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

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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. Cabergoline oral tablet can cause drowsiness as well as other side effects. More common side effects Always use Caberlin (Cabergoline) as you have been prescribed by your doctor. Never self-medicate or change your dosage without first consulting your doctor. The correct dosage can vary depending on your health, medical history, and the severity of the condition being treated. Cabergoline is sometimes given to women who are not ovulating due to a high level of prolactin in their body. It can also be used for men who are having issues with their reproductive system due to high levels of prolactin within the body.

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Cabergoline is a tablet treatment used to reduce the production of a hormone called prolactin by the pituitary gland (a gland at the base of the brain). If you have a prolactinoma (overproduction of prolactin by a cluster of cells in the pituitary), cabergoline treatment is also used to shrink the size of the swelling on the pituitary gland. How should I take cabergoline? For people with liver problems: You may not be able to process this drug well. This may increase the levels of the drug in your body and cause more side effects. Warnings for other groups

BabyCentre's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organisations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies. 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). 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. Cabergoline can be taken along-side Clomiphene within your treatment for infertility. This can have the added benefit of, not only starting to be able to ovulate, but also lowering the risk of having multiple eggs fertilised at once. This means that you will not run the risk of having twins or triplets while trying to conceive a baby. Cabergoline Uses and Dosage

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NCCWCH. 2013. Fertility: assessment and treatment for people with fertility problems. National Collaborating Centre for Women's and Children's Health, NICE Clinical Guideline. www.nice.org.uk Opens a new window [Accessed October 2016] 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. For people with history of tissue scarring: If you have a history of scarred tissue in your lungs, heart, kidney, or abdomen (stomach area), you should not use this drug. It can make your condition worse. Your endocrinologist will measure the levels of prolactin in blood tests. They may also repeat your pituitary MRI scan once you have been treated for a while. To reduce the risk of developing the rare side-effects of cabergoline treatment, your endocrinologist will usually recommend the lowest effective dose. Some patients go into remission after a couple of years of treatment and the cabergoline can be stopped: blood tests and scans will enable your specialist to monitor for any recurrence. What about pregnancy?This medication may not be safe for all patients. Before you begin using it always disclose the following to your doctor:

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Your doctor may start you on a lowered dosage or a different treatment schedule. This can help keep levels of this drug from building up too much in your body. A systematic review and meta-analysis concluded that prophylactic treatment with Cabergoline reduces the incidence of ovarian hyperstimulation syndrome (OHSS). Usually this is prescribed within your IVF treatment. Cabergoline is currently recommended for this as it is an effective treatment that will not affect your chance of becoming pregnant or increase your risk of multiple pregnancies. Fertility drugs are prescribed medications that will mostly help to influence the ovulation process. It can either help to start the ovulation process or help to strengthen the ovulation cycle to release at least one or more eggs within the cycle. Fertility drugs are the most commonly used treatment for couples who are facing infertility issues. The most common cause of infertility within women are ovulation difficulties. Once you become pregnant, the Cabergoline medication must be stopped, as although the lower levels of prolactin within the body will help to start the process of ovulation, after you achieve your goal of becoming pregnant and your baby is born, prolactin actually helps to start the production of breast milk. You and your doctor should monitor certain health issues during your treatment. This can help make sure you stay safe while you take this drug. These issues include your:

For people with high blood pressure from pregnancy: If you’re currently pregnant and have high blood pressure from your pregnancy, you should not use this drug. It can make your condition worse. The kidneys and liver of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects. An ALD test measures the amount of the hormone aldosterone your blood. Too much aldosterone can be an indicator of a variety of medical conditions. READ MORE Dosage: The dosage of Cabergoline that should be consumed is 0.25mg each day, because these tablets are 0.5mg, you can consume one tablet every other day. Unlike Clomiphene and other infertility treatment medications that are taken only within your cycle times per month, Cabergoline should be taken consistently throughout the month. This will lower the levels of prolactin within the body and allow the other medications such as Clomiphene and Tamoxifen to be able to achieve the desired goal of starting the ovulation process. 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.