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And you need to use dostinex since prolactin from increased estrogen signaling will stop the process.

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Pleuro-pulmonary disease such as dyspneashortness of breathpersistent cough or chest painRenal insufficiency or ureteral/abdominal vascular obstruction that may occur with pain in the loin/flank and lower limb edema as well as any possible abdominal masses or tenderness that may indicate retroperitoneal fibrosisCardiac failureCases of valvular and pericardial fibrosis have often manifested as cardiac failureThereforevalvular fibrosisand constrictive pericarditisshould be excluded if such symptoms occur.

If you are treating a patient who is taking cabergoline tablets marketed as Dostinex or Cabaseradvise them of this issueInstruct them to return their medicine to their pharmacy so that the bottle can be replaced with one that has a child-resistant cap.

Patients should be instructed to notify their physician if they suspect they are pregnantbecome pregnantor intend to become pregnant during therapyA pregnancy test should be done if there is any suspicion of pregnancy and continuation of treatment should be discussed with their physician.

Liver functionLiver disease or reduced liver function may cause this medication to build up in the bodycausing side effectsIf you have liver problemsdiscuss with your doctor how this medication may affect your medical conditionhow your medical condition may affect the dosing and effectiveness of this medicationand whether any special monitoring is neededYour doctor may want to test your liver function regularly with blood tests while you are taking this medication.

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