Bromocriptine-KV

When the mother stops feeding the baby, lactation can continue for some time. Excess milk accumulates in the breasts and causes discomfort. In addition, stagnation of milk leads to the development of lactostasis. In addition, the completion of lactation is sometimes, on the contrary, necessary to wean the baby from the breast.

Interruption of breastfeeding is also necessary in case of some diseases of a woman, especially in case of acute infections. Today, there are many means to complete lactation, including medications.

Bromocriptine is a popular and affordable drug that suppresses lactation and stabilizes the menstrual cycle after childbirth. Let us immediately note that the drug causes a number of serious side effects and does not always have positive reviews. Let's figure out when you can take Bromocriptine to stop lactation.

Application

• To wean a child off breast milk and switch to adult food;
• After weaning the baby, if milk continues to be produced;
• Miscarriage in the last months of pregnancy;
• In case of severe illnesses of the nursing mother (mastitis, tuberculosis, etc.);
• A malignant tumor in the mother;
• Lactase deficiency in infants;
• Hormonal infertility in women.

special instructions

Experts warn that this medication is taken with extreme caution for chronic diseases, which include:

1. Stomach ulcer.
2. Parkinson's disease.
3. Internal bleeding.

In the first days of use, almost everyone experiences pressure changes, so it is worth measuring blood pressure at least three times a day and recording the readings. In case of serious disturbances in the functioning of the body, it is better to stop using it. If there are no special health problems, and the menstrual cycle goes without interruptions, then you are allowed to take the medication for a long time.

Women decide to stop lactation for various reasons. For some, breast milk disappears on its own, while others have to resort to taking medications. A completely healthy woman may not worry about side effects, and those who are prescribed this medicine due to illness should strictly follow the recommendations of their doctor.

At the beginning of treatment, to prevent vomiting and nausea, it is recommended to prescribe antiemetic medications 1 hour before taking Bromocriptine. Regular monitoring of indicators of the functional state of the liver system and blood pressure levels is required.

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The drug affects the performance of complex activities, driving, and concentration.

During treatment, the process of resumption of ovarian function after delivery may accelerate, which the attending doctor must warn the patient about in order to exclude early postpartum conception.

Bromocriptine is not prescribed for the treatment of acromegaly with concomitant peptic ulcer of the digestive tract. The attending physician should explain to patients the need to inform the doctor and notify medical personnel if various disorders of the gastrointestinal tract occur. During the treatment period, careful oral care is required. If you experience dryness in the mouth that does not stop for more than 2 weeks, you should consult a doctor.

Pills are often used in bodybuilding as a fat burner. They reduce appetite and increase libido. However, it should be remembered that medications should be used only for their intended purpose and after consulting a doctor in order to avoid negative consequences.

Composition, action and rules of administration

The drug contains parasitic fungi called ergot. This is a natural component that affects hormonal levels and reduces the amount of prolactin. This hormone is responsible for the production of breast milk. A decrease in prolactin levels will also lead to a decrease in lactation.

Reviews show that Bromocriptine is quite effective. Already on the third or fourth day the milk disappears. However, it requires a long course of administration over two weeks. While other drugs with similar effects can be taken for less than a week. With sufficient effectiveness, Bromocriptine has an affordable price - 350 rubles.

Please note that ergot is a poisonous mushroom, which can cause a negative reaction if consumed for a long time. In addition, the initial intake stops milk production. However, when taken for more than four weeks, lactation sometimes returns!

Tablets for stopping lactation Bromocriptine are prescribed only by a doctor! Self-medication can aggravate the situation and lead to illness.

Consult your doctor so that he can formulate the correct dosage regimen. As a rule, to stop lactation you need to take one tablet with meals, twice a day for 14 days. In case of premature birth and abortion, so that lactation does not begin, the medicine is taken four hours after the procedure.

