Are you suffering from Type 2 Diabetes? If so, your doctor may have prescribed you a medication called Bromocriptine. It may be under the brand name Cycloset. So, today we will talk very simply about what this medication is, how it affects our body, and what we should be careful about while using it.
What really happens with this medicine?
Simply put, Bromocriptine is a medication that helps lower your blood sugar, or glucose, levels. But it's not a magic bullet. To get the best results, it's important to follow a healthy diet and exercise regimen while taking this medication. Your doctor may prescribe this medication for other conditions, but today we're focusing primarily on its effects on diabetes.
Things you need to tell your doctor before starting medication
When discussing this medication with your doctor, it is very important to be completely honest and give a complete account of your health. You should especially tell your doctor if you have any of the following conditions:
- If you have liver disease .
- If you have a problem with low blood pressure .
- If you suffer from any mental health conditions .
- If you have migraines that sometimes come with fainting .
- If you have type 1 diabetes (this medicine is usually given for type 2 diabetes).
- If you have an allergic reaction to bromocriptine or any other medicine, food, or dye.
- If you are pregnant or trying to get pregnant.
- If you are a nursing mother.
How exactly do you use this medicine?
To get the most out of this medicine, it is very important to use it correctly.
- Swallow the pill with a glass of water.
- The most important thing is to always take this medicine with a meal. Do not take it on an empty stomach.
- Get into the habit of taking your medicine at the same time every day. This will help keep the medicine's effectiveness at the same level in your body.
- Never stop taking your medication without your doctor's advice. Even if you feel better, continue taking it for as long as your doctor tells you to.
Overdose and missed doses
If you think you have taken too much of this medicine, do not panic and immediately call the National Poisons Information Centre at the Colombo National Hospital. Or go to the Emergency Department (ETU) of the nearest hospital.
What if you miss your morning dose? Don't worry. Skip it and take your regular dose the next morning. Never take two doses at once. This can cause side effects.
Other things that may interact with this medicine
Bromocriptine can interact with other medications and foods you are taking, so it is important to tell your doctor about everything you are taking.
Warning: Ergot alkaloids (e.g. dihydroergotamine, ergotamine) should not be taken with this medicine.
In addition, tell your doctor if you are using the following:
- Alcohol
- Some antiviral drugs given for HIV or AIDS
- Aspirin and similar drugs
- Some antibiotics (e.g. clarithromycin, erythromycin)
- Some medications for fungal infections (e.g. ketoconazole)
- Some medications for mental illness
- Some medications for migraines
- Some medications for Parkinson's disease
- Grapefruit juice
- Some cold and cough medicines (especially those containing Phenylephrine, Pseudoephedrine)
- Herbal products such as St. John's Wort
- Stimulant medications for ADHD, weight loss, or insomnia
This list is not complete, so tell your doctor about all medications, vitamins, and herbal products you are taking, and whether you smoke or drink alcohol.
What are the things to be careful about when taking medication?
- Medical tests: A blood test called HbA1C (A1C) is done every 2-3 months to check if your diabetes is under control. Attend clinics on time.
- Dizziness and alertness: This medicine may make you feel a little dizzy or your alertness may be reduced. So avoid driving or operating machinery until you know exactly how this affects you. Get up slowly, rather than standing up suddenly from sitting or standing.
- Blood Sugar Levels: It is important to learn how to check your blood sugar levels at home. Know the symptoms of low blood sugar (Hypoglycemia) and high blood sugar (Hyperglycemia) and how to deal with them.
- Hypoglycemia Preparation: If you have low blood sugar, use it, keep something with a little sugar nearby (e.g. sugar cubes, glucose tablets, toffee). But remember, if someone has a seizure or loses consciousness due to low blood sugar, do not put anything in their mouth, as it could choke. Take them to a hospital immediately.
- Lifestyle: Don't skip meals. Ask your doctor about alcohol consumption.
What are the possible side effects?
Like any medicine, bromocriptine can cause side effects in some people. Some of these can be serious, so it's important to be aware of them.
| Side effect | Description and what to do |
|---|---|
| Serious side effects that should be reported to your doctor immediately | |
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. Seek medical advice immediately. |
| Low blood pressure | Severe dizziness, fainting, blurred vision. Tell your doctor immediately. |
| Stroke | Sudden numbness or weakness in the face, arm or leg, difficulty speaking, confusion, difficulty walking, severe headache. Go to the Emergency Department (ETU) immediately. |
| Unusual behavioral changes | Strong urges to gamble, overeat, engage in sexual activity, or shop in ways you normally wouldn't. Tell your doctor right away. |
| Side effects that are usually not dangerous, but should be reported to the doctor if they persist | |
| Constipation | If it persists, talk to your doctor. |
| Diarrhea | If it persists, talk to your doctor. |
| Dizziness, fatigue, headache, nausea | These usually subside within a few days, but if they persist or bother you, tell your doctor. |
How do you store and dispose of medication?
Keep your medicines out of reach of children and pets, at room temperature (below 25 degrees Celsius). If you need to dispose of expired or no longer needed medicines, do not throw them in the trash or toilet. Instead, remove the medicines from their containers, mix them with something like used tea leaves, coffee grounds, or soil, put them in a bag, seal it well, and dispose of them with the trash. This will prevent children or pets from getting them.
Take-Home Message
- Bromocriptine is a medication used to treat type 2 diabetes. For best results, it should be used in conjunction with diet and exercise.
- Before starting this medication, tell your doctor about all your health information and other medications you are taking.
- Take the medicine at the same time every day, with food. Do not stop taking the medicine without your doctor's advice.
- Avoid driving until you know how the medicine affects you, as dizziness and decreased attention may occur.
- If you experience a severe side effect (allergy, loss of consciousness, stroke symptoms), seek medical advice immediately.
*Be aware of the symptoms of hypoglycemia and be prepared by keeping something with sugar nearby.


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