bromocriptine - oral, Parlodel (cont.)
HOW TO USE: Take this medication by mouth with food, usually 1-2 times a day or as directed by your doctor. Your doctor may start your treatment at a lower dose and gradually increase it to find the best dose for you. This medication often causes dizziness, especially just after the first dose. Lie down immediately after taking your first dose to reduce the risk of injury from falling.The dosage is based on your medical condition, the condition being treated, and your response to therapy.Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day.For Parkinson's disease, your doctor will adjust your dose based on your symptoms and side effects. Your doctor may direct you to lower your levodopa dose after you start this medication. Do not change or stop your medication without talking with your doctor first.For high prolactin levels, it may take 6-8 weeks for the effects of high prolactin to decrease. It may take up to 12 months before you get the full benefit of this medication.For acromegaly, your doctor will monitor your growth hormone levels and adjust the dose.Do not stop taking this medication without your doctor's approval. If you suddenly stop taking this drug, withdrawal reactions may occur. Such reactions can include fever, muscle stiffness, and confusion. Report any such reactions to your doctor immediately. When stopping extended, regular treatment with this drug, gradually reducing the dosage as directed will help prevent withdrawal reactions. Consult your doctor or pharmacist for more details.Tell your doctor if your symptoms do not improve or if they worsen.
SIDE EFFECTS: Nausea, constipation, dizziness, drowsiness, loss of appetite, vomiting, diarrhea, and headache may occur. If any of these effects persist or worsen, tell your doctor promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Some people taking bromocriptine have reported falling asleep suddenly during their usual daily activities (e.g., talking on the phone, driving). In some cases, sleep occurred without any feelings of drowsiness beforehand. Therefore, you should not drive or take part in other possibly dangerous activities until you are certain that this medication will not cause drowsiness or sudden sleep. If you experience increased sleepiness or fall asleep during the day, do not drive or take part in other possibly dangerous activities until you have discussed this effect with your doctor. Your risk is increased with use of alcohol or other medications that can make you drowsy.You may also develop a sudden drop in blood pressure. This effect can cause dizziness, nausea, and fainting. A drop in blood pressure is more likely when you are first starting the medication, when your dose is increased, or when you get up suddenly. To lower your risk, get up slowly from a sitting or lying position.Tell your doctor immediately if any of these unlikely but serious side effects occur: back pain, cold/slightly blue fingers/toes, mental/mood changes (e.g., depression, confusion, hallucinations, restlessness), compulsive urges (such as gambling), trouble sleeping, constant watery discharge from the nose, stomach pain, swelling of the legs/ankles/feet, change in the amount of urine, tingling/numbness of hands/feet.Seek immediate medical attention if any of these rare but very serious side effects occur: difficult/painful breathing, bloody/black/tarry stools, chest pain, fast/irregular/pounding heartbeat, severe or persistent headache, seizure, slurred speech, weakness on one side of the body, vision problems (e.g., decreased/blurred vision), vomit that looks like coffee grounds.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
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