Tablets "Bergolak": reviews, instructions, prices

"Bergolak" is a drug belonging to dopamine receptor agonists and containing cabergoline, the main substance of the drug derived from ergoline. "Bergolak" has an overwhelming effect on the process of prolactin release. As a result of its intake, prolactin levels decrease, fertility is restored, and menstrual irregularities are eliminated. Influencing men, the drug reduces the severity of certain manifestations of hyperprolactinaemia.

Pharmacokinetics

There is good absorption and uniform distribution after using the "Bergolak". The reviews show that food intake has no effect on these indicators. As reported in the instructions, the highest concentration of the drug is present in the blood plasma on average 2.5 hours, while the main component binds to its proteins by 41-42%.

In the body there is an active metabolism of "Bergolak". The substances formed as a result of this process are excreted by the intestine (approximately 72%) and by the kidneys (about 18%). In the urine, 2-3% of the active ingredient is present unchanged.

Indications for use

The drug is prescribed for tumors of the pituitary gland and female infertility. High efficiency for menstrual disorders reflects the remedies left after treatment with "Bergolak". Cessation of lactation as a result of taking this drug is also possible. The need to suppress this process can arise after abortion and childbirth. Lactation can not only be suppressed, but also prevented.

"Bergolak" allows you to eliminate the disorders that are caused by hyperprolactinemia. Indications for the use of the drug are prolactin secreting adenoma of the pituitary gland, hyperprolactinemia idiopathic. Based on the drug "Bergolak" can be treated patients with the syndrome, which is called "empty Turkish saddle" and is amplified by hyperprolactinaemia.

Special care must be taken during the period of treatment when carrying the child and breastfeeding. Admission of funds to patients with impaired liver function should be carried out under the supervision of a doctor.

Contraindications

The instruction left on the "Bergolak" means doctors' reviews show the presence of such contraindications:

• Hypersensitivity to components;
• Children's age (less than 16 years);
• Insufficient absorption of glucose and galactose;
• Hereditary intolerance to galactose in forms that are rare;
• Congenital deficiency of lactase;
• Psychosis that arose after childbirth;
• Problems with breathing, irregularities in the work of the heart, as a result of fibrotic changes in the body, including in the anamnesis;
• Persistent increase in blood pressure, uncontrollable.

When treating older people, the drug should be taken with caution. The same goes for patients with a diseased liver.

Use of medicinal product, dosage

As shown by the reviews left after receiving the "Bergolak" remedy, lactation can be prevented or interrupted. Depending on the task, the dosage is:

• Before the development of lactation - 1 mg of the drug, which corresponds to two tablets, which must be consumed at one time after the birth of the child (the next day);
• After its development - 0.25 mg, which corresponds to half the tablet, which should be taken two days with a periodicity of 12 hours.

If there are other indications, doctors usually prescribe patients "Bergolak" in a dosage of 0.5-1 mg once or twice a week. The maximum permissible weekly norm is 4.5 mg of the drug. At the same time, you can not abruptly switch to the maximum dose, only gradually by increasing it by 0.5 mg every month, if this is necessary. The drug is consumed with food.

Patients using "Bergolak", reviews to reduce prolactin in hyperprolactinemia leave mostly positive. The disorders caused by this process are treated by applying an initial weekly dose of 0.5 mg. It is possible to divide this dose into two doses of 0.25 mg of the drug. In this case, the drug can be used twice a week.

Breastfeeding women are prescribed medication in such a way that no more than 0.25 mg of the drug is absorbed into the body at a time. Thus, it is possible to eliminate the number of possible adverse reactions.

Therapeutic dose, intended for use in one week, is usually not more than 2 mg. Though all individual and for each patient the doctor selects an individual variant of treatment.

Women who during the pregnancy used "Bergolak", reviews leave with information about the need for careful use of the drug. In such periods of life, its use is performed under the regular supervision of a doctor and only in the recommended doses. In spite of the fact that it is not recommended to use tablets for pregnant women, in cases when the benefit to the mother's organism considerably exceeds the possible risks to the fetus, this is permissible. Breastfeeding with therapy "Bergolakom" is stopped.

Side effects

Undesirable reactions may be different, and their severity may also differ. In most cases, all unpleasant manifestations disappear themselves after 14 days of therapy or after a certain time after the withdrawal of the drug.

Judging by the fact that the reviews left by the medication "Bergolak" show the probability of dizziness, drowsiness and weakness, the general state of health can sometimes worsen.

There is a risk of developing an allergy affecting the skin. Possible pallor of the skin as a result of being in the cold. There may be changes in the functioning of the digestive tract, for example, constipation, nausea. Other side effects include nasal congestion, drying of the oral mucosa.

Drug Interactions

We will find out whether it is possible to use "Bergolak" tablets for combined treatment. The doctors' reviews show that with prolonged therapy the drug should not be used in conjunction with ergot alkaloids, their derivatives.

It should be borne in mind that some antagonists of dopamine receptors can adversely affect the action of cabergoline, and macrolides - to increase the level of the active substance of the drug "Bergolak" in the blood. Alcohol makes the drug less effective.

Medication, whose action is aimed at reducing blood pressure, during the period of therapy is prescribed with caution.

special instructions

If conception is planned, it is only permissible after a certain time after completion of therapy, usually in a month. "Bergolak" is taken only after a thorough examination of the pituitary gland. During therapy, the condition of the body should be constantly monitored.

While the treatment is being carried out, it is not recommended to operate the car and other vehicles, engage in activities that require quick reactions and increased attention. It is very important to follow all the doctor's recommendations.

Cost, reviews

For many people planning to take Bergolak, the price, reviews are always information that contains a lot of useful information, allows you to know in advance the cost of the drug, the treatment features and possible undesirable reactions that patients encounter during the therapy, to check its effectiveness .

The approximate cost of tablets (2 pcs to 0.5 mg) is 235-260 rubles. With regard to the application of "Bergolak" with the aim of stopping lactation or preventing it, judging by the responses, the drug does not always perform well with these tasks. But when using the drug for hypoprolactinemia, many note the achievement of the desired effect. However, there is a risk of developing side effects of the remedy, which some people notice at the initial stage of treatment.

Many are pleased with the quick action and low cost of the drug in comparison with other similar drugs. Of the side effects, there is sometimes constipation, drowsiness and minor headache.