Cabergoline treatment results in a prompt and persistent decrease in PRL levels that is dose-dependent. This effect is not confined to patients with bromocriptine intolerance, but is also observed in healthy volunteers and puerperal women.

Cabergoline is generally safe during pregnancy, although a thorough risk/benefit evaluation should be done prior to treatment initiation. Nevertheless, it is recommended that women should use contraception to avoid becoming pregnant while receiving this medication.

1. Before & After Dosage

Cabergoline is a dopamine receptor antagonist that blocks the binding of dopamine to the receptors, thereby inhibiting their action and decreasing prolactin levels. It is available as an oral tablet and can be taken with or without food. It is generally well-tolerated, but it may cause side effects such as nausea, vomiting, drowsiness, and headache. These side effects usually go away within a few days or weeks, but if they are severe or do not go away, it is important to talk to your doctor.

If you are taking this medication, it is recommended that you avoid pregnancy by using contraceptives. This is because it can cause anovulation. It is also recommended that you discontinue this medication if you become pregnant. In addition, it has been reported that the use of this drug in pregnancy can cause fetal harm. You should inform your endocrinologist if you become pregnant while taking this drug.

When taken as prescribed, this medication is very effective for treating hyperprolactinemia caused by tumor-related hyperprolactinoma. The results of one study showed that high-dose cabergoline treatment allowed almost all infertile women with a pituitary macroadenoma to achieve pregnancy, independent of tumor size and other factors.

Other studies have shown that Cabergoline for Bodybuilding is safe to use in pregnancy. However, due to the long half-life of this drug, it is recommended that you use contraception and have regular gynaecological assessments, including cervical and endometrial cytology, while taking cabergoline.

It is essential to tell your doctor about any other medications you are taking. This includes prescription and nonprescription drugs, vitamins, supplements, and herbal products. This is because some of these can interact with Cabergoline and decrease its effectiveness or increase your risk of side effects. For example, cholinesterase inhibitors such as donepezil can reduce the effectiveness of this medication by blocking its metabolism. Other medications that can interact with this drug include lorcaserin, metoclopramide, and anticholinergics such as prazosin. Medications that induce hepatic enzymes can also interfere with this medication by speeding up its removal from the body.

2. Best Cycles

A recent study compared outcomes based on whether cabergoline was started before or after the GnRH agonist trigger used in an IVF cycle. It found that early administration of cabergoline does not impact final oocyte maturation or fertilization rates. It also did not increase the risk of moderate/severe OHSS. However, it may be possible to reduce the rate of OHSS by starting the drug after the hCG trigger rather than before (36 hours earlier).

If you’re considering taking Cabergoline, consult with your doctor. He or she will perform tests to make sure you don’t have a condition that would prevent you from safely using it. Your doctor will also check your heart function with an electrocardiogram, or ECG.

Cabergoline comes as a tablet to take by mouth, usually two times per week. It can be taken with or without food, but it is important to follow the instructions on your prescription label carefully. Your doctor will probably start you on a low dose to avoid side effects, and then gradually increase your dose.

The most common side effects of Cabergoline include dizziness, fatigue, nausea, and vomiting. It can also cause breast tenderness, pain during menstrual periods, and numbness or tingling in the arms and legs. In some cases, you may need to stop taking the medication if these symptoms occur.

It’s important to tell your doctor about all the medications you are taking, including herbal supplements and vitamins. Some of these could interact with cabergoline, causing a dangerous side effect. In addition, it’s important to tell your doctor if you’re breastfeeding or plan to breastfeed. Cabergoline can pass into breast milk and might harm a baby. It’s also not known whether it’s safe to take while pregnant or breastfeeding. Depending on the severity of your condition, your doctor may recommend other treatments.

3. Final Words

While it's possible to experience positive cabergoline results from safe and monitored use under a doctor, it's important to keep in mind the risks. These include low blood pressure, psychiatric symptoms like depression and anxiety, heart valve disease, and fibrosis (excess tissue growth).

Cabergoline is also linked to effective treatment of delayed orgasm -- a condition that's also known as anorgasmia or hyperprolactinemic orgasmic disorder. A 2015 study found that a married high-school teacher treated with both cabergoline and testosterone experienced improvements in orgasm quality, despite having low prolactin levels and other disorders.

It's crucial to avoid taking this medication with any other medications, especially those that affect the way your body processes or eliminates drugs. A list of medications to avoid is available from your healthcare provider and pharmacist. This includes certain azole antifungals (itraconazole, posaconazole), and the antibiotics lisinopril, quinapril, and tetracycline. Cabergoline is also likely to interact with a number of antidepressants. You should also share a list of all prescription and non-prescription medications you're taking with your doctor. Doing so could help you avoid serious side effects like psychosis.