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BROMOCRIPTINE 1MG TABLETS
Active substance(s): BROMOCRIPTINE MESILATE
Read all of this leaflet carefully before you start
taking this medicine.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or
• This medicine has been prescribed for you. Do not
pass it on to others. It may harm them, even if their
symptoms are the same as yours.
• In this leaflet, Bromocriptine 1 mg & 2.5 mg Tablets
will be called Bromocriptine.
In this leaflet:
1. What Bromocriptine is for
2. Before you take Bromocriptine
3. How to take Bromocriptine
4. Possible side effects
5. How to store Bromocriptine
6. Further information
1. What Bromocriptine is for
Bromocriptine belongs to a group of medicines called
dopamine agonists and prolactin inhibitors.
It works by increasing the release of dopamine in the
brain, which treats diseases where you need more of this
substance. It also works by decreasing the release of
prolactin and growth hormone in the body, which treats
diseases where you need less of these substances.
Bromocriptine may be used for:
• Stopping breast milk production for medical reasons
only, and when you and your doctor have decided
that it is necessary. Bromocriptine should not routinely
be used to stop breast milk production. It should
also not be used to relieve symptoms of painful
breast engorgement after giving birth if these can be
adequately treated with non-medical means (such as
firm breast support, ice application) and/or a painkiller.
• Treating fertility and period problems usually caused by
not having the right amount of prolactin. This includes
polycystic ovary syndrome (reduces prolactin levels)
• Treating non-cancerous tumours in the brain called
prolactinomas (reduces prolactin levels)
• Treating diseases where too much growth hormone
is made, which causes people to be very tall or to
have large hands and feet. This is called acromegaly
(reduces growth hormone levels)
• Treating Parkinson’s Disease (increases dopamine
2. Before You Take Bromocriptine
Do not take Bromocriptine if:
• You are allergic to bromocriptine mesilate or other
ergot alkaloids such as ergotamine
• You are allergic to any of the other ingredients in
Bromocriptine (see Section 6)
• You have high blood pressure
• You have ever had blood pressure problems during
pregnancy or after giving birth, such as eclampsia,
pre-eclampsia, pregnancy-induced high blood
pressure, high blood pressure after giving birth
• You have, or have ever had, heart disease, or other
severe blood vessel disease
• You have, or have ever had, fibrotic reactions (scar
tissue) affecting your heart
• You have, or have ever had, serious mental health
• You are breast-feeding.
If any of the above applies to you, talk to your doctor or
Warnings and precautions
Talk to your doctor before taking Bromocriptine if
• You have just given birth as you may be more at risk
of certain conditions. These are very rare but may
include high blood pressure, heart attack, convulsions,
stroke or mental problems. Therefore your doctor will
need to check your blood pressure regularly during
the first days of treatment. Speak immediately to your
doctor if you experience high blood pressure, chest
pain or unusually severe or persistent headache, with
or without vision problems.
• You have, or have ever had stomach ulcers and
• You have liver disease
• You have, or have ever had a condition called fibrosis.
Fibrosis causes thickening and stiffening of the heart,
lungs and abdomen which can stop them working
properly. Before you are given Bromocriptine your
doctor will check that your heart, lungs and kidneys
are in good condition. The doctor may also do an
ultrasound (an echocardiogram) of your heart for
check for scar tissue
• You are pregnant or planning to become pregnant. If
so, tell your doctor immediately
• You have recently given birth, had a miscarriage or an
• You have premenstrual problems or non-cancerous
• You have a non-cancerous tumour. You may need a
full medical check-up first.
Do not give Bromocriptine to children under 7 years old.
Take special care with Bromocriptine
Tell your doctor if you or your family/carer notices that
you are developing urges or cravings to behave in ways
that are unusual for you and you cannot resist the
impulse, drive or temptation to carry out certain activities
that could harm yourself or others. These are called
impulse control disorders and can include behaviours
such as addictive gambling, excessive eating or
spending, and abnormally high sex drive or an increase in
sexual thoughts or feelings. Your doctor may need to
adjust or stop your dose.
