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Re: Cheaper substitutes to pramipexole (mirapex) ?

Posted by Quintal on October 8, 2007, at 9:24:42

In reply to Re: Cheaper substitutes to pramipexole (mirapex) ?, posted by Amigan on October 8, 2007, at 7:57:37

I haven't heard many people use bromocriptine for psych purposes, but the few I have rated it as being quite poor in terms of mood and adverse effects.

Also, this note in the BNF seem to suggest that bromocriptine is in the same class as pergolide, so I'd recommend trying Agnus Castus first.
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Fibrotic reactions

The CSM has advised that ergot-derived dopamine receptor agonists, bromocriptine, cabergoline, lisuride [discontinued], and pergolide, have been associated with pulmonary, retroperitoneal, and pericardial fibrotic reactions. Before starting treatment with these ergot derivatives it may be appropriate to measure the erythrocyte sedimentation rate and serum creatinine and to obtain a chest X-ray. Patients should be monitored for dyspnoea, persistent cough, chest pain, cardiac failure, and abdominal pain or tenderness. If long-term treatment is expected, then lung-function tests may also be helpful.
http://www.bnf.org/bnf/bnf/54/129827.htm?q=%22dopamine%22%22agonists%22
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Q


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poster:Quintal thread:787211
URL: http://www.dr-bob.org/babble/20070929/msgs/787825.html