Cabergoline is a drug used to treat hyperprolactinemia, which is a condition caused by the presence of high prolactin in the blood. It belongs to the dopamine agonists group of drugs, and it increases the dopamine in the body, which blocks the production of prolactin.

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I have high prolactin.Will this affect my fertility?

Query: Hi, My doctor said that I have high prolactin, almost 200, but I have regular periods. My periods are regular and usually have an interval of 30-33 days. I do not have any othe menstrual symptoms, other than milky nipple discharge. I take ovulation tests every month and comes back positive on my fer...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to High prolactin levels with galactorrhea (milky nipple discharge other than normal breast feeding) can often cause delayed ovulation and irregular menses. The ovulation kits detect the LH surge and do not exactly tell us if there has been ovulation at all. Th...  Read Full »

Is it possible for an otherwise healthy person to have gynecomastia?

Query: Hello doctor, I had prolactinoma diagnosed with secondary hypogonadism. I was treated with cabergoline and hydrocortisone for a few years and then taken off hydrocortisone when the adrenals began to function properly. My most recent blood tests came back normal, and I was tested for loads of other...  Read Full »

Dr. Sumit Srivastava

Answer: Hello, Welcome to Gynecomastia could be due to a testosterone deficiency, thyroid disorder or adrenal insufficiency in your case. Since your prolactin levels are normal and there is no further growth, it is no longer due to the prolactinoma. I would suggest you have your seru...  Read Full »

Kindly suggest a treatment for sleep problems.

Query: Hi doctor,I am a female of weight 60 kg and height 176 cm. I have been having extreme trouble with sleeping for about 18 months now. I struggle to get to bed, and when I finally do, I wake up once in one and a half hours or so and feel like the sleep is not a deep one. I feel like I have a restless ...  Read Full »

Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to From your limited history, two plausible causes of your insomnia can be made out. Cabergoline is a dopamine agonist, which has stimulating properties. However, you cannot quit taking it because it is needed in your case. Hypothalamus is connected to the pituitary bot...  Read Full »

Will a prolactinoma shrink for a patient in his 70s after increasing the dose of Cabergoline?

Query: Hello doctor, I would appreciate your opinion about a case in which pituitary surgery has been indicated. A patient in his early 70s was diagnosed with a prolactinoma ten years ago. He was prescribed a tablet of Dostinex 0.5 mg per week, which was then reduced to 0.5 mg per two weeks. The prolactin ...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to Pituitary surgery is rarely required in prolactinomas and is generally reserved for patients intolerant or resistant to Dopamine agonist therapy, Cabergoline. Surgery is indicated only if visual field defects, headaches, and hypopituitarism are present. In addition, the...  Read Full »

Will pituitary tumor cause excessive anger and anxiety attack?

Query: Hello doctor, I am a 20-year-old girl having a 1 cm large tumor in my pituitary gland and I am medicated with Caberlin 0.5 once in a week. Besides this, something that worries me is excessive anger issues accompanied by anxiety and panic attacks past the last six months. I lose my temper in a jiff ...  Read Full »

Dr. Suresh Kumar G D

Answer: Hello, Welcome to You have provided a detailed and insightful description of symptoms troubling you. You are reporting excessive anger, anxiety, panic attacks, self-injurious behavior for the past six months or so. These symptoms can occur in anyone, more common in people having hi...  Read Full »

Can acne in chin and jawline occur due to hormonal changes?

Query: Hello doctor, My daughter has acne on her face for the past one month. I think that is hormonal acne because it is in her chin and jawline as per my knowledge. She is taking Cabergoline .25 mg per week for an increased level of prolactin as prescribed by an endocrinologist for the past three years....  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to I have gone through the history and prescription you have attached (attachment removed to protect patient identity). Honestly speaking, I cannot understand what is written in the prescription. Can you send me a picture of individual medication so that I can get an id...  Read Full »

Does Cabergoline increase prolactin secretion?

Query: Hello doctor, I am a 26 year old female. My periods were slightly irregular, so I checked in with a gynecologist who prescribed blood tests. My TSH, FSH and LH were at normal levels, but my prolactin was high at 72 ng/mL. I have been taking Domperidone prior to the test for 15 days. My doctor sugges...  Read Full »

Dr. Sumit Srivastava

Answer: Hi, Welcome to Domperidone is known to increase prolactin secretion which is the cause of your delayed periods. Cabergoline does not increase prolactin secretions; rather it is prescribed to reduce hyperprolactinemia (increased prolactin levels). Your prolactin levels are moderately hig...  Read Full »

Does high prolactin hamper conception?

Query: Hi doctor, I have been trying to conceive for last one year. Examination showed high thyroid and prolactin levels. My doctor put me on Thyronorm 25 and Cabergoline 0.5. My thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. Recent blood test showed 37....  Read Full »

Dr. Purushottam Sah

Answer: Hi, Welcome to High prolactin level may be due to stress or usage of multiple drugs. Are you under any other medication? As your prolactin level is responding to Cabergoline, you may need to increase the dose to get your prolactin under control. Revert back with the answer for the above...  Read Full »

What shall I do to regularize my periods?

Query: Hi doctor, I have been having PCOD since last 14 years. I started treatment before four years with Bigomet SR 1000. After continuing it for eight months, I had periods with more gap compared to earlier. Then, I had periods only with the help of medicine and so, I left the treatment. I started my tr...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to I have gone through the reports (attachment removed to protect patient identity) and in your case, PCOD (polycystic ovarian disease) is not a problem for delayed menses, but high prolactin levels due to hyperprolactinemia. PCOD can be controlled with diet, exercise ...  Read Full »

Is treatment possible for pituitary macroadenoma with Cabergoline alone?

Query: Hello doctor,I am suffering from abnormal growth of pituitary gland. The doctors were saying that my prolactin and growth hormone level is quite high. They suggested me for surgery. I was afraid for surgery. Then they said to take medicine Cabergolin 0.5 mg two tablets twice a week for three months....  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I read your detailed query and gone through your reports (attachment removed to protect patient identity) and from what you have mentioned, it appears that you have hyperprolactinemia and raised IGF -1 which are being treated with Cabergoline. I would advise you to ...  Read Full »

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