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Parlodel
Parlodel (bromocriptine) is a dopamine agonist used primarily for the treatment of Parkinson's disease and hyperprolactinemia (excessive levels of prolactin in the blood). It helps to restore the balance of dopamine in the brain and reduces symptoms associated with these conditions.
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Frequently Asked Questions
How quickly does Parlodel work?
Patients may begin to notice improvements in symptoms of Parkinson's disease or hyperprolactinemia within a few days, but optimal effects may take several weeks.
Can I take Parlodel with food?
Yes, taking Parlodel with food can help reduce gastrointestinal side effects.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule.
Is Parlodel safe during pregnancy?
Consult your healthcare provider before using Parlodel during pregnancy to evaluate potential risks and benefits.
What are the signs of serious side effects to watch for?
Monitor for signs of severe allergic reactions or significant changes in mental status, and seek immediate medical attention if these occur.
Comprehensive Drug Guide
How Does Parlodel Work?
Bromocriptine works by stimulating dopamine receptors in the brain. This action helps to enhance dopaminergic transmission, which can improve motor control in Parkinson's disease and reduce prolactin secretion in conditions of hyperprolactinemia.
Common Dosages
- Tablets: Common strengths include 2.5 mg and 5 mg.
Typical Dosing
- For Parkinson's disease: The usual starting dose is 1.25 mg taken once daily, which may be gradually increased based on clinical response, with a typical maximum dose of 100 mg per day.
- For hyperprolactinemia: The usual starting dose is 1.25 mg taken once daily, with gradual increases as needed.
Typical Dosing
FDA Approved Indications
- Treatment of Parkinson's disease (either alone or as an adjunct to other treatments).
- Treatment of hyperprolactinemia, including prolactin-secreting pituitary tumors.
Who Shouldn't Take Parlodel?
- Known hypersensitivity to bromocriptine or any component of the formulation.
- Uncontrolled hypertension or severe cardiovascular disease.
- History of hypersensitivity to ergot derivatives.
Advice From The Pharmacist
- Take Parlodel exactly as prescribed, and do not stop taking it abruptly without consulting your healthcare provider, as this may lead to withdrawal symptoms or exacerbation of symptoms.
- Monitor for any changes in mood, behavior, or significant side effects, and report these to your healthcare provider.
- It may be taken with food to reduce gastrointestinal side effects.
Side Effects of Parlodel
Common Side Effects
- Nausea
- Dizziness or lightheadedness
- Fatigue
- Headache
- Dry mouth
Uncommon/Severe Side Effects
- Severe allergic reactions (rash, itching, swelling)
- Cardiovascular events (chest pain, shortness of breath)
- Hallucinations or changes in mental status
Risks and Warnings of Parlodel
- Cardiovascular Monitoring: Monitor blood pressure and heart function regularly, especially in patients with pre-existing cardiovascular conditions.
- CNS Effects: Caution is advised in patients with a history of mental health issues, as bromocriptine may exacerbate these conditions.
Interactions with Parlodel
Common Drug Interactions
- Other Dopamine Agonists: Use caution when combining with other dopaminergic medications to avoid additive effects.
- Antidepressants: Inform your healthcare provider about all medications you are taking to avoid potential interactions.
Alternatives to Parlodel
- Other Dopamine Agonists: Such as pramipexole or ropinirole for Parkinson's disease treatment.
- Other Treatments for Hyperprolactinemia: Such as cabergoline.