Tell your doctor if you are taking any of the
• Any medicine used to change your blood pressure,
such as diuretics (‘water tablets’), beta-blockers,
calcium channel blockers or ACE inhibitors
• Ergot alkaloids such as ergometrine (used to stop
blood loss after giving birth) and ergotamine tartrate
(used to treat migraines). This is especially important if
you have just given birth or had an abortion
• Erythromycin or any other macrolide antibiotics (used
to treat infections)
• Azole anti-fungals (used to treat fungal infections)
• Protease inhibitors (used to treat HIV)
• Octreotide (used to treat growth disorders)
• Antipsychotics such as phenothiazines, butyrophenones,
thioxanthenes (used to treat mental disorders)
• Metoclopramide and domperidone (used to stop you
feeling and being sick)
• Any other medicine, including medicines obtained
without a prescription.
Taking Bromocriptine with food and drink
You must take this medicine with a meal.
Avoid drinking alcohol as it may make the side effects of
this medicine worse.
Pregnancy and breast-feeding
Tell your doctor if you are pregnant or are planning to
You must not breast-feed. This medicine stops or slows
down your breasts making milk.
Remember: Taking this medicine may increase or bring
back your chances of getting pregnant. If you do not
wish to get pregnant, ask your doctor for advice.
Driving and using machines
You must not drive or operate machines if you feel dizzy
or faint. This may mean you have low blood pressure.
This is most likely to happen in the first few days. You
may also feel very tired or suddenly fall asleep during
the day whilst taking this medicine, if this happens you
should not drive.
Warnings about the ingredients in Bromocriptine
This medicine contains lactose which is a type of sugar.
If you have been told by your doctor that you have an
intolerance to some sugars, contact your doctor before
taking this medicine.
3. How To Take Bromocriptine
Always take Bromocriptine exactly as your doctor has
Your doctor will choose the dose that is right for
you. The dose will be shown clearly on the label
that your pharmacist puts on the medicine. If it
does not, or you are not sure, ask your doctor or
Remember: Always take this medicine with a meal.
Adults and Children between 7 and 17 years old:
For most diseases, your doctor will start you or your child
on a low dose of Bromocriptine, and then gradually
increase the dose as necessary. This will help the body
adjust to the new medicine and stop you or your child
from getting so many side effects. You should always
follow the advice of your doctor about increasing the
dose of the medicine.
As the dose changes, the tablets may need to be taken
together to get to the right dose. You may also need to
break the tablets in half along the line down the middle.
Your doctor or pharmacist will tell you how to do this.
The maximum dose for children aged 7-12 years is 5 to
10 mg, depending on the condition they are being
treated for. The maximum dose for children aged 1317 years is 20 mg.
If you are a woman, your doctor will advise you when in
your menstrual cycle you should start to take this medicine.
Typopharma # 117507
Patient Information Leaflet
Patients with liver problems:
Your doctor will tell you how much to take.
When you are taking this medicine, your doctor may ask
you to come for check-ups which may include:
• An ultrasound of your heart (an echocardiogram). This
is to ensure that your heart is working properly and to
check for fibrotic reactions. If fibrotic reactions occur,
your doctor may stop your treatment with Bromocriptine
• Blood pressure checks. This is important when you
first start to take this medicine
• If you are a woman and you have been taking
Bromocriptine for a long time you may have six
monthly gynaecological exams and cervical smear tests
• Eye sight checks
• If you are taking Bromocriptine for a disease involving
a tumour, the size, shape and type of tumour may be
If you take more Bromocriptine than you should
Do not take more Bromocriptine than you should. If
you accidentally take too much of your medicine,
immediately tell your doctor or go to the nearest hospital
casualty department. Taking too much Bromocriptine
may make you feel or be sick, have a fever or become
• Swelling of the ankles
• Disturbed or blurred vision
• Watery discharge from your nose
• Ringing in your ears.
Very rare side effects
(affect less than 1 in 10,000 people):
• Heart valve disorders such as inflammation or leaking
of fluid in the heart - these may cause difficulty
breathing, chest pains, weakness and swelling of the
legs and ankles
• Extreme drowsiness during the day or falling asleep
• Pale or white fingers and toes, caused by cold
You may experience the following side effects:
Inability to resist the impulse, drive or temptation to
perform an action that could be harmful to you or others,
which may include:
• strong impulse to gamble excessively despite serious
personal or family consequences
• altered or increased sexual interest and behaviour of
significant concern to you or to others, for example, an
increased sexual drive
• uncontrollable excessive shopping or spending
• binge eating (eating large amounts of food in a short
time period) or compulsive eating (eating more food than
normal and more than is needed to satisfy your hunger)
Tell your doctor if you experience any of these
behaviours; they will discuss ways of managing or
reducing the symptoms.