Indications for use of Bromocriptine

According to the instructions, Bromocriptine is prescribed for the treatment of:

• Female infertility;
• Menstrual irregularities;
• Oligomenorrhea;
• Prolactin-dependent diseases and conditions, which are accompanied or not accompanied by hyperprolactinemia;
• Secondary hyperprolactinemia, which is associated with taking certain medications;
• Luteal phase deficiency;
• Polycystic ovary syndrome;
• Prolactin-independent female infertility;
• Premenstrual syndrome, manifested by swelling, tenderness of the mammary glands, mood disturbances, flatulence;
• Anovulatory cycles (usually as additional therapy with antiestrogens);
• Prolactin-dependent hypogonadism, including lack of libido, oligospermia, impotence;
• Hyperprolactinemia in men;
• Beginning postpartum mastitis;
• Prolactin;
• Mastalgia with or without premenstrual syndrome;
• Benign diseases of the mammary glands;
• Benign nodular or cystic changes, especially fibrocystic mastopathy;
• Mastalgia with benign nodular or cystic changes in the gland.

In addition, the use of Bromocriptine is effective for stopping lactation and reducing postpartum engorgement of the mammary glands.

The medication is prescribed during preoperative preparation to reduce the volume of the tumor, during postoperative treatment in cases where prolactin levels remain elevated.

Bromocriptine is used in the treatment of acromegaly as an additional agent in complex therapy simultaneously with radiation and surgical treatment and at all stages of idiopathic Parkinson's disease and postencephalitic parkinsonism (as monotherapy or in combination with other antiparkinsonian medications).

Also, the use of Bromocriptine to stop lactation is effective after an abortion (both for prevention and for suppressing postpartum lactation for medical reasons).

Contraindications and side effects

Bromocriptine greatly changes hormonal levels. Therefore, before use, be sure to consult a doctor and carefully read the instructions.

The main contraindication is individual hypersensitivity to the components of the drug. In addition, the tablets should not be taken by women with heart and vascular diseases, liver failure and mental disorders. Bromocriptine is also not recommended for use in patients with liver cirrhosis.

By-effect:

• Dizziness and headaches;
• Vomit;
• Fatigue and weakness;
• Loss of concentration;
• Dry mouth;
• Constipation;
• In case of overdose: convulsions and fainting, blurred vision, hallucinations and psychosis.

Long-term use of the medicine for more than two weeks causes paleness and white spots on the skin during cold weather. Side effects disappear after reducing the dosage or completely stopping the drug. However, if a negative reaction occurs, it is better to consult a doctor.

There are a number of other medications that reduce or stop lactation.

Side effects of drugs to suppress lactation

It should be understood: you can resort to stopping lactation with the help of medications only on strict medical advice, and not on the advice of a friend. The modern pharmaceutical industry produces a number of drugs that have a depressing effect on the lactation process.

Drugs to suppress lactation can be purchased at a pharmacy with a doctor's prescription. Independent choice of medication is unacceptable due to the numerous side effects of the tablets.

When taking pills that cause cessation of lactation, you should not forget about the side effects of the drugs:

• allergic manifestations;
• dizziness;
• depression and depression;
• pressure changes;
• nausea and vomiting;
• headache;
• hormonal disbalance.

Bromocriptine is the gold standard used when prolactin suppression is required. The experience of its use in medicine is about 40 years. It has established itself as an effective means of stopping lactation.

Its advantage lies in the possibility of temporarily suppressing the production of breast milk and subsequently resuming natural feeding. A common reason for taking Bromocriptine is the continuation of milk production upon completion of breastfeeding, in these cases the use of the drug is also justified.

At the same time, the product has a corrective effect in case of a disturbed menstrual cycle, if the reason lies in the increased synthesis of prolactin in the body. It is ineffective for other forms of infertility.

Like any other medicine, Bromocriptine is not a harmless drug. It has been proven that a lot of side effects may occur when taking it. The easiest and most common are:

• reduced blood pressure;
• dizziness;
• nausea;
• vomit;
• weakness and fatigue.

These manifestations do not require discontinuation of therapy, but it is recommended to use an antiemetic an hour before taking Bromocriptine and monitor your blood pressure. The severity of symptoms will decrease after a few days.

With more serious doses of the drug, side effects from the psyche cannot be excluded: hallucinations and psychoses. In large quantities, taking the drug can lead to visual and muscle disorders, cramps, and constipation. In these cases, it is recommended to reduce the dosage.

Patients prone to allergic reactions should not forget about the possibility of a negative reaction to the components of the drug in the form of skin rashes.

