cabliz (CABERGOLINE)

What is Cabliz?

Cabliz is a medication that works by mimicking a natural brain chemical called dopamine. High levels of another hormone, prolactin, can cause problems like infertility and sexual difficulties. Cabliz lowers prolactin levels.
A common side effect is dizziness when you stand up suddenly. This is usually mild and goes away as your body adjusts. 
 

What is the usual dose of Cabliz?

The initial dose for adults is typically 0.25 mg taken twice a week, with dose adjustments every 4 weeks based on prolactin levels. The maximum recommended dose is 1 mg twice weekly. Cabliz’s safety and effectiveness in children have not been established, so it is not commonly prescribed for pediatric use.

How do I take Cabliz?

Cabliz should be taken orally, with or without food, as directed by your doctor. It’s important to follow the prescribed schedule exactly and not take more or less than recommended. If you experience nausea, taking the medication with food may help reduce stomach discomfort.

For how long do I take Cabliz?

The duration of treatment depends on individual response and prolactin levels. Cabliz can often be discontinued after maintaining normal prolactin levels for at least six months. Regular follow-ups and blood tests are necessary to determine if treatment needs to be restarted.

What is Cabliz used for?

Cabliz is used to treat hyperprolactinemia, which may be caused by conditions like pituitary adenomas or idiopathic factors. It helps normalize prolactin levels, addressing symptoms like irregular periods, infertility, and galactorrhea (breast milk production not related to breastfeeding). It may also be prescribed in low doses for Parkinson’s disease.

How long does it take for Cabliz to start working?

Cabliz usually starts lowering prolactin levels within 48 hours of the first dose. The full effect may take a few weeks as the body adjusts to the medication, but symptom improvement can often be noticed within the first month of use.

Is Cabliz effective?

Yes, Cabliz is highly effective in treating hyperprolactinemia. Studies show that it normalizes prolactin levels in 77–95% of patients, often outperforming alternatives like bromocriptine. It also improves related symptoms, such as restored menstrual cycles, reduced galactorrhea, and improved fertility.

How does one know if Cabliz is working?

The effectiveness of Cabliz is monitored through blood tests to measure prolactin levels. Symptom relief, such as the resumption of regular menstrual cycles or reduction in breast milk production, also indicates that the medication is working effectively

How does Cabliz work?

Cabliz works by stimulating dopamine D2 receptors in the hypothalamus, which inhibits the release of prolactin from the anterior pituitary gland. This decreases prolactin levels in the blood, alleviating symptoms caused by its overproduction.

Who should avoid taking Cabliz?

Cabliz is contraindicated in individuals with uncontrolled hypertension, heart valve disorders, or a history of fibrotic conditions (e.g., lung or cardiac fibrosis). It should also be avoided by those allergic to ergot derivatives or those with pregnancy-related hypertension unless benefits outweigh risks.

Can I take Cabliz with vitamins or supplements?

While Cabliz doesn’t have major interactions with most vitamins or supplements, it’s always important to inform your doctor about all the supplements you’re taking. This ensures proper monitoring and avoids any unforeseen interactions.

Can I take Cabliz with other prescription drugs?

Cabliz should not be taken with dopamine antagonists like metoclopramide, as these can reduce its effectiveness. Always inform your doctor about all medications you’re using to avoid interactions and to ensure safe, effective treatment.

Can Cabliz be taken safely while pregnant?

Cabliz is generally avoided during pregnancy unless absolutely necessary. There is limited data on its safety in pregnant women, so the risks and benefits must be carefully assessed by your doctor. If you become pregnant while on Cabliz, notify your doctor immediately.

Can Cabliz be taken safely while breastfeeding?

Cabliz is not recommended for breastfeeding mothers as it inhibits prolactin, a hormone necessary for milk production. Women planning to breastfeed should discuss alternative treatments with their doctor.

Is Cabliz safe for the elderly?

Cabliz can be safely used in elderly patients, but caution is advised due to potential age-related health conditions like reduced liver, kidney, or heart function. Doctors typically start elderly patients on lower doses and monitor them closely for side effects.

How should I store Cabliz?

Store Cabliz tablets at room temperature (20–25°C) in their original container, away from moisture and heat. Keep them out of reach of children and dispose of unused medication properly, preferably through a take-back program.

Does Cabliz make people tired or drowsy?

Cabliz can cause fatigue or drowsiness in up to 7% of users. If you experience these symptoms, avoid activities requiring alertness, such as driving. Consult your doctor if the drowsiness is persistent or severe.

Does Cabliz cause stomach upset?

Yes, nausea (27%), vomiting (4%), and constipation (10%) are common side effects. To minimize stomach upset, you can take Cabliz with food. If symptoms persist or worsen, consult your doctor for further advice.

Does Cabliz affect sleep?

Sleep disturbances like insomnia are uncommon (less than 3%), but they can occur. If you notice significant changes in your sleep pattern, such as difficulty falling or staying asleep, inform your doctor for possible dose adjustments.

Does Cabliz make it hard to think or concentrate?

Some patients may experience difficulty concentrating, dizziness, or impaired alertness, particularly when starting the medication. If these cognitive effects interfere with your daily activities, speak with your doctor about adjusting the dose or timing.

Does Cabliz affect mood?

Mood changes, including depression (3%) or anxiety (less than 3%), may occur. If you notice significant mood swings, irritability, or feelings of sadness, inform your doctor immediately for proper evaluation and management.

Does Cabliz interfere with sexual function?

Unusual sexual urges or increased libido have been reported in rare cases. These side effects are generally reversible by adjusting the dose or discontinuing the medication. Discuss any concerns with your doctor.

Does Cabliz affect appetite?

Does Cabliz cause weight gain?

Weight gain is uncommon but can occur in rare instances (less than 1%). Maintaining a balanced diet and engaging in regular physical activity can help manage this. Notify your doctor if you experience significant weight changes.

Does Cabliz cause headaches?

Headaches are relatively common, affecting about 26% of patients. Mild headaches can often be managed with over-the-counter pain relievers. If headaches become severe or frequent, consult your healthcare provider.

Does Cabliz limit driving?

Cabliz may cause dizziness or drowsiness, which can impair driving ability. If you experience these effects, avoid driving or operating heavy machinery until you know how the medication affects you.

Is it safe to drink alcohol while taking Cabliz?

Drinking alcohol moderately is generally safe but may increase the likelihood of dizziness or drowsiness. It’s advisable to limit alcohol intake and consult your doctor if you experience any adverse effects while combining alcohol with Cabliz.

Is it safe to drink coffee or tea while taking Cabliz?

Drinking coffee or tea in moderation does not interfere with Cabliz. However, excessive caffeine consumption may worsen dizziness or insomnia, so it’s best to keep caffeine intake moderate while on this medication.

Is it safe to exercise while taking Cabliz?

Exercise is generally safe while taking Cabliz. If you experience side effects like dizziness, fatigue, or shortness of breath, reduce the intensity of your workout and speak with your doctor if symptoms persist.

What are Cabliz possible harms and risks?

Common side effects include nausea (27%), headache (26%), dizziness (15%), and fatigue (7%). Serious but rare side effects include heart valve disorders, shortness of breath, or fibrosis affecting the lungs or heart. If you experience severe symptoms like chest pain or difficulty breathing, seek medical attention immediately.