البلد: الولايات المتحدة
اللغة: الإنجليزية
المصدر: NLM (National Library of Medicine)
CABERGOLINE (UNII: LL60K9J05T) (CABERGOLINE - UNII:LL60K9J05T)
A-S Medication Solutions
ORAL
PRESCRIPTION DRUG
Cabergoline tablets are indicated for the treatment of hyperprolactinemic disorders, either idiopathic or due to pituitary adenomas. Cabergoline tablets are contraindicated in patients with: - Uncontrolled hypertension or known hypersensitivity to ergot derivatives. - History of cardiac valvular disorders, as suggested by anatomical evidence of valvulopathy of any valve, determined by pre-treatment evaluation including echocardiographic demonstration of valve leaflet thickening, valve restriction, or mixed valve restriction-stenosis (see WARNINGS ). - History of pulmonary, pericardial, or retroperitoneal fibrotic disorders (see WARNINGS ).
Product: 50090-3157 NDC: 50090-3157-0 8 TABLET in a BOTTLE / 1 in a CARTON
Abbreviated New Drug Application
CABERGOLINE- CABERGOLINE TABLET A-S MEDICATION SOLUTIONS ---------- CABERGOLINE TABLETS USP RX ONLY DESCRIPTION Cabergoline tablets USP contain cabergoline, USP, a dopamine receptor agonist. The chemical name for cabergoline, USP is 1-[(6-allylergolin-8β-yl)-carbonyl]-1-[3- (dimethylamino)propyl]-3-ethylurea and has the following structural formula: C H N O M.W. 451.6 Cabergoline, USP is a white powder soluble in ethyl alcohol, chloroform, and N, N- dimethylformamide (DMF); slightly soluble in 0.1N hydrochloric acid; very slightly soluble in n-hexane; and insoluble in water. Each cabergoline tablet USP, for oral administration, contains 0.5 mg of cabergoline, USP and has the following inactive ingredients: anhydrous lactose and leucine. CLINICAL PHARMACOLOGY MECHANISM OF ACTION The secretion of prolactin by the anterior pituitary is mainly under hypothalamic inhibitory control, likely exerted through release of dopamine by tuberoinfundibular neurons. Cabergoline is a long-acting dopamine receptor agonist with a high affinity for D receptors. Results of _in vitro_ studies demonstrate that cabergoline exerts a direct inhibitory effect on the secretion of prolactin by rat pituitary lactotrophs. Cabergoline decreased serum prolactin levels in reserpinized rats. Receptor-binding studies indicate that cabergoline has low affinity for dopamine D , α - and α -adrenergic, and 5-HT - and 5-HT -serotonin receptors. CLINICAL STUDIES The prolactin-lowering efficacy of cabergoline was demonstrated in hyperprolactinemic women in two randomized, double-blind, comparative studies, one with placebo and the other with bromocriptine. In the placebo-controlled study (placebo n = 20; cabergoline n 26 37 5 2 2 1 1 2 1 2 = 168), cabergoline produced a dose-related decrease in serum prolactin levels with prolactin normalized after 4 weeks of treatment in 29%, 76%, 74% and 95% of the patients receiving 0.125, 0.5, 0.75, and 1 mg twice weekly respectively. In the 8-week, double-blind period of the comparative trial with bromocriptine (c اقرأ الوثيقة كاملة