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bromocriptine

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Brand names: Cycloset

Dopamine Agonist (Diabetes) Rx

Bromocriptine (Cycloset) is a medicine that acts like dopamine in your body. It is used to treat conditions caused by hormone imbalances, acromegaly, and Parkinson's disease.

Drug Pricing (NADAC)

Brand Price

$5.29/unit

Generic Price

$1.23/unit

Generic Savings

77%

Generic Available

Yes (4 manufacturers)

Pricing data from NADAC (CMS), effective December 25, 2024. Compare all drug costs →

What it does

This medicine can treat problems caused by too much prolactin, a hormone.

Common side effects

Nausea, Headache, Dizziness

Key warnings

This medicine may cause low blood pressure.

How It Works

Bromocriptine works by acting like dopamine, a natural substance in the brain. It helps to lower the amount of prolactin and growth hormone in your body. In Parkinson's disease, it helps improve motor control.

How to Take It

Take bromocriptine with food. Your doctor will start you on a low dose and increase it slowly. They will watch you closely to find the lowest dose that works for you. Follow your doctor's instructions carefully and do not change the dose without talking to them.

Pregnancy & Breastfeeding

If you are taking bromocriptine for high prolactin and become pregnant, talk to your doctor. They will help you decide whether to continue taking it. If you are taking this medicine for acromegaly, prolactinoma, or Parkinson’s disease and become pregnant, discuss with your doctor whether the therapy is still medically necessary.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is close to your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store bromocriptine tablets at room temperature (68° to 77°F) in a tightly closed, light-resistant container, and keep the desiccant inside the bottle.

Side Effects (from patient reports)

Based on 309 FDA adverse event reports.

Feeling sick to your stomach
46
The medicine is not working
36
Pain in your head
35
Throwing up
33
Feeling unsteady or lightheaded
31
Fever
29
Feeling tired
28
Being exposed to the drug during pregnancy
25
A severe reaction to certain drugs that can cause fever, muscle stiffness, and changes in mental status
24
Shaking
22

FDA Adverse Event Report Analysis

Detailed analysis of 637 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2003–2025.

Total Reports

637

Death-Related Reports

30

Hospitalization Reports

231

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 316 (55%)
Male 260 (45%)

Age Distribution

0–17 18
18–44 165
45–64 122
65–74 79
75+ 48

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 NAUSEA 46
2 DRUG INEFFECTIVE 36
3 HEADACHE 35
4 VOMITING 33
5 DIZZINESS 31
6 PYREXIA 29
7 FATIGUE 28
8 DRUG EXPOSURE DURING PREGNANCY 25
9 NEUROLEPTIC MALIGNANT SYNDROME 24
10 TREMOR 22
11 SOMNOLENCE 20
12 DIARRHOEA 19
13 DYSPNOEA 19
14 BLOOD CREATINE PHOSPHOKINASE INCREASED 18
15 HYPOTENSION 18

Reactions in Death Reports

DEATH 7
PNEUMONIA 4
VENTRICULAR FIBRILLATION 4
AGITATION 3
ARRHYTHMIA 3
CARDIAC ARREST 3
CARDIO-RESPIRATORY ARREST 3
DRUG EXPOSURE DURING PREGNANCY 3
DRUG INTERACTION 3
LETHARGY 3

Reactions in Hospitalization Reports

NEUROLEPTIC MALIGNANT SYNDROME 22
PYREXIA 17
DYSPNOEA 14
VOMITING 14
MUSCLE RIGIDITY 13
TREMOR 13
BLOOD CREATINE PHOSPHOKINASE INCREASED 12
DIARRHOEA 12
DRUG INTOLERANCE 12
NAUSEA 12

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

This medicine may cause low blood pressure. Tell your doctor if you have uncontrolled high blood pressure, are sensitive to ergot alkaloids, or are allergic to bromocriptine or any of the ingredients in the tablets. If you are taking this medicine for high prolactin and become pregnant, talk to your doctor about whether to continue taking it.

Known Drug Interactions

Other Drugs Metabolized by CYP3A: Alfentanil Bromocriptine Cilostazol Methylprednisolone Vinblastine Phenobarbital St. John’s Wort Use With Caution There have been spontaneous or published reports of CYP3A based interactions of clarithromycin with alfentanil, methylprednisolone, cilostazol, bromocriptine, vinblastine, phenobarbital, and St.

