藥碼
DOS01
藥名
Cabergoline 0.5 mg
英文商品名
Dostinex 錠劑 0.5 mg
中文商品名
過乳降錠
螢幕名
Dostinex 錠劑 0.5 mg
劑型
Tab
規格
Tab 0.5 mg
成分
藥理分類
Antiparkinsonian-Dopamine receptor agonists
健保碼
BC22658100
ATC碼
藥品圖片
外觀圖片
適應症
#最小單位貼紙

Suppressing postpartum lactation in women unable or not desiring to breast-feed or when breast-feeding is considered undesirable on medical grounds.
藥理
Cabergoline is a long-acting, selective dopamine receptor agonist, exhibiting high affinity for D2 receptors and low affinity for D1, alpha 1- and alpha 2-adrenergic, and serotonin (5-HT1 and 5-HT2) receptors. Cabergoline inhibits the synthesis and release of prolactin from the anterior pituitary by directly stimulating the D2 receptors of the pituitary lactotrophs in a dose-related fashion.
藥動學
Initial Response: (hyperprolactinemia) 3 hours, (lactation inhibition) 24 hours; Protein Binding: 40% - 42%; Metabolism: hepatic; Excretion: (fecal) 60%, (renal) 22%, 4% unchanged; Elimination half-life: 63 - 69 hours.
禁忌症
Hypersensitivity to ergot derivatives, uncontrolled hypertension; History of pulmonary, pericardial, or retroperitoneal fibrotic disorders; active or history of cardiac valvular disorder
懷孕分類
B [FDA]
哺乳分類
Evidence suggests this drug may alter milk production or composition. If an alternative to this drug is not prescribed, monitor the infant for adverse effects and/or adequate milk intake.
副作用
Nausea(27% to 29%), headache(9% to 30%), dizziness(9% to 17%), constipation(7% to 10%), fatigue(5% to 10%), hot flushes(3%).
劑量和給藥方法
Lactation suppression: 1 mg as a single dose on the first day after delivery; Hyperprolactinemia: initial, 0.25 mg ORALLY twice weekly, increase by 0.25 mg twice weekly at 4 wk intervals; MAX 1 mg twice weekly.
小兒調整劑量
腎功能調整劑量
肝功能調整劑量
安定性
藥袋資訊
臨床用途
防止及抑制產後乳汁分泌,或治療高泌乳激素血症
主要副作用
血壓降低、噁心、嘔吐、盜汗、臉部潮紅、頭痛、頭暈、失眠、惡夢、憂鬱等
泡製方法
儲存方式
請置於 15-30℃ 乾燥處儲存
注意事項
其他說明
藥局 F4 | 藥庫 口B21
藥品外觀
顏色
13
形狀
03
剝痕
標記1
700
標記2
PU
其他
健保藥價
124
自費價
164.92
仿單
資料庫
健保給付規定