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Two medicines, side by side

Benztropine vs bromocriptine

Benztropine and bromocriptine are both labeled for parkinson's disease. Drugs@FDA records approvals of benztropine since 1954 and of bromocriptine since 1978. Pharmacies paid $0.0753 per benztropine mes 1 mg tablet and $1.61 per bromocriptine 2.5 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Bromocriptine's other strengths are brand-only: $5.26 per Cycloset 0.8 mg tablet. In FDA's classes, benztropine is an antihistamine and bromocriptine an ergot derivative.

Check it at the source: the benztropine FDA label on DailyMed (effective January 9, 2026); the bromocriptine FDA label on DailyMed (effective July 27, 2026).

Highlights of the benztropine record

Benztropine (Cogentin) · label of January 9, 2026

Used for

From the label: indications

Benztropine mesylate tablets are indicated for use as an adjunct in the therapy of all forms of parkinsonism. Useful also in the control of extrapyramidal disorders (except tardive dyskinesia – see PRECAUTIONS ) due to neuroleptic drugs (e.g., phenothiazines).

On the market

Earliest approval on file
March 5, 1954
Generic labelers
23 labelers
Pharmacy cost
$0.0753 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
3

Highlights of the bromocriptine record

Bromocriptine (Parlodel) · label of July 27, 2026

Used for

From the label: indications

Bromocriptine mesylate is an ergot derivative indicated for the treatment of: Hyperprolactinemia-associated dysfunction including amenorrhea with or without galactorrhea, infertility, or hypogonadism in adults (1.1) Prolactin-secreting adenomas in adults and pediatric patients 11 years of age and older (1.2). Acromegaly in adults (1.3). […]

On the market

Earliest approval on file
June 28, 1978
Generic labelers
6 labelers
Pharmacy cost
$1.61 per tablet

Supply and safety

Shortage
No current entry
Recalls
5

Source: FDA drug labels via openFDA (Benztropine label of January 9, 2026, Bromocriptine label of July 27, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do benztropine and bromocriptine differ on the record?

In FDA's classes, benztropine is an antihistamine and bromocriptine an ergot derivative.

Generics: benztropine since 1985; bromocriptine since 1998 (Drugs@FDA).

BenztropineBromocriptine
Labeled forParkinson's diseaseParkinson's disease, Type 2 diabetes
Pharmacologic classAnticholinergic, AntihistamineErgot Derivative
How it works (label)n/aBromocriptine mesylate contains bromocriptine, an ergot derivative and dopamine receptor agonist, which activates post-synaptic dopamine receptors.
Half-life (label)n/amocriptine mesylate dose (two 2.5 mg tablets) to five healthy volunteers under fasted conditions, the mean peak bromocriptine plasma levels, time to reach peak bromocriptine plasma concentrations and elimination …
Earliest approval on file (Drugs@FDA)March 5, 1954June 28, 1978
First generic approvedApril 11, 1985January 13, 1998
Generic labelers (NDC)23 labelers6 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0753 per tablet (Benztropine mes 1 mg tablet)$1.61 per tablet (Bromocriptine 2.5 mg tablet)
12-month price change-4%-9%
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded35
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)7,287646
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to benztropine
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