The recommended dosage for initiation of therapy is 0.25 mg twice a week; it may be increased by 0.25 mg twice weekly up to a maximum of 1 mg twice a week according to the prolactin level in the blood. Increasing the dose is done every 4 weeks, not sooner, allowing time for the physician to assess response to each dosage level.
Before starting treatment, a proper hear evaluation should be by physical exam echocardiography should be considered to make sure you don't have any valvular malfunction. If you are on a long term treatment regimen, you should undergo periodic assessment of your heart status.
After achieving a normal serum prolactin level for 6 months, the medication may be stopped, with periodic monitoring of the serum prolactin level to identify if there is a need to resume treatment.
The most common (yet not life threatening) side effects are mainly nausea, vomiting, stomach upset, constipation, dizziness, light-headedness, or tiredness.
Watch out for these rare but serious side effects and contact your treating doctor immediately if they do happen: shortness of breath, persistent cough, swelling ankles/feet, unusual tiredness, mental/mood changes (such as nervousness, compulsive behavior including urge to gamble), vision changes, painful menses, breast pain.
Any serious side effects, including chest pain, lower back/flank pain, change in the amount of urine,require immediate medical attention.
If you have a history of liver disease, high blood pressure (hypertension), or heart valve disease, you need to inform your doctor before initiating treatment with Dostinex.
If you feel you dizzy, do not drive, climb stairs/ladders until you feel able to maintain your balance. Limit alcoholic beverages. A good tip to minimize reduce the risk of dizziness and light-headedness is to rise slowly from a sitting or lying position.
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DOSTINEX (Cabergoline) is mainly used to treat disorders that result from high levels of the hormone prolactin in the blood.
Prolactin is produced by the pituitary gland in the brain and stimulates the production of breast milk.
DOSTINEX(Cabergoline) decreases the production of prolactin from the pituitary gland by acting on dopamine receptors found on the pituitary gland.and thus it can be used to stop the production of breast milk
Prolactin is produced by the pituitary gland in the brain and stimulates the production of breast milk.
DOSTINEX(Cabergoline) decreases the production of prolactin from the pituitary gland by acting on dopamine receptors found on the pituitary gland.and thus it can be used to stop the production of breast milk
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