There are a number of limitations and features in complex therapy that are worth remembering when using Bromocriptine:

• The consumption of alcohol-containing drinks is prohibited. Otherwise, a negative reaction from the body will follow in the form of increased heart rate, nausea, vomiting, chest and head pain, weakness;
• the drug enhances the effect of medications that reduce blood pressure. It is worth consulting a doctor to adjust dosages;
• Bromocriptine reduces the effectiveness of oral contraceptives. It is recommended to additionally use barrier contraception;
• in case of pregnancy, Bromocriptine should be discontinued, unless the benefit of the drug for the mother is greater than the potential harm to the fetus. During the first two months of pregnancy, the harmful effects are zero and there are no abortive risks;
• during lactation should be used with caution and under medical supervision, since the drug passes into breast milk.

It is strictly forbidden to drink alcohol while taking Bromocriptine.

Bromocriptine is not the only drug that can suppress lactation. The most famous functional analogue of the drug is Dostinex. When choosing a medication and the required dosage, you must consult your doctor.

In some cases, the use of Bromocriptine may cause the following side effects:

• From the central nervous system: headaches, dizziness (usually occurs in the first week of therapy), psychomotor agitation, decreased visual acuity, drowsiness, dyskinesia, hallucinations;
• From the digestive system: diarrhea, nausea and vomiting, constipation, liver dysfunction, dry mouth;
• From the cardiovascular system: arrhythmia, orthostatic hypotension; with long-term use, in some cases - Raynaud's syndrome (especially in predisposed patients);
• Allergic reactions: skin rash;
• Other: cramps in the calf muscles, nasal congestion.

With simultaneous use of Bromocriptine with oral contraceptives, the level of prolactin in the blood plasma increases. The drug should not be prescribed together with other ergot alkaloids.

Bromocriptine enhances the effect of antihypertensive drugs and levodopa. The effectiveness of treatment may be reduced when combined with tricyclic antidepressants (amitriptyline, imipramine) or dopamine agonists (butyrophenones, phenothiazines).

Phenothiazines, monoamine oxidase inhibitors, thioxanthines, furazolidone, reserpine, loxapine, metoclopramide, methyldopa increase the level of bromocriptine in the blood plasma and increase the risk of side effects.

When combining bromocriptine with ritonavir, it is recommended to reduce the dose of the former by 50%. The combination of the drug with sympathomimetics can provoke attacks of severe headaches and increased blood pressure.

The maximum plasma concentration of bromocriptine and its bioavailability are increased when the drug is combined with octreotide, erythromycin, clarithromycin and josamycin.

Bromocriptine increases the blood concentration of drugs that are metabolized by the CYP3A4 isoenzyme. Caution should be exercised when combining bromocriptine with drugs with a narrow therapeutic index, especially those that prolong the QT interval (for example, terbinafine, imipramine, amiodarone).

The combination of ethanol with bromocriptine can lead to the development of disulfiram-like reactions, expressed in convulsive seizures, weakness, chest pain, decreased visual acuity, hyperemia, throbbing headache, reflex cough, nausea, vomiting.

Tablets to stop lactation

(Parnodel) Reduces milk production and normalizes menstruation, contains ergot Requires a long course of treatment (2 weeks) Dizziness, nausea and vomiting, abdominal pain, high blood pressure 330 rubles (30 tablets)

Microfolly

(Cyclo-

proginova)

A hormonal drug containing estrogen helps not only against lactation, but also against acne; can be taken from the first day after birth Has average effectiveness, the course is 9 days Rarely headache, vomiting and nausea, swelling, chest pain and fatigue 760 rubles (21 tablets)

Overdose

Bromocriptine is available in the form of 2.5 mg tablets (10, 20, 30, 40, 50, 60 or 100 pieces in blister packs or polymer containers).
The active ingredient of the drug is bromocriptine.

The exact dosage and duration of therapy are determined individually.

Tablets are taken orally at 1.25-2.5 mg 2-3 times a day.

The daily dose of the drug can be gradually increased:

• For prolactinoma, male hypogonadism, acromegaly, benign diseases of the mammary glands - up to 5-20 mg;
• For parkinsonism - up to 10-40 mg.

