Cabergoline is a dopamine receptor agonist primarily used in the treatment of various conditions associated with excessive prolactin secretion. With its unique mechanism of action, it has clinically delivered significant therapeutic effects for many patients. This article will detail the populations for whom cabergoline is suitable, its dosage, and precautions for use, to help patients and healthcare providers better understand and utilize this medication.

For Which Populations Is Cabergoline Suitable?

Due to its function in regulating prolactin secretion, cabergoline is widely used clinically in several specific populations.

Patients with Idiopathic Hyperprolactinemia or Hyperprolactinemia Caused by Pituitary Adenomas

Cabergoline is one of the first-line medications for treating idiopathic hyperprolactinemia or hyperprolactinemia caused by pituitary adenomas. It can effectively reduce prolactin secretion in the body, thereby alleviating symptoms such as menstrual irregularities, infertility, and galactorrhea (abnormal breast milk secretion) resulting from the condition.

Patients with Parkinson's Disease

Cabergoline also exerts a dopamine receptor agonist effect, which can improve symptoms in patients with Parkinson's Disease to a certain extent. It helps patients regain muscle control and reduce symptoms like tremors and rigidity.

Patients with Breast Cancer

In the treatment of breast cancer, cabergoline is also used as an adjuvant therapeutic agent, especially for certain patients sensitive to hormone therapy. By regulating hormone levels, it can assist in inhibiting the growth and spread of cancer cells.

Cabergoline is suitable for a range of specific populations, including patients with hyperprolactinemia, Parkinson's Disease, and breast cancer. The specific use of the medication must be determined based on the patient's individual condition and the doctor's recommendations.

What Is the Dosage of Cabergoline?

The dosage of cabergoline is crucial for ensuring its therapeutic effect and reducing side effects.

Recommended Initial Dosage

The recommended initial dosage for starting cabergoline treatment is 0.25 mg, administered twice a week. This dosage is generally suitable for most patients, as it can ensure therapeutic efficacy while minimizing adverse reactions.

Dosage Adjustment

The dosage can be gradually increased based on the patient's serum prolactin levels. Each increase should be 0.25 mg, given twice a week, with a maximum dosage not exceeding 1 mg. All dosage adjustments must be conducted under the guidance of a doctor.

Medication Guidance

The specific dosage for using the medication should refer to the drug package insert and be carried out under the guidance of a professional doctor. Patients should avoid self-medication or altering the dosage without authorization, as this may affect therapeutic efficacy or increase the risk of side effects.

Understanding the dosage of cabergoline is essential for ensuring its therapeutic effect and reducing side effects. Patients must strictly follow the doctor's medication guidance, take the medication on time, and undergo regular re-examinations to allow for dosage adjustments.

Precautions for Using Cabergoline

As a medication with specific pharmacological effects, cabergoline requires patients to pay special attention to the following points during use.

Pregnant and Lactating Women

Pregnant and lactating women should avoid using cabergoline, as dopamine agonists may have adverse effects on the fetus or infant. The medication should not be used unless, in specific cases, the doctor determines that the potential benefits outweigh the possible risks.

Patients with Cardiac or Extracardiac Fibrotic Diseases

Patients with a history of cardiac or extracardiac fibrotic diseases are not recommended to use cabergoline. Before starting the medication, patients should undergo cardiovascular examinations, including echocardiography, to assess the potential presence of valvular heart disease. If valvular heart disease is detected, the use of cabergoline should be avoided.

Drug Interactions with Other Medications

Cabergoline may interact with other medications, such as dopamine antagonists. When using cabergoline, patients should inform their doctor about all other medications they are currently taking to avoid drug interactions that could reduce therapeutic efficacy or increase the risk of side effects.

Important Reminder: The precautions for using cabergoline are crucial for ensuring patient safety and therapeutic efficacy. Patients should follow the doctor's guidance, understand the contraindications and drug interactions of the medication, and closely monitor their physical reactions during the medication period. If any discomfort or questions arise, they should seek medical advice promptly.