Mechanism: Clarithromycin slows down the liver enzyme that breaks down bromocriptine, which can cause the drug to build up in your system.

What to do: Use this combination with caution, as your doctor may need to adjust your dosage.

The concomitant use of macrolide antibiotics such as erythromycin was shown to increase the plasma levels of bromocriptine (mean AUC and C max values increased 3.7-fold and 4.6-fold, respectively).

Mechanism: Erythromycin slows down how fast your body gets rid of bromocriptine. This causes the medicine to build up to higher levels in your blood.

What to do: Your doctor may need to lower your dose of bromocriptine or watch you more closely for side effects while you are taking this antibiotic.

Compounds in these categories result in a decreased efficacy of bromocriptine mesylate: phenothiazines, haloperidol, metoclopramide, and pimozide.

Mechanism: Pimozide works against bromocriptine in the body. This makes the bromocriptine less effective at treating your condition.

What to do: Your doctor may need to adjust your treatment because this combination can stop your medicine from working as well as it should.

Compounds in these categories result in a decreased efficacy of bromocriptine mesylate: phenothiazines, haloperidol, metoclopramide, and pimozide.

Mechanism: Haloperidol blocks the effects of bromocriptine in the body. This prevents the medicine from working correctly.

What to do: Talk to your doctor about this combination, as haloperidol can make your bromocriptine treatment less effective.

Bromocriptine mesylate may interact with dopamine antagonists, butyrophenones, and certain other agents.

Mechanism: These drugs can interfere with each other because they both target the dopamine system in the brain. This can make the treatment less effective or cause unwanted effects.

What to do: Your doctor may need to adjust your dose or monitor you closely to ensure the medicine is working.

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Common Questions

Can I drink alcohol while taking bromocriptine?
Alcohol may worsen the side effects of bromocriptine, so it's best to avoid it.
What should I do if I experience nausea?
Try reducing the dosage temporarily to half a tablet two or three times daily. Talk to your doctor if it continues.
Can bromocriptine be used to treat infertility?
Yes, bromocriptine can be used to treat infertility caused by high prolactin levels.
How long does it take for bromocriptine to work?
It may take several weeks or months to see the full effects of bromocriptine. Your doctor will monitor your progress.
Can I stop taking bromocriptine suddenly?
Do not stop taking bromocriptine without talking to your doctor first. Stopping suddenly can cause withdrawal symptoms.
Does bromocriptine interact with other medications?
Yes, bromocriptine can interact with other medications. Tell your doctor about all the medicines you are taking.
What if I want to become pregnant while taking bromocriptine?
Talk to your doctor if you are planning to become pregnant. They will advise you on whether to continue or discontinue the medication.
Can bromocriptine cause weight gain?
Weight gain is not a common side effect of bromocriptine.
Is bromocriptine a cure for Parkinson's disease?
No, bromocriptine does not cure Parkinson's disease, but it can help manage the symptoms.
What should I do if I experience dizziness while taking bromocriptine?
Get up slowly from a sitting or lying position to avoid dizziness. Talk to your doctor if it continues.
What are the common side effects of bromocriptine?
The most commonly reported side effects of bromocriptine include Nausea, Headache, Dizziness, Fatigue, Lightheadedness. Based on 309 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does bromocriptine interact with other medications?
Yes, bromocriptine has 7 known drug interactions. Notable interactions include clarithromycin, erythromycin, pimozide. Always inform your doctor about all medications you are taking.
What drug class is bromocriptine?
bromocriptine belongs to the Dopamine Agonist (Diabetes) drug class. It requires a prescription (Rx). This medicine can treat problems caused by too much prolactin, a hormone.
Is there a generic version of bromocriptine?
Yes, generic bromocriptine is available from 4 manufacturers. The generic costs $1.23 per unit compared to $5.29 for the brand version, saving approximately 77%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
Is bromocriptine safe during pregnancy?
If you are taking bromocriptine for high prolactin and become pregnant, talk to your doctor. They will help you decide whether to continue taking it. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for bromocriptine

The FDA label for bromocriptine (sold under brand names such as Cycloset) classifies it as a prescription-only medication in the Dopamine Agonist (Diabetes) class. This medicine can treat problems caused by too much prolactin, a hormone. Official labeling lists 11 commonly reported side effects, including Nausea, Headache, Dizziness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 309 voluntary reports. The database also lists 7 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $1.23 versus $5.29 for the brand — a 77% generic savings.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: May 31, 2023

All federal data sources used on this page