This medication guide contains information on bicricryptine Cycloset. Parlodel is another brand of bromocriptine, which is not covered in this medication guide.
Bicocriptine Cycloset is used in conjunction with diet and exercise for the treatment of type 2 diabetes. Cyclocetate is not intended for treatment of type 1 diabetes.
Bromocriptine can also be used for purposes not listed in this manual.
This medication guide contains information on bicricryptine Cycloset. Parlodel is another brand of bromocriptine, which is not covered in this manual.
You should not use Cycloset if you are breastfeeding, if you have headaches due to migraines that caused you to faint, or if you are in a state of diabetic ketoacidosis (consult a doctor for insulin treatment).
You should not breast-feed while taking bromocriptine.
Immediately notify your doctor if you become pregnant while taking bromocriptine.
You should not use this medication if you are allergic to bromocriptine or ergot medicine (Ergomar, Cafergot, Migergot, DHE 45, Migranal, Methergine).
Bromocriptine may contain lactose. Before taking Cycloset, tell your doctor if you have a hereditary form of lactose intolerance, severe lactase insufficiency, or malabsorption of glucose-galactose.
To make sure that you can safely take bromocriptine, tell your doctor if you have any of these conditions:
- high or low blood pressure, heart disease or a history of heart attack;
- liver or kidney disease;
- a pituitary tumor;
- a stomach ulcer or bleeding from the intestine; or
- history of mental illness or psychosis.
The pituitary tumor in the mother can expand during pregnancy. High blood pressure can also occur during pregnancy, and bromocriptine can be dangerous if it is taken by a pregnant woman with high blood pressure. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Bromocriptine reduces the hormone required for the production of breast milk. Do not breast-feed while taking bromocriptine.
Side effects of bromocriptine
Obtain immediate medical attention if you have any of these signs of an allergic reaction: shortness of breath; swelling of the face, lips, tongue, or throat.
Stop using this medication and consult a doctor immediately if you have serious side effects such as:
- problems with eyesight, persistent cold;
- pain in the chest, pain in breathing, rapid heart rate, frequent breathing, feeling of lack of air (especially when lying down);
- pain in the back, swelling in the ankles or legs, urinating less than usual or not at all;
- confusion, hallucinations, the feeling that you can die;
- low blood sugar (headache, hunger, weakness, sweating, tremors, irritability, trouble concentrating);
- muscle movements that you can not control, loss of balance or coordination;
- bloody or tarry stools, a blood cough or vomiting that looks like a coffee grounds; or
- dangerously high blood pressure (severe headache, blurred vision, buzzing in the ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeat).
Less serious side effects may include:
- dizziness, mild drowsiness, feeling of weakness or fatigue;
- mild headache;
- stuffy nose;
- upset stomach, nausea, vomiting, loss of appetite, diarrhea, constipation; or
- Cold feeling or numbness in your fingers.
This is not a complete list of side effects, and others may also occur. Ask your doctor about side effects.
If you use ergot medicaments for the treatment of migraine headaches, such as ergotamine (Ergomar, Cafergot, Migergot), dihydroergotamine (DHE 45, Migranal) or methylergonovine (Methergine): Avoid ergot medicine for 6 hours before or after ingestion.
Bromocriptine can damage your thinking or reactions. Be careful if you are driving or doing something that requires attention from you.
Many other drugs can interact with bromocriptine. Below is an incomplete list. Tell your doctor if you are using:
- antidepressant, sedative or narcotic, drugs for the treatment of mental disorders;
- antibiotics or antifungals, antimalarial drugs;
- medications for asthma or allergies;
- cancer drugs, drugs used to prevent graft rejection;
- drugs that lower cholesterol, such as simvastatin (Zocor);
- oral preparation for diabetes;
- medicines from the heart or blood pressure;
- HIV or AIDS;
- sildenafil (Viagra) and other drugs for the treatment of erectile dysfunction.
This list is not complete, and there are many other drugs that can interact with bromocriptine. Tell your doctor about all the medicines that you use.
Dosage of bromocriptine
Take exactly as prescribed by your doctor. Do not take more or less, or longer than recommended. Follow the directions in the recipe. Your doctor can sometimes change your dose to make sure that you get the best results.
Cycloset is usually taken every morning with food, within 2 hours after you wake up.
Your sugar in the blood will need to be checked often, and you may need other blood tests in your doctor’s office. Visit your doctor regularly.
Know the signs of low blood sugar (hypoglycemia) and how to recognize them: headache, hunger, weakness, sweating, tremors, irritability, or trouble concentrating.
Always keep a source of sugar in case you have symptoms of low blood sugar. Sources of sugar include orange juice, glucose gel, candy or milk. If you have severe hypoglycemia and you can not eat or drink, use an injection of glucagon. Make sure that your family and close friends know how to help you in an emergency situation.
Also watch for indicators of blood sugar, which is too high (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, drowsiness, dry skin, blurred vision and weight loss.
Check blood sugar levels during stress or illness, if you travel, do more than usual, drink alcohol or skip meals. These things can affect the level of glucose, and your doses can also change.
Your doctor may require that you stop taking Cycloset for a short time, if you are sick or if you have an operation or emergency medical care.
Cycloset is only part of a complete treatment program, which may also include diet, exercise and testing of blood sugar levels. Watch your diet, medications and exercises very carefully. Changing any of these factors can affect blood sugar levels.
Store at room temperature away from moisture, heat and light.
Symptoms of overdose may include nausea, vomiting, constipation, sweating, pale skin, dizziness, drowsiness, yawning, confusion, hallucinations and fainting.
Skip the missed dose if you did not take it within 2 hours of waking up in the morning. Wait until the next morning to take the next scheduled dose. Do not take additional medication to make up for the missed dose.