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What are the adverse reactions of cabergoline?
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Article source: Seagull Pharmacy
Sep 05, 2025

Cabergoline, as an important medical drug, is mainly used to treat conditions such as hyperprolactinemia caused by pituitary adenomas or idiopathic factors. Like other medications, cabergoline may also cause a series of adverse reactions during use. Understanding these adverse reactions is crucial for both patients and healthcare providers, enabling timely detection and proper management during medication use.

What are the adverse reactions of cabergoline?

The adverse reactions of cabergoline can be divided into two major categories based on their frequency and severity: common adverse reactions and less common adverse reactions.

Most common adverse reactions reported by patients

Gastrointestinal reactions: These include dyspepsia, nausea, constipation, abdominal pain, and vomiting. These reactions may affect the patient's appetite and nutrient absorption.

Central and peripheral nervous system reactions: Headache and abnormal dizziness are common neurological symptoms, which may interfere with the patient's daily life and work.

Other systemic symptoms: Systemic symptoms such as fatigue, hot flashes, drowsiness, depression, and tension may also occur, and these can impact the patient's overall health status.

Less common adverse reactions reported by patients

Facial edema and flu-like symptoms, although less common, may have a certain impact on the patient's quality of life.

Cardiovascular system reactions: Cardiovascular symptoms such as hypotension, syncope, and palpitations require special attention, as they may pose a threat to the patient's life safety.

Other symptoms and signs:

Digestive system symptoms: Dry mouth, flatulence, diarrhea, and anorexia.

Neuropsychiatric symptoms: Weight loss or gain, drowsiness, tension, paresthesia, insomnia, and anxiety.

Skin and mucosal symptoms: Nasal congestion, nosebleeds, acne, and pruritus.

Specific symptoms: Visual disturbances and dysmenorrhea may also occur in a small number of patients.

Special notes

It is important to note that although cabergoline may cause the above-mentioned adverse reactions in some patients, not all patients will experience these symptoms. When using cabergoline, patients should pay close attention to their physical condition and promptly inform their doctor if any discomfort occurs.

Understanding the adverse reactions of cabergoline is of great importance for both patients and healthcare providers. During use, patients should closely monitor their physical condition and communicate with their doctor in a timely manner when any discomfort arises, so that the doctor can adjust the treatment plan based on the actual situation and ensure the patient's safety.

Drug interactions of cabergoline

Drug interactions are one of the key issues that require special attention during medication use. As a D2 receptor agonist, cabergoline may interact with other drugs when used concurrently, thereby affecting its therapeutic effect.

Interaction with D2 antagonists

Cabergoline should not be taken concurrently with D2 antagonists. This is because D2 antagonists competitively bind to D2 receptors, thereby reducing or counteracting the therapeutic effect of cabergoline. When using cabergoline, patients should avoid concurrent use of these drugs.

Other potential drug interactions

In addition to the interaction with D2 antagonists, cabergoline may also interact with other drugs. These interactions may involve the enhancement or reduction of drug efficacy, changes in drug metabolism, and so on. When using cabergoline, patients should inform their doctor of all medications they are currently taking, so that the doctor can assess the risk of potential drug interactions.

Precautions

When using cabergoline, patients should follow the doctor's instructions, take the medication on time, and avoid changing the dosage or discontinuing the medication without authorization. Patients should also pay close attention to their physical condition and communicate with their doctor promptly if any discomfort occurs.

Understanding the drug interactions of cabergoline is crucial for ensuring the safety of patients' medication use. When using cabergoline, patients should follow the doctor's guidance, avoid concurrent use of drugs that may cause interactions, and closely monitor their physical condition.

Therapeutic efficacy of cabergoline

The therapeutic efficacy of cabergoline is one of the important indicators for evaluating its effectiveness and safety. The following will discuss the therapeutic efficacy of cabergoline in postpartum women through a retrospective cohort study.

Study design

This was a retrospective cohort study aimed at comparing the difference in cabergoline tolerance between women who received 1mg of cabergoline within 48 hours after childbirth and non-breastfeeding women who had no exposure to the drug. The study evaluated the therapeutic efficacy of cabergoline by collecting and analyzing patients' clinical data.

Setting of study outcomes

Within 24 hours after cabergoline administration, researchers assessed the patients' vital signs (including systolic blood pressure, diastolic blood pressure, and pulse) every 4 hours. Using childbirth as the reference time point, the cabergoline group was compared with the non-exposed women group to evaluate the effect of cabergoline on hemodynamics.

Study results and interpretation

The study results showed that the cabergoline group had good tolerance, and no obvious adverse reactions were observed. Cabergoline had minimal clinically relevant hemodynamic effects and showed good tolerance in postpartum women with normal blood pressure. These results indicate that cabergoline has good safety and efficacy in postpartum women.

Warm reminder

There may be differences in therapeutic efficacy among different patients. When using cabergoline, patients should follow the doctor's guidance and receive individualized treatment based on their actual situation. Healthcare providers should also closely monitor the patient's therapeutic efficacy and adverse reactions, so as to adjust the treatment plan in a timely manner and ensure the patient's safety and efficacy.

Note: For internal discussion among medical personnel only. For specific medication, please consult the attending physician. Drug information may change over time. For the latest information, we recommend adding a medical consultant or consulting for free online.
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