The correct way to take cabergoline and precautions for daily medication

Cabergoline (Cabaser, Dostinex) is a long-acting dopamine receptor agonist, which mainly inhibits the secretion of pituitary prolactin (PRL) by stimulating the D₂ receptors in the brain. It is commonly used clinically to treat hyperprolactinemia (including prolactinoma, drug-induced hyperprolactinemia), Parkinson's disease and certain diseases related to pituitary dysfunction. Because of its long half-life and stable effect, good results can usually be achieved by taking it 1 to 2 times a week.

Cabergoline is an oral medication and should be swallowed whole. It is recommended to take it after meals to reduce gastric irritation and nausea. The starting dose is usually low (such as 0.25 mg to 0.5 mg per week), and the dose is gradually adjusted based on serum prolactin levels and clinical response. If it is necessary to take it in divided doses, the interval should be at least 3 days. During the treatment process, prolactin levels and heart valve function should be monitored regularly (cardiac ultrasound should be performed if necessary), and the dosage should be adjusted by the doctor according to the efficacy.

During medication, patients should avoid sudden discontinuation of medication to avoid a rapid rebound in prolactin levels. Common side effects include nausea, dizziness, drowsiness, hypotension, or stomach upset. If you experience significant headache, blurred vision, or orthostatic hypotension, you should contact your doctor promptly. Cabergoline may cause drowsiness or decreased concentration, and it is not recommended to drive or engage in high-risk jobs immediately after taking the drug. In addition, avoid simultaneous use with other dopamine agonists or antihypertensive drugs to prevent hypotension or additive effects.

Pregnant women or those preparing to become pregnant need to stop taking the drug or adjust the dose under the guidance of a doctor; lactating women are generally not recommended to use it. People with a history of heart valve disease or severe liver function abnormalities should be used with caution and checked regularly. If symptoms such as chest pain, difficulty breathing, or leg edema occur while taking the medicine, you should stop taking the medicine immediately and seek medical treatment. Generally speaking, cabergoline should be taken strictly according to the doctor's instructions, taken on time and reviewed regularly, so as to ensure the efficacy and minimize the risk of side effects.

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