Parlodel (Bromocriptine)

Description

Parlodel (bromocriptine mesylate) tablets and capsules are prescribed for treating:

• Dysfunctions associated with hyperprolactinemia
• Acromegaly
• Parkinson's disease

Parlodel is available in 2.5 mg SnapTabs^® and 5 mg capsules for oral administration.

Directions

Parlodel should be taken as prescribed. Your doctor will determine an appropriate Parlodel dosage and treatment regimen for you based on the condition being treated.

Take the medication with food.

Talk to your doctor or pharmacist and carefully read the medication guide for further usage instructions.

Keep between 68°F and 77°F (20°C and 25°C).

Any questions or concerns may be referred to your doctor or pharmacist.

Ingredients

Bromocriptine mesylate is the active ingredient in Parlodel.

Colloidal silicon dioxide, lactose, magnesium stearate, maleic acid, povidone, starch, and other ingredient(s) are the inactive ingredients included in the 2.5 mg SnapTabs.

Colloidal silicon dioxide, gelatin, lactose, magnesium stearate, red iron oxide, silicon dioxide, sodium lauryl sulfate, starch, maleic acid, titanium dioxide, yellow iron oxide, and other ingredient(s) are the inactive ingredients included in the 5 mg capsules.

Contraindications

Do not take Parlodel if you are allergic to any of its ingredients.

If you become pregnant while taking Parlodel for hyperprolactinemia, the medication should be stopped.

If you become pregnant while taking Parlodel for acromegaly, prolactinoma, or Parkinson’s disease, a decision should be made whether to continue treatment or stop it. However, the medication should be stopped in patients who develop hypertensive disorders of pregnancy unless it is considered to be medically contraindicated.

Parlodel should not be taken during the postpartum period in women who have had coronary artery disease and other severe cardiovascular conditions unless stopping the medication is considered to be medically contraindicated.

Cautions

• Before you begin treatment with Parlodel, tell your doctor about:
• All the medications you take, including prescription and nonprescription medications
• Your allergies
• Your current health conditions
• Your past medical history
• Your status of pregnancy or breastfeeding
• Parlodel is associated with the following warnings and precautions:
• The pituitary should be completely evaluated before starting Parlodel.
• Drowsiness and sudden sleep onset; do not drive, operate machinery, or participate in other potentially hazardous activities while receiving treatment with Parlodel
• Low blood pressure with symptoms; avoid driving, operating machinery, or participating in other potentially hazardous activities until you now how the medication affects you
• While rare, high blood pressure, seizures, stroke, and heart attack have occurred in postpartum women who received Parlodel for lactation inhibition. Parlodel is not recommended for prevention of physiological lactation or in patients with high blood pressure that is not controlled.
• Retroperitoneal fibrosis, pleural and pericardial effusions, pleural and pulmonary fibrosis, and constrictive pericarditis have occurred, particularly with high-dose and prolonged treatment.
• Some patients may experience intense urges to gamble or uncontrollably spend money, increased sexual urges, and/or other intense urges while taking Parlodel.
• It is not known whether Parlodel is safe and effective in patients with kidney or liver disease.
• Caution should be exercised in patients who are taking blood pressure medications.
• Caution should be exercised in patients who have had psychosis or cardiovascular disease.
• Parlodel should not be taken by patients with rare hereditary problems of galactose intolerance, severe lactase deficiency, or glucose-galactose malabsorption.
• Patients with macroprolactinoma should receive monitoring of visual fields so that secondary field loss due to chiasmal herniation and drug dosage adaptation can be identified early.
• Patients who do not want to become pregnant or patients who have large adenomas should use contraceptive methods other than oral contraceptives while being treated with Parlodel.
• Some patients with prolactin-secreting adenomas who received Parlodel experienced cerebrospinal fluid rhinorrhea.
• Acromegalic patients have experienced cold-sensitive digital vasospasm with the use of Parlodel, and some patients have experienced potential tumor expansion.
• It is not known whether Parlodel is safe for longer than 2 years at doses needed for parkinsonism.
• Confusion and mental disturbances can occur at high doses.
• Taking Parlodel alone or with levodopa can cause hallucinations.

Side Effects

Side effects of Parlodel may include but are not limited to nausea, headache, dizziness, fatigue, lightheadedness, vomiting, stomach cramps, nasal congestion, constipation, diarrhea, drowsiness, low blood pressure, anorexia, dry mouth, nasal stuffiness, indigestion, tiredness, faintness, visual disturbance, and sleep problems.

Immediately inform your doctor of any bothersome or persistent side effects you experience while receiving treatment with Parlodel.

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Reference

1. Parlodel. Parsippany, NJ: Validus Pharmaceuticals LLC; 2021.

About Dr. Savannah Muncy (Page Author)

Dr. Muncy (PharmD) studied science and education as an undergraduate before attending the Appalachian College of Pharmacy where she completed her PharmD in three years. She is currently using her pharmacy and healthcare expertise to write medical content for clients all around the world. She is focused on delivering the most current, accurate, and engaging information to healthcare professionals and patients. Read More....