Bromolac 2.5mg Tablet 15pcs

Uses of Bromolac 2.5

• High levels of prolactin
• Female infertility
• Acromegaly

How does Bromolac 2.5 work?

Bromolac 2.5 works by inhibiting the production of prolactin, reducing symptoms associated with high prolactin levels like excessive breast milk production, infertility, and abnormal growth. Additionally, it treats Parkinson’s disease by replenishing dopamine levels in the brain.

Side Effects of Bromolac 2.5

• Headache
• Dizziness
• Nausea
• Vomiting

Useful Diagnostic Tests for Bromolac 2.5 Treatment

When considering treatment with Bromolac 2.5 (Bromocriptine), it is essential to monitor various hormonal and metabolic parameters to ensure efficacy and safety. Here are some useful diagnostic tests:

Anti-Mullerian Hormone (AMH):

• Purpose: To evaluate ovarian reserve in women, particularly in cases of infertility.
• Relevance: Helps in assessing reproductive health and monitoring response to treatments that affect hormone levels.

Glycosylated Hemoglobin (HbA1c):

• Purpose: To measure average blood sugar levels over the past 2-3 months.
• Relevance: Important for patients with diabetes or insulin resistance, which can be influenced by Bromocriptine.

Growth Hormone:

• Purpose: To assess growth hormone levels, especially in cases of acromegaly.
• Relevance: Bromocriptine can reduce excess growth hormone production in acromegaly patients.

Insulin-Like Growth Factor 1 (IGF-1):

• Purpose: To evaluate growth hormone activity and diagnose acromegaly.
• Relevance: Helps monitor the effectiveness of Bromocriptine in reducing growth hormone levels.

Prolactin:

• Purpose: To measure prolactin levels in the blood.
• Relevance: Bromocriptine is used to treat conditions caused by high prolactin levels, such as prolactinomas, galactorrhoea, and infertility.

Testosterone Total:

• Purpose: To measure total testosterone levels in men and women.
• Relevance: Important for evaluating hormonal balance and diagnosing reproductive disorders.

Thyroid Function Test:

• Purpose: To assess overall thyroid function, including levels of thyroid hormones (T3, T4) and thyroid-stimulating hormone (TSH).
• Relevance: Thyroid function can affect overall hormonal balance and influence the treatment plan.

Thyroid Stimulating Hormone (TSH):

• Purpose: To measure the level of TSH in the blood, which regulates thyroid hormone production.
• Relevance: Monitoring TSH levels is crucial for detecting and managing thyroid disorders that can impact overall health and hormonal balance.

Indication of Bromolac 2.5

• Stops breast milk production in lactating women
• Treats infertility issues in both men and women
• Manages non-cancerous brain tumors like prolactinomas
• Treats acromegaly (abnormal growth with large hands and feet)
• Controls symptoms of Parkinson’s disease

Overdoage of Bromolac 2.5

If you or anyone else accidentally took more Bromolac 2.5, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are nausea, fever, and excessive tiredness.

Parkinson's Disease (as adjunct to levodopa):

Adult Dosage:

• 1st week: 1-1.25 mg at night
• 2nd week: 2-2.5 mg at night
• 3rd week: 2.5 mg twice daily
• 4th week: 2.5 mg three times daily, then increase as needed.
• Maintenance: 10-40 mg/day

Hyperprolactinemia:

• Initial: 1.25-2.5 mg daily
• May increase by 2.5 mg/day every 2-7 days
• Usual therapeutic dosage: 5-7.5 mg/day, ranges from 2.5-15 mg/day
• Up to 30 mg/day has been used in some patients with amenorrhea and/or galactorrhea

Acromegaly (Parlodel):

• Initial: 1.25-2.5 mg at bedtime for 3 days
• May increase by 1.25-2.5 mg/day every 3-7 days
• Not to exceed 100 mg/day
• Adjunct to surgery and radiotherapy: Initial 2.5 mg twice daily, increase slowly up to 5 mg every 6 hours if needed

Lactation Suppression:

• 2.5 mg/day for 2-3 days, then up to 2.5 mg twice daily for 14 days

Prevention of Puerperal Lactation:

• 2.5 mg on the day of delivery, then 2.5 mg twice daily for 14 days

Cyclical Benign Breast and Menstrual Disorders:

• 2.5 mg twice daily

Hepatic Impairment:

• Dose adjustment may be necessary; there are no specific guidelines

Child Dosage:

• Hyperprolactinemia (Ages 11-15 years):
  • Initial: 1.25-2.5 mg daily
  • Maintenance: 2.5-10 mg/day as advised by your physician

Directions for Use:

Take Bromolac 2.5 as prescribed by your physician. Swallow the tablet with water, preferably with meals. Do not crush or chew the tablet. The dosage and duration depend on your age, weight, and medical condition.

Interaction

• Drug-Drug Interactions: Bromolac 2.5 may interact with:
  • Dopamine agonists: cabergoline, levodopa, pergolide, ropinirole
  • Ergot-type medications: dihydroergotamine, ergoloid mesylates, ergonovine, ergotamine, methylergonovine, methysergide
  • Antidiabetic drugs: glimepiride, glipizide
  • Diuretics: furosemide
  • Seizure medications: haloperidol, carbamazepine, phenytoin, phenobarbital
  • Mental illness treatments: clozapine, olanzapine, imipramine
  • HIV treatments: efavirenz, ritonavir, indinavir, nelfinavir
  • Antibiotics: rifampicin, chloramphenicol, clarithromycin, erythromycin
  • Cholesterol-lowering drugs: cholestyramine
  • Blood thinners: dabigatran
  • Heart problem treatments: digoxin
  • Antifungals: itraconazole, ketoconazole
• Drug-Food Interactions: Avoid foods rich in sugar, as Bromolac 2.5 may interact with household sugar, causing abdominal discomfort and stomach upset. Avoid St. John’s wort, a herbal medicine used to treat depression.
• Drug-Disease Interactions: Bromolac 2.5 should be avoided by individuals with:
  • Heart diseases (e.g., congestive heart failure, myocardial infarction)
  • High glucose and ketones in the urine
  • Severe kidney or liver disease
  • Frequent urinary tract infections
  • Mental illness
  • Low blood pressure
  • Stomach or intestinal ulcers or bleeding
  • Raynaud's syndrome
  • Alcoholism

Contraindications

Do not take Bromolac 2.5 if you are allergic to bromocriptine or any other ingredients in the medication.

Precautions & Warnings

• Inform your doctor if you have liver issues, stomach problems, fits, or severe headaches.
• Not recommended for women with a history of very high blood pressure during pregnancy.
• Regular monitoring of heart, lungs, and kidney functions is necessary during treatment.
• Women should undergo regular gynecological exams and cervical smear tests if taking this medication long-term.
• Watch for unusual mood changes or behaviors and report them to your doctor.

Storage Conditions:

• Keep Bromolac 2.5 out of reach of children
• Store at room temperature