats hyperprolactinemia by inhibiting prolactin production.
Like most medicines, this medication can cause unwanted side effects. Talk to your doctor or pharmacist about ways to manage them. For example, taking cabergoline with food and at the same time each day can help with nausea.
Side Effects of Cabergoline Tablets
Most drugs have unwanted side effects but these tend to improve as your body gets used to them. These can include nausea (which is more common with bromocriptine than cabergoline), dizziness when standing up and headaches. These tend to be mild and disappear as your dose is increased by your endocrine team.
Some people taking this drug over time acquire pulmonary fibrosis, which is a consequence of deposition of excessive amounts of fibrous connective tissue in the lung. This is dangerous and requires monitoring through periodic blood tests and echocardiograms.
Cabergoline Tablets are known to cause birth defects in babies of mothers who take it while pregnant, so it is generally recommended that women do not breast feed when taking this medication. If you are breastfeeding, it is essential to inform your endocrine team as they will need to check that your prolactin levels are at normal levels before stopping the medication.
Headaches
The above action of rising from lying down or from a sitting condition can actually cause dizziness when taking Cabergoline. This happens more during the initiation of the drug and following an increment in the dosage. It can be managed by the taking of few glasses of water prior to standing from the prone position.
This medication can also cause one to slumber in energy levels. This can be mitigated if your diet is laden with a lot of energizing foods and you get enough sleep. This can also be aided by a regular sleeping schedule and prioritizing workouts.
This medication can also cause problems with your heart, especially if you have a problem already. Your doctor will check your heart before you start treatment and regularly while you are taking it. They may perform tests such as ECG, lung function tests and blood tests. They will also give you special dietary instructions.
Dizziness
This drug can cause dizziness or dizziness, especially during the initial treatment. The patients should stand up slowly from lying or sitting position to prevent dizziness. It can also alter the thinking ability and performance, thus it is advised not to drive or use any machinery until it is known how it affects a patient.
Some patients taking cabergoline start exhibiting intense urges or compulsive behaviors that have not been experienced prior to receiving such treatment. Such a symptom requires a prompt call to the doctor, but it's even better to have this communicated with the members of the family to report if someone acting abnormally for the person being treated to immediately contact the doctor.
Cabergoline interacts with some medications, such as lorcaserin for Parkinson's disease, metoclopramide, sometimes used to treat nausea or vomiting, and some azole antifungals, including itraconazole, Braunzolid, ketoconazole, Nizoral, and posaconazole, Rafoxalivir. It also increases the levels of some hormones in the body, such as prolactin. This can increase the risks of some heart or lung problems, so you should tell your doctor about all the medications and herbal products you are taking before starting treatment.
Low blood pressure
Most drugs can cause unwanted effects although these lessen as the body gets used to them. Check the patient information leaflet or ask your doctor for a comprehensive list.
It also causes low blood pressure, and this is quite common, particularly when the position changes from lying down to sitting or squatting. This could be dangerous when it results in falls or fainting. The doctor should check your heart sounds and make sure that you receive echocardiograms (heart scans) periodically if you have taken cabergoline for an extended period of time.
This medicine has, in very rare instances, been associated with triggering some sort of aggressive behavior or hostility in a few people. Inform your doctor immediately if you observe this.
Your doctor will check you up before administering this medication to you and may even order a liver function test to see if it is safe for you to take. You should also inform your doctor if you have ever had any psychiatric problems, especially depression or psychotic episodes.
Heart valve problems
The drug can cause heart valve problems in some individuals. This is a rare side effect, but it is worth knowing before you start treatment. Your doctor will listen to your heart and may arrange an echocardiogram heart scan before starting treatment. You will need to have this scan repeated at regular intervals if you are taking the medication for a long time.
In a recent study of community-based adults treated for hyperprolactinemia with cabergoline and bromocriptine, greater cumulative exposure to dopamine agonists was associated with a greater incidence of tricuspid valve disease (moderate-to-severe regurgitation) than lower exposure. This is consistent with the development of asymptomatic valvular abnormalities in patients treated for Parkinson's disease who were exposed to ergot dopamine agonists.
If you develop symptoms that indicate serious heart problems, contact your doctor right away. These include severe headache with or without visual disturbances, sudden chest pain and high blood pressure.
Pregnancy
Cabergoline may cause problems during pregnancy. It elevates prolactin levels that can disrupt ovulation, menstrual periods, and the production of breast milk in females. It also can cause problems for males, such as infertility and low sperm count.
No studies have been done on this medication in pregnant women. If you are pregnant or become pregnant while using this drug, tell your doctor.
This drug can pass into breast milk and may harm a nursing baby. Do not breast-feed while using this medicine.
This medication can interact with certain other drugs, vitamins, or herbs. Tell your doctor and pharmacist about all your prescription and over-the-counter medicines, vitamins, and herbal products. Inform them whether you have diseases like liver and kidney diseases because, with those diseases, your body will probably need less amount of the given medicine. Besides, in a patient who is already having blood pressure and past medical history of heart problem, this drug tends to rise up blood pressure which would aggravate heart problem further.
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