If adverse reactions occur during dose selection, it is necessary to reduce the daily dose of Bromocriptine and maintain it at this level for a week. If side effects disappear, the dose can be increased again.

Symptoms of overdose include hallucinations, clouded consciousness, headache, drowsiness, nausea, vomiting, chest pain, cold extremities, rapid heartbeat, weak pulse, changes in blood pressure (most often a decrease).

In this case, symptomatic therapy is recommended. During the first 3 hours after taking Bromocriptine, it is necessary to rinse the stomach and take activated charcoal in order to reduce the absorption of the drug from the gastrointestinal tract.

Shelf life – 3 years, store in a dry, dark place, at a temperature of 2-8 °C. Keep away from children.

Dispensed by prescription.

Numerous reviews of Bromocriptine prove the effectiveness of the drug. Patients report a decrease in prolactin levels, rapid cessation of lactation, and disappearance of breast lumps. The drug has helped many breastfeeding women stop the production of breast milk, but there are reports that it has not helped all patients. Some patients speak negatively about Bromocriptine due to frequent and severe side effects.

The approximate price for Bromocriptine in pharmacies is 188–287 rubles (package includes 30 tablets).

Dostinex is a pharmaceutical brand of the famous American company Pfizer with the active ingredient cabergoline. Available in tablets with a dosage of 0.5 mg, 2 or 8 tablets per package. The drug is prescribed by doctors for many diseases associated with increased levels of prolactin, a lactotropic hormone of the pituitary gland.

The mechanism of action of the drug is the direct effect of cabergoline on the receptors of the lactotropic cells of the pituitary gland. There is an effective and long-term decrease in prolactin in the blood plasma.

The regimen for taking Dostinex tablets and the duration of the course is determined by the doctor. Typically, the following treatment is prescribed to stop lactation: half a tablet, which is 0.25 mg, is taken every 12 hours. The course of treatment is 2 days.

There are many ways to reduce lactation that our mothers and grandmothers used. Many of them have lost their relevance and can even harm women’s health, such as tight constriction of the mammary glands. You should pay attention to some tips and use them without any health risks.

The property of sage and mint leaves to cause the extinction of lactation has long been known.

Pour 1 tablespoon of sage (without a slide) into a glass of boiling water. Insist. Daily intake: 1-2 glasses of tea.

Steam mint leaves (5 g - a heaping teaspoon) with a glass of boiling water and leave. Drink during the day.

Herbal teas are gentle and gradually reduce milk production.

Reviews about tablets and methods that suppress lactation are different. Some mothers prefer time-tested folk recipes, others resort to pharmaceutical drugs. Here are some reviews.

Recommendations for taking medications

• Take the pills no earlier than six months after the start of lactation. This reduces the risk of side effects. The drug is easier to digest and has less effect on the woman’s body and hormonal levels;
• Stop breastfeeding after the first pill. Since many drugs are incompatible with lactation and negatively affect the composition of milk;
• Most often, tablets to complete lactation cannot be taken together with antibiotics and some other drugs, as well as oral contraceptives. Read the instructions carefully!;
• If you are planning a new pregnancy, you should stop taking Dostinex and Bromocriptine at least a month before conception. Please note that it is possible to become pregnant during lactation!;
• Dostinex and Bromocriptine are not compatible with alcoholic beverages. Even a small dose of alcohol together with taking these drugs will lead to severe pain in the stomach and kidneys.

Possible adverse reactions and overdose

Incorrect dosage or intolerance to the active component can provoke negative reactions. The most common side effects are:

1. Nausea.
2. Headache/dizziness.
3. Dry mouth.
4. Rashes on the skin.
5. Visual impairment.
6. Hallucinations.
7. Increased sleepiness.

Side effects and drug interactions

Rare side effects also include:

• nasal congestion;
• leg cramps;
• caries.

When using drugs for a long time, confusion may occur and gastrointestinal bleeding may occur. There is also loss of appetite, general malaise, and increased urge to urinate. If adverse reactions occur after taking the drug, you must stop the course of treatment and inform your doctor.

