Skip to main content

BROMOCRIPTINE

BROMOCRIPTINE


BRAND NAME:-  PROCTINAL, SICRIPTIN,PARLODEL,1.25,2.5mg tabs, ENCRIPT 2.5,5mg tabs.



BROMOCRIPTINE is synthetic ergot derivative 2- bromo- alpha - ergocryptine is a potent dopamine agonist; most of its actions are based on this property. It has greater action on D2 receptors, while at certain dopamine sites in the brain it acts as a partial agonist or antagonist of D1 receptors. It is also a weak alpha adrenergic blocker but not an oxytocic .


PHARMACOKINETICS:-

Only ⅓ of an oral dose of bromocriptine is absorbed; bioavailability is further lowered by high first pass metabolism in liver . Even then ,it has higher oral: parenteral activity ration than ergotamine. Metabolites are excerted mainly in bile. Its plasma t½ is 3-6hours.


MECHANISM OF ACTION:- 

BROMOCRIPTINE has greater action on D2 receptors, while at certain dopamine sites in the brain it acts as a partial agonist or antagonist of D1 receptors. It is also a weak alpha adrenergic blocker but not an oxytocic.

• Decrease prolactin release from pituitary by activating dopaminergic receptors on lactotrope cells: is a strong antigalactopoietic .

• Increases GH release in normal individuals,but Decreases the same from pituitary tumors that cause acromegaly.

• Has levodopa like action in CNS — anti–parkinsonian and behavioral effects.

• Produces nausea and vomiting by stimulating dopaminergic receptors in the CTZ .

• Hypotension — dur to central suppression of postural reflexes and weak peripheral a adrenergic blockade.

• Decreases Gastrointestinal motility.


USED:-

Used in treatment of Hyperpolactinemia, Acromegaly, Parkinosonism, Diabetes mellitus (DM), Hepatic coma & 

Bromocriptine suppresses lactation and breast engorgement in case of neonatal death,but is not recommended due to unfavorable risk : benefit ratio 


SIDE EFFECTS:-

Are frequent and dose related.

EARLY:- Nausea, vomiting, constipation,nasal blockage. Postural Hypotension may be marked at initiation of therapy — syncope may occur if starting dose is High. Hypotension is more likely in patients taking antihypertensive.


LATE :- Behaviour alterations, mental confusion, hallucinations, psychosis —are more prominent than with levodopa.

Abnormal movement,livedo reticularis .



DOSE:-  Initially 1.25 mg once at night, increase as needed upto 5mg TDS . 

Comments

Popular posts from this blog

Chlorthalidone Uses, Side Effects, and More....

 Chlorthalidone  Brand name:- Hythalton 50,100mg , Hydrazide, Thalizide ( 12.5, 25) . Chlorthalidone is a diuretic which lowers blood pressure by removing extra water and certain electrolytes from the body. Over time it also relaxes blood vessels and improves blood flow. Pharmacodynamic:- Not 🚫 available.  Pharmacokinetics:- Chlortalidone is slowly absorbed from the gastrointestinal tract after oral ingestion. It has a long half-life and therefore a prolonged diuretic action, which results in continued diuretic effects despite a skipped dose. This prolonged action of chlortalidone despite missing doses may account for the higher efficacy of chlortalidone compared to the shorter half-life medication, hydrochlorothiazide. Chlortalidone is eliminated from the body mostly by the kidney, as unchanged drug. Thus, in persons with diminished kidney function, the clearance of chlortalidone is reduced and the elimination half-life is increased. As with other thiazide diuretics, ch...

Chlordiazepoxide Uses, Side Effects, and More

 Chlordiazepoxide Brand name:- Librium 10, 25 mg tabs; Equilibrium 10mg tab. Chlordiazepoxide is a benzodiazepine. It works by increasing the action of a chemical messenger (GABA) which suppresses the abnormal and excessive activity of the nerve cells in the brain. Pharmacodynamic:-  Chlordiazepoxide has antianxiety, sedative, appetite-stimulating and weak analgesic actions. The drug seems to block EEG arousal from stimulation in the brain stem reticular formation. The drug has been studied extensively in many species of animals and these studies are suggestive of action on the limbic system of the brain, which recent evidence indicates is involved in emotional responses. Hostile monkeys were made tame by oral drug doses which did not cause sedation. Chlordiazepoxide revealed a "taming" action with the elimination of fear and aggression. The taming effect of chlordiazepoxide was further demonstrated in rats made vicious by lesions in the septal area of the brain. The drug dos...

Know details about Dabigatran etexilate drug ?

 Dabigatran Etexilate