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Formulas

Pergolide Mesylate 0.1 mg/ml Oral Liquid

Pergolide Mesylate 0.1 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable method of drug delivery. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as those in pediatric and geriatric groups. The medication is used to treat conditions such as Parkinson's disease, where it functions by stimulating dopamine receptors in the brain, thereby helping to control movement and coordination. Additionally, it may be prescribed for the treatment of hyperprolactinemia, a condition characterized by elevated levels of the hormone prolactin in the blood. The liquid form ensures accurate dosing and ease of administration for patients managing these disease states.

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Pergolide Mesylate
Oral Liquid
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Formula Information

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Pergolide Mesylate is a dopamine agonist medication that is primarily used in the treatment of Parkinson's disease, a progressive neurological disorder characterized by tremors, stiffness, and difficulty with balance and coordination. Pergolide works by stimulating dopamine receptors in the brain, which helps to improve the motor symptoms associated with the disease. The efficacy of Pergolide Mesylate in managing Parkinson's disease symptoms has been well-documented, and it serves as an alternative or adjunct to other dopaminergic treatments.

The 0.1 mg/ml oral liquid formulation of Pergolide Mesylate provides a precise dosage that can be easily adjusted to meet the individual needs of patients. This is particularly beneficial for those who require a tailored dosing regimen that may not be achievable with standard tablet forms. The liquid formulation is also advantageous for patients who have difficulty swallowing pills, such as the elderly or those with dysphagia, as well as for pediatric patients who may require a smaller dose that is not available in tablet form.

Administering Pergolide Mesylate in a liquid form allows for rapid absorption and onset of action, which can be crucial for patients experiencing motor fluctuations. Additionally, the liquid dosage form can be mixed with food or beverages to improve palatability, making it easier for patients to adhere to their medication regimen. It is important for prescribers to monitor patients closely for the development of side effects, which may include nausea, dizziness, and orthostatic hypotension, among others. Adjustments to the dose or dosing schedule may be necessary based on the patient's response and tolerance to the medication.

For patients and prescribers considering the use of Pergolide Mesylate 0.1 mg/ml Oral Liquid, it is essential to understand that this medication requires careful management and monitoring. Regular follow-up appointments are necessary to ensure optimal therapeutic outcomes and to minimize potential adverse effects. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing support and guidance to ensure the safe and effective use of this medication.

Drug Interactions

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Pergolide mesylate is a dopamine agonist that is used primarily to treat Parkinson's disease by mimicking the action of dopamine in the brain, which is typically at lower levels in patients with this condition. It may also be used in the treatment of hyperprolactinemia and restless legs syndrome. When considering the use of pergolide mesylate in an oral liquid formulation, it is crucial to be aware of potential drug interactions that could affect the efficacy of the medication or the safety of the patient.

Firstly, patients should be advised that taking pergolide with other central nervous system depressants, such as benzodiazepines, opioids, antihistamines, or alcohol, can enhance the sedative effects, leading to increased drowsiness or dizziness. Caution is advised when patients are operating heavy machinery or driving.

Antipsychotic medications, particularly those with dopamine antagonist properties like haloperidol or chlorpromazine, can diminish the effectiveness of pergolide and should be avoided or used with caution. Similarly, metoclopramide, used for nausea and gastroparesis, can interfere with pergolide's action and should be used judiciously.

Patients taking medications that affect liver enzymes, particularly CYP3A4, such as macrolide antibiotics (e.g., erythromycin), azole antifungals (e.g., ketoconazole), or protease inhibitors (e.g., ritonavir), may require dosage adjustments of pergolide, as these drugs can alter the metabolism and clearance of pergolide, potentially leading to increased side effects or reduced efficacy.

Concomitant use of pergolide with other medications that lower blood pressure, such as ACE inhibitors, beta-blockers, or calcium channel blockers, may result in an additive hypotensive effect, which could lead to dizziness or fainting. Blood pressure should be monitored closely when initiating or adjusting the dose of pergolide in patients on antihypertensive medications.

It is also important to monitor for serotonin syndrome when pergolide is taken with other serotonergic drugs, such as SSRIs, SNRIs, triptans, or St. John's Wort, as both can enhance serotonergic neurotransmission.

Patients should be counseled to avoid abrupt discontinuation of pergolide, as this can lead