Improper use or excessive use may result in overdose. Among the most common signs of overdose are a sharp decrease in blood pressure and attacks of severe pain in the head. In some cases, patients experience hallucinations. If you suspect an overdose, you must inform your doctor and take the patient to a medical facility.

Alternative remedies

Bromocriptine and many other anti-lactation drugs greatly affect the state of a woman’s hormones, which disrupts the functioning of the endocrine system and leads to the appearance of certain diseases. If you do not have an urgent need to interrupt lactation, wean your baby gradually.

You can start complementary feeding from 5-7 months if the child is completely breastfed. And for 3-4 months with mixed or artificial feeding. How and when to stop breastfeeding, read here.

In addition, there are traditional methods for reducing lactation. An infusion of sage, lingonberries, basil, jasmine and simple garden parsley helps well. Remember not to bandage or bandage your chest! Dragging will lead to stagnation of milk, the appearance of lactostasis and mastitis.

To stop feeding, put your baby to the breast less often and replace breastfeeding with complementary foods.
Stop night feedings. And how to stop lactation with the help of folk remedies and medicines, read the link. Subscribe to our VKontakte group

Contraindications

Instructions for use of Bromocriptine recommend prescribing the medication for prolactin-dependent conditions and diseases: amenorrhea (including against the background of galactorrhea), luteal phase insufficiency, oligomenorrhea, drug-induced hyperprolactinemia (the effect of antihypertensive and psychoactive substances). The drug is prescribed for prolactin-independent female infertility: anovulatory cycles (in addition to treatment with antiestrogens), polycystic ovary syndrome.

In premenstrual syndrome, the drug is prescribed for soreness of the mammary glands, swelling caused by a certain phase of the menstrual cycle, mood disorders, and flatulence. Bromocriptine is indicated for hyperprolactinemia in males: prolactin-dependent hypogonadism (loss of libido, oligospermia, impotence).

For prolactinomas, the medication is prescribed as part of complex therapy for prolactin-secreting macro- and microadenomas in the pituitary gland; in the preoperative period in order to reduce the volume of the tumor, which makes its subsequent removal easier. In the postoperative period, Bromocriptine is used for high prolactin levels. For acromegaly, the medication is prescribed in special cases as an alternative to radiation therapy or surgery.

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The drug suppresses lactation, which allows it to be used to stop or prevent postpartum lactation after an abortion, with postpartum mastitis, for medical reasons, with postpartum engorgement of the mammary glands. Bromocriptine is prescribed for benign pathology of the mammary glands: fibrocystic mastopathy, cystic and nodular changes of a benign nature, mastalgia.

The drug is indicated for Parkinson's disease (all stages of postencephalitic parkinsonism and idiopathic Parkinson's disease).

Bromocriptine is not prescribed for arterial hypertension in the postpartum period, for gestosis, intolerance to the active substance, diseases of the cardiovascular system, Gettington's chorea, familial tremor, hypotension, endogenous psychoses, ulcerative diseases of the digestive tract, liver pathology, essential tremor.

During the period of antihypertensive therapy, during breastfeeding, parkinsonism with signs of dementia, and during pregnancy, Bromocriptine is prescribed with caution.

Tablets are prescribed orally, during meals; per day no more than 100 mg.

For female infertility, menstrual irregularities - 2-3 times a day, 1.25 mg; if ineffective, the amount of medication is increased to 5-7.5 mg per day (multiplicity - 2-3 times). Therapy is carried out until ovulation is completely restored or until the menstrual cycle normalizes. To prevent relapses, treatment may include several consecutive cycles.

For premenstrual syndrome, the medicine is prescribed on the 14th day of the menstrual cycle at a dose of 1.25 mg. Before the onset of menstruation, the amount of the drug is gradually increased to 5 mg per day.

For hyperprolactinemia in males, the medication is prescribed 2-3 times a day, 1.25 mg, with a gradual increase to 5-10 mg per day. For prolactinomas: 2-3 times a day, 1.25 mg until an adequate reduction in the level of prolactin in the blood is achieved.

For acromegaly, the initial treatment regimen includes three doses of the drug at a dose of 1.25 mg; in the future it is possible to increase to 20 mg.

