Cabergoline

Product Overview

Cabergoline is a prescription medication used to treat conditions associated with elevated prolactin levels (hyperprolactinaemia).

It belongs to a class of medicines known as dopamine agonists and works by reducing the production of prolactin from the pituitary gland.

Cabergoline Tablets are supplied as commercially manufactured products in accordance with your doctor’s prescription.

What Cabergoline Is Used For

Cabergoline may be prescribed for:

Hyperprolactinaemia

• Elevated prolactin levels
• Irregular or absent menstrual cycles
• Unexplained breast milk production (galactorrhoea)
• Fertility issues related to high prolactin

Prolactin-Secreting Pituitary Tumours (Prolactinomas)

• Reducing prolactin levels
• Shrinking tumour size
• Restoring normal hormone balance

Specialist Hormonal Protocols

In certain cases, Cabergoline may be used under specialist supervision in hormone management plans.

Your doctor will determine the appropriate indication and duration of treatment.

How Cabergoline Works

Cabergoline stimulates dopamine receptors in the brain.

Dopamine naturally inhibits prolactin secretion. By activating dopamine receptors, Cabergoline:

• Reduces prolactin production
• Helps restore normal menstrual cycles
• Supports fertility in appropriate cases
• Reduces symptoms caused by elevated prolactin

Lowering prolactin levels may improve reproductive and hormonal function.

Directions for Use

Take exactly as prescribed by your doctor.

General guidance:

• Often taken once or twice weekly
• Swallow tablet whole with water
• May be taken with food to reduce nausea
• Follow prescribed dosing schedule carefully

Do not stop taking Cabergoline without consulting your doctor.

Important Safety Information

Before starting Cabergoline, inform your doctor if you have:

• Heart valve disorders
• High or low blood pressure
• Liver disease
• Psychiatric conditions
• Pulmonary or fibrotic disorders

Your doctor may recommend heart evaluation or monitoring during long-term treatment.

Possible Side Effects

Common side effects may include:

• Nausea
• Dizziness
• Headache
• Fatigue
• Constipation
• Low blood pressure (especially when standing)

Less common but important risks:

• Mood changes
• Impulse control changes
• Heart valve changes (rare with monitored dosing)

Seek medical attention if you experience chest pain, severe dizziness, shortness of breath, swelling of legs, or unusual behavioural changes.

Monitoring & Follow-Up

Your healthcare provider may recommend:

• Regular prolactin blood tests
• Blood pressure monitoring
• Heart evaluation for long-term therapy
• Imaging (for pituitary tumours)

Monitoring ensures effective and safe treatment.

Fertility, Pregnancy & Breastfeeding

Cabergoline may restore ovulation and fertility. If pregnancy is desired, discuss planning with your doctor.

If pregnancy occurs, inform your healthcare provider promptly.

Cabergoline is not typically recommended during breastfeeding, as it suppresses milk production.

Drug Interactions

Cabergoline may interact with:

• Blood pressure medications
• Antipsychotic medications
• Certain antibiotics (e.g., macrolides)
• Other dopamine-related medications

Always provide a full list of medications and supplements to your healthcare provider.

Storage Instructions

• Store below 25°C
• Keep in original packaging
• Protect from moisture
• Keep out of reach of children
• Do not use after expiry date

Frequently Asked Questions

How quickly does Cabergoline lower prolactin?

Prolactin levels often begin decreasing within days to weeks of starting treatment.

Will my menstrual cycle return to normal?

Many women experience cycle regulation once prolactin levels normalise.

Can Cabergoline affect blood pressure?

Yes. It may cause low blood pressure, particularly when standing up quickly.

Is long-term treatment safe?

With appropriate monitoring and medical supervision, Cabergoline can be used safely long-term when clinically indicated.

Disclaimer

This information is provided for educational purposes only and does not replace professional medical advice. Cabergoline should only be used under the supervision of a qualified healthcare professional.

For personalised advice regarding your prescription, speak with the pharmacists at Angel Pharmacy.