If you forget to take Bromocriptine
Do not take a double dose to make up for a forgotten
dose. Simply take the next dose as planned.
If you have just given birth you may be more at risk of
certain conditions. These are very rare, but may include
high blood pressure, heart attack, convulsion, stroke or
If you stop taking Bromocriptine
It is important to talk to your doctor if you want to stop
taking your medicine. If you stop suddenly, you may get
withdrawal symptoms including confusion, a reduced
attention span and stiffness.
If you have any further questions about taking this
medicine, ask your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist
or nurse. This includes any possible side effects not listed
in this leaflet. You can also report side effects directly via
the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard
By reporting side effects you can help provide more
information on the safety of this medicine.
4. Possible Side Effects
5. How To Store Bromocriptine
Like all medicines, Bromocriptine can cause side effects,
although not everybody gets them.
Seek immediate medical help if you have any of
the following symptoms:
• You have a headache which does not go away,
or is severe
• You get any problems with your eyesight after
• You feel faint, dizzy or have blurred vision
• You have blood in your stools. They may look
black and tarry
• You vomit blood or dark particles that look like
• You have severe pains in your stomach
• You have difficulty breathing, shortness of
breath, swollen legs, chest or back pain.
Keep out of the reach and sight of children.
Do not use Bromocriptine after the expiry date stated on
the label or carton. The expiry date refers to the last day
of that month.
Store the tablets below 25°C in the original package in
order to protect from light.
Medicines should not be thrown away in waste water or
in household waste. Return any medicine you no longer
need to your pharmacist.
Common side effects
(affect less than 1 in 10 people):
• Feeling and being sick
• Blocked nose.
Uncommon side effects
(affect less than 1 in 100 people):
• Confusion or hallucinations
• Dry mouth
• Dizziness or light-headedness upon standing which
may cause you to collapse (you may have low blood
• Leg cramps
• Itchy, red or swollen skin
• Hair loss
Rare side effects
(affect less than 1 in 1000 people):
• Extreme drowsiness
• Insomnia (trouble sleeping)
• Pins and needles
• Mental health problems
• Inability to pass water and back pain
• Irregular heart beat including an abnormally slow or
fast beating of the heart
• Lung problems that may cause difficulty breathing, a
shortness of breath, pain when you breath in, or a
cough that doesn’t go away
Bromocriptine Tablets come in two strengths: 1 mg
and 2.5 mg:
• Each 1 mg tablet contains 1 mg bromocriptine
mesilate. Each 2.5 mg tablet contains 2.5 mg
• The tablets also contain lactose, maize starch,
disodium edetate, maleic acid, colloidal anhydrous
silica, and magnesium stearate.
6. Further Information
What Bromocriptine contains
The active substance in Bromocriptine is bromocriptine
What Bromocriptine looks like
Bromocriptine 1 mg Tablets are round, white and marked
with a break line on one side and ‘1 MG’ on the other side.
The tablets come in an amber glass bottle containing
30 or 100 tablets.
Bromocriptine 2.5 mg Tablets are round, white and
marked with a groove on one side and ‘2.5 MG’ on the
other side. The tablets come in a blister strip containing
30 tablets or in an amber glass bottle containing 100 or
Not all pack-sizes are marketed.
Marketing Authorisation Holder:
Meda Manufacturing GmbH, Neurather Ring 1,
51063 Cologne, Germany.
This leaflet was last updated March 2015.
If this leaflet is difficult to see or read or you would like it in a different format,
please contact Beechmere Pharmaceuticals Ltd.
Merlin Place, Milton Road, Cambridge, CB4 0DP, UK.
If you are elderly, your doctor may suggest you take a
slightly lower dose than the usual adult dose. This is
because you are more likely to have kidney, liver and
heart problems or be taking other medicines, which will
change how well Bromocriptine works.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.