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Cabergoline is a long-acting dopamine receptor agonist with a high affinity for D2 receptors. Studies have shown that Dostinex exerts an inhibitory effect oon the secretion of prolactin.

The common side effects reported with Dostinex are nausea, vomiting, constipation, dyspepsia, abdominal pain, head ache, dizziness, vertigo, paresthesia, asthenia, fatigue, hot flashes, somnolence, depression, nervousness, depression, postural hypotension, dysmenorrhea, breast pain and abnormal vision.

Dostinex can cause orthostatic hypotension. Dostinex should be administered with caution in patients receiving medications that can cause hypotension. Cabergoline is not used for the inhibition of physiologic lactation. Dostinex should be administered with caution in patients with hepatic impairment. The long-term use of Cabergoline can cause pleural effusion or pulmonary fibrosis. Dostinex is contraindicated in patients with a history of respiratory or cardiac disorders Cabergoline can cause pathological gambling, increased libido, and hypersexuality. Dostinex should not be given to women who are breastfeeding. Cabergoline should not be given to pregnant women. If it is an absolute must to take Dostinex during pregnancy, it should be administered under the supervision of a medical practitioner. Dostinex is not administered to pediatric patients. Dostinex is contrindicated in patients with hypersensitivity to ergot derivatives. The patient should be advised to avoid activities that require alertness as Dostinex can cause dizziness. Avoid alcohol during Cabergoline treatment.

The recommended starting dosage of Dostinex is 0.25mg twice a week. The dosage is increased by 0.25 mg twice weekly up to a dosage of 1 mg twice a week according to the patient’s serum prolactin level.