Cabergoline

Adults: The recommended starting dose of Cabergoline is 0.25 mg twice a week. Depending on the patient's serum prolactin level, the dose may be raised by 0.25 mg twice weekly, up to a maximum of 1 mg twice a week. Increases should be spaced at least 4 weeks apart so the physician can properly judge the response at each level. If higher doses bring no extra benefit, the lowest dose that gave the best response should be continued, and other treatment options considered. Once a normal serum prolactin level has been maintained for 6 months, Cabergoline can be stopped, with periodic prolactin checks afterward to see whether treatment needs to start again. To prevent milk production after delivery: a single 1 mg dose of Cabergoline, taken on the first day after delivery. To stop lactation after breastfeeding has already begun: 0.25 mg every 12 hours for two days. To lower prolactin levels in other conditions: treatment usually starts with one 0.5 mg tablet, split into two doses taken a few days apart over the week (for example, half a tablet on Monday and the other half on Thursday). The dose can then be raised gradually, up to a maximum of 4.5 mg, until a full response to treatment is achieved.