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CNS Pharmacology

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Question:

Bromocriptine side effect

Author: Suzuki



Answer:

Side effects severely limit the utility of the dopamine agonists. The actions of bromocriptine are similar to those of levodopa, except that hallucinations, confusion, delirium, nausea, and orthostatic hypotension are more common, whereas dyskinesia is less prominent. In psychiatric illness, bromocriptine and levodopa may cause the mental condition to worsen. Serious cardiac problems may develop, particularly in patients with a history of myocardial infarction. In patients with peripheral vascular disease, a worsening of the vasospasm occurs, and in patients with peptic ulcer, there is a worsening of the ulcer. Because bromocriptine is an ergot derivative, it has the potential to cause pulmonary and retroperitoneal fibrosis.


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Suzuki
Suzuki