To suppress lactation on the first day, Bromocriptine is prescribed twice, 1.25 mg, then 2.5 mg 2 times a day for two weeks. To stop the lactation process, the drug is prescribed several hours before abortion or childbirth. A slight secretion of milk is possible 2-3 days after discontinuation of the medication.

Bromocriptine is taken in a dose of 2.5 mg for postpartum breast engorgement; The procedure can be repeated after 6-12 hours if necessary.

When postpartum mastitis begins, the treatment regimen is identical to that for suppressed lactation; an antibiotic is additionally prescribed.

For benign diseases of the mammary glands, Bromocriptine is taken three times a day, 1.25 mg, with a gradual increase in the daily dose to 5-7.5 mg.

In Parkinson's disease, ensuring optimal tolerability of the medication is achieved by prescribing the minimum dosage on the first day - 1.25 mg. The amount of the drug is gradually increased, an adequate therapeutic effect is achieved after 6-8 weeks. In the absence of the required effect, it is possible to increase the daily amount of medication to 2.5 mg per day.

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In patients with movement disorders characteristic of taking levodopa, it is recommended that the dose of levodopa be reduced when treated with bromocriptine. In this way, complete withdrawal of levodopa can be achieved.

The instructions for Bromocriptine Richter and Bromocriptine KV are similar.

In a dark place, out of reach of children, at a temperature of no more than 30 degrees Celsius.

No more than three years.

It is necessary to take Bromocriptine strictly according to the instructions and take into account special recommendations from specialists. To ensure that the milk is completely removed, 5 mg per day is prescribed - 2 tablets. It is better to divide this dose into two doses: morning and evening. Let's consider the courses of treatment taking into account the characteristics of the diseases:

1. Miscarriage or dead baby - after 5 hours. Take – 1 week.
2. Mastitis – as soon as the diagnosis is made. Take for 2 weeks.
3. Viral and infectious diseases - as soon as the diagnosis is established. Take 1 month.

Remember to express breast milk while using this medication. Do not empty your breasts completely. Carry out this procedure only if there is a lot of milk. Some doctors also prescribe this substance if a woman in labor has a large excess of milk. Overdose is dangerous. Headache, nausea, drop in blood pressure and even hallucinations may occur. Therefore, exceeding the dose without medical permission is prohibited.

Important! The tablet should be taken with plenty of liquid.

Healthy mothers, when completing breastfeeding, begin to independently look for auxiliary medications. In this case, you need to familiarize yourself with the contraindications and side effects of this medication:

1. Low blood pressure. In this case, it is strictly forbidden to take the drug without medical supervision.
2. For arrhythmia or after a heart attack.
3. Irregular heart rhythm or blockage of blood vessels.
4. For spasms of peripheral vessels.
5. Diseases of the gastrointestinal tract.

Contraindications also include any mental disorders and taking antidepressants. You should not drive because Bromocriptine has a sedative effect on a woman’s body. If the substance is incompatible, it can be replaced with an analogue - Dostinex.

How does an abrupt cessation of lactation affect the baby and the mother?

First, let's talk about how abrupt cessation of lactation can affect a baby.

For your baby, such an event will be a real test. An abrupt weaning will cause him stress.

The need to suck is very strong until the age of 2 years. After all, this is calming, nutrition, communication with mom. Read more in the article Until what age should you breastfeed your baby>>>

Near the mother's breast, the baby feels safe, warm and comfortable.

An abrupt cessation of feeding has a huge impact on the baby’s entire subsequent life, as his basic trust in the world is violated.

As a result, the baby's trust in his mother may be violated. He will be nervous and offended, not understanding why he was deprived of his mother's milk. Also, a sudden cessation of lactation can greatly harm your health.

Never bandage or bandage your breasts! This will lead to stagnation of milk, lactostasis and mastitis will appear. Read a detailed article about lactostasis in a nursing mother>>>

How does it affect breast milk production?

Satisfied women note that after 3-4 days no milk is produced. Bromocriptine is one of the most effective medications that helps solve this problem. To achieve a positive result, long-term use is required for 10-14 days.

Ergot is considered a poisonous mushroom. Taking the drug for more than the specified period leads to negative consequences for the body. If a woman adheres to the recommended intake, milk production stops. A long course of treatment for a month or more contributes to the return of lactation.