Buy Dostinex
dostinex
$62.80
- Active ingredient: Cabergoline
- Category: Women's Health | Hormone Therapy
- Delivery time: Airmail (14-21 days) | EMS trackable (5-9 days)
- Prescription: Included
- Availability: In Stock
Dostinex (Cabergoline 0.25mg, 0.5mg) tablets are available to order from our Singapore pharmacy with reliable delivery. This dopamine agonist works by inhibiting prolactin secretion from the pituitary gland, helping to restore hormonal balance and alleviate hyperprolactinemia symptoms. It is specifically designed for individuals managing elevated prolactin levels, pituitary tumors, or certain menstrual disorders, offering precise hormonal regulation with convenient twice-weekly dosing for optimal therapeutic outcomes.
Table of contents
- Dostinex (Cabergoline) Buyer and Patient Handbook in Singapore
- What is Dostinex?
- Who Should Use Dostinex?
- How Does It Work?
- Why Choose Dostinex?
- Dosage, Administration, Lifestyle and Dietary Recommendations
- Recommended Dosage
- How to Take
- Missed Dose
- Overdose
- Special Populations
- Lifestyle & Diet
- Precautions and Warnings
- Drug Interactions
- Potential Side Effects
- Common Side Effects
- Less Common Side Effects
- Serious Side Effects
- Who Should Avoid This Medication?
- Storage Instructions
- Dostinex Alternatives
- Frequently Asked Questions
- How quickly can I expect prolactin levels to drop?
- Can I take Dostinex with my birth control pill?
- Is it safe to drink coffee while on Dostinex?
- What if I feel light-headed after a dose?
- Do I need regular blood tests?
- Can I stop the medication abruptly?
- Does Dostinex affect sexual performance?
- What should I do if I miss a weekly dose by more than three days?
- Glossary
- Disclaimer
- Dostinex Properties
- Dostinex Drug Class
- Dostinex Connected Conditions
- How to purchase Dostinex on our Website
- Reviews
- Write your review
Dostinex (Cabergoline) Buyer and Patient Handbook in Singapore
What is Dostinex?
Dostinex is a dopamine-agonist tablet used primarily to lower high prolactin levels. It belongs to the ergot-derived dopamine agonist class and is indicated for hyperprolactinaemia in both men and women. The medicine is approved by the Singapore Health Sciences Authority (HSA) and conforms to FDA and EMA standards. It is supplied as oral tablets in .25 mg and .5 mg strengths.
Who Should Use Dostinex?
- Adults diagnosed with elevated prolactin (hyperprolactinaemia)
- Women experiencing menstrual irregularities or galactorrhoea caused by high prolactin
- Men with prolactin-related Infertility or sexual dysfunction
- Patients whose condition has not responded adequately to other dopamine agonists
How Does It Work?
Dostinex binds to dopamine D₂ receptors in the pituitary gland, mimicking dopamine’s natural inhibition of prolactin secretion. By reducing prolactin output, the drug restores normal hormonal balance, which can regularise menstrual cycles, stop inappropriate breast milk production, and improve fertility. It has a long-acting profile, so dosing is typically once or twice weekly, minimizing daily pill burden.
Why Choose Dostinex?
- Long-acting formulation means fewer dosing occasions compared with shorter-acting agents.
- Demonstrated efficacy in normalising prolactin levels within weeks for most patients.
- Generic versions are bioequivalent, offering a cost-effective alternative to brand-only options.
Dosage, Administration, Lifestyle and Dietary Recommendations
Recommended Dosage
- Initial: .25 mg once or twice weekly (depending on physician’s assessment).
- Maintenance: May be increased to .5 mg weekly if prolactin reduction is insufficient.
How to Take
- Swallow the tablet whole with a full glass of water.
- Can be taken with or without food; maintain consistent timing each week.
Missed Dose
- If a dose is missed and the next scheduled dose is more than 48 hours away, take the missed dose as soon as remembered.
- If the next dose is within 48 hours, skip the missed dose and resume the regular schedule.
Overdose
- Seek immediate medical attention if more than the prescribed amount is taken.
- Symptoms may include Nausea, Vomiting, severe dizziness, or fainting.
Special Populations
- Elderly: Start with the lower .25 mg dose and monitor tolerability.
- Renal/hepatic impairment: Dose adjustment may be necessary; consult a healthcare professional.
- Pregnancy & breastfeeding: Use only if the benefit outweighs potential risk; discuss with a specialist.
Lifestyle & Diet
- Avoid excessive alcohol, which can increase dizziness.
- Grapefruit juice may interfere with drug metabolism; limit intake.
- Maintain a balanced diet; no specific restrictions beyond the above.
Precautions and Warnings
- Do not use if you have known hypersensitivity to cabergoline or any ergot derivatives.
- Caution in patients with uncontrolled Hypertension, heart valve disease, or pulmonary fibrosis.
- Periodic monitoring of blood pressure and cardiac function is recommended during long-term therapy.
Drug Interactions
| Interaction | Risk | Action |
|---|---|---|
| Antihypertensives | Additive blood-pressure drop | Monitor BP, adjust dosage if needed |
| Antidepressants (SSRIs, SNRIs) | May increase nausea or dizziness | Observe for side-effects, consider dose timing |
| Macrolide antibiotics | ↑ cabergoline plasma levels | Use alternative antibiotics if possible |
Potential Side Effects
Common Side Effects
- Nausea
- Headache
- Dizziness
- Fatigue
Less Common Side Effects
- Constipation
- Nasal congestion
- Mood changes (e.g., mild Anxiety)
Serious Side Effects
- Chest Pain or shortness of breath (possible heart valve issues) → Seek urgent care
- Severe hypotension (very low blood pressure) → Seek urgent care
- Hallucinations or impulse control problems → Consult a healthcare professional promptly
Who Should Avoid This Medication?
- Individuals with a history of severe allergic reaction to ergot alkaloids
- Patients with uncontrolled hypertension (systolic > 180 mmHg or diastolic > 110 mmHg)
- Those with moderate-to-severe heart valve disease or Pulmonary Hypertension
Storage Instructions
- Keep tablets in the original container, tightly closed.
- Store at 20-25 °C (68-77 °F); protect from excess heat and moisture.
- Keep out of reach of children and pets.
Dostinex Alternatives
| Name | Class | Key Difference |
|---|---|---|
| Bromocriptine | Dopamine agonist | Shorter half-life; requires daily dosing |
| Quinagolide | Non-ergot dopamine agonist | Lower risk of cardiac valve issues |
| Pasireotide | Somatostatin analogue | Used for resistant cases; injectable form |
Frequently Asked Questions
How quickly can I expect prolactin levels to drop?
Most patients see a 30-50 % reduction within 2-4 weeks; full normalisation may take 2-3 months.
Can I take Dostinex with my birth control pill?
Yes, there is no known interaction with combined oral contraceptives.
Is it safe to drink coffee while on Dostinex?
Moderate coffee consumption (up to 2 cups daily) is generally safe; excess caffeine may worsen dizziness.
What if I feel light-headed after a dose?
Sit or lie down, hydrate, and avoid sudden standing. If dizziness persists, contact a healthcare professional.
Do I need regular blood tests?
Baseline prolactin, liver and kidney function tests are recommended, followed by periodic monitoring as advised by your clinician.
Can I stop the medication abruptly?
Abrupt cessation may cause a rebound increase in prolactin. Tapering under medical guidance is preferred.
Does Dostinex affect sexual performance?
By lowering prolactin, it can improve libido and erectile function in men; women may notice a return of normal menstrual cycles.
What should I do if I miss a weekly dose by more than three days?
Take the missed tablet as soon as you remember, then resume the regular weekly schedule; do not double-dose.
Glossary
- Prolactin: A hormone produced by the pituitary gland that stimulates milk production; excess levels cause menstrual disturbances and galactorrhoea.
- Dopamine agonist: A drug that mimics dopamine, inhibiting prolactin secretion.
- Ergoline: A chemical family derived from ergot fungus; cabergoline belongs to this group.
Disclaimer
This handbook provides general information about Dostinex (cabergoline) for educational purposes only. It does not replace professional medical advice. Off-label uses should be discussed with a qualified health practitioner. Our online pharmacy service offers convenient access to approved medicines, but users remain responsible for ensuring the product is appropriate for their condition. Always consult a qualified healthcare professional before starting, changing, or stopping any medication.
Dostinex Properties
- Original Manufacturer: Pfizer
- Clinical use: Used to treat hyperprolactinemia and Parkinson's disease.
- Spectrum of activity: Dopamine receptor agonist with selectivity for D2 receptors.
- Mechanism of action: Acts as a dopamine receptor agonist, reducing prolactin secretion from the pituitary gland.
- Classification: Dopamine receptor agonist
- Recommended Dosage: Typically starts at 0.5 mg twice a week, adjusted based on response.
- Basic Side Effects: Nausea, Dizziness, Headache
- Moderate Side Effects: Constipation, Fatigue, Abdominal pain
- Serious Side Effects: Heart valve problems, Pulmonary hypertension
Dostinex Drug Class
Dostinex Connected Conditions
How to purchase Dostinex on our Website
To purchase Dostinex | Cabergoline on our website, just select the required dosage and quantity of pills above. The price of your choice will appear automatically. Next, add the chosen amount to your cart by clicking the Add to Cart button. You can either continue shopping for more pills or head to the checkout. At the Checkout, finalize your purchase through our secure payment gateway.
Dostinex / Cabergoline pills are made using high-quality generic ingredients and are subject to strict quality control in line with WHO and Health Sciences Authority (HSA) standards. However, please note that Dostinex pills are dispatched from outside Singapore due to prescriptions issued overseas.
Disclaimer: The content on this website is provided solely for informational purposes and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions or concerns regarding your health, and never disregard or delay seeking professional advice based on the information presented here. Use of this website does not create a doctor-patient relationship, and in the event of a medical emergency, please contact your local emergency services immediately. Our website assumes no responsibility or liability for any errors or omissions in the content provided.
Reviews
Been on Dostinex for 6 months now for high prolactin. First few weeks were rough - felt dizzy and nauseous all the time. Doctor told me to split the 0.5mg pill into quarters and take it right before bed with a small snack. That made a huge difference. Now my levels are normal and I don't even think about it anymore. The only annoying thing is the dry mouth, I always have water with me.
Prescribed for lactation suppression after my second baby. Took one 0.25mg pill and felt awful the next day - intense headache and weird dizzy spells. It did stop the milk, which was a relief, but the side effects weren't worth it for me. I only took one dose and decided to manage it naturally instead. Maybe the dose was too high to start.
Using it off-label for my gym goals. Started with a quarter of a 0.5mg pill twice a week. It definitely suppresses prolactin post-cycle, but you have to be careful. The key is to take it RIGHT after your workout with a meal, otherwise the nausea hits hard. Also, don't take it close to bedtime or you'll get insomnia. It's a tool, not a magic bullet.
Two years on cabergoline for a microprolactinoma. It shrank the tumor, which is great. But the side effects come and go. Sometimes I get really moody for no reason. The worst is the nasal congestion, it's like a permanent mild cold. I found that taking a claritin helps with that. You get used to it, and it's better than the alternative.
My endo put me on Dostinex 3 months ago. The first dose made me so dizzy I had to lie down. I learned to take it at night right after dinner. The fatigue the next day is real, but my prolactin is finally coming down. I still get a bit lightheaded sometimes, especially if I stand up too fast. Hoping it gets better.
Been taking 0.25mg twice a week for over a year. It controls my prolactin levels perfectly. The hack is to stay SUPER hydrated. If I don't drink enough water, I get leg cramps and headaches. Also, avoid alcohol completely on dose days, it amplifies the dizziness. It's a small price to pay for normal hormone levels.
It fixed my irregular periods, which was amazing. But it also killed my libido, which is ironic since it's supposed to help with that for some people. So it's a mixed bag. I feel more balanced hormonally, but the trade-off is frustrating. My doctor says we might adjust the dose, but for now, it's manageable.
Prescribed for prolactin issues related to PCOS. It helped with the lactation, but the brain fog was intense for the first month. I felt like I couldn't concentrate at work. It's mostly gone now, but I still feel a bit 'spacey' on the days I take the pill. I take it on Friday nights so I can relax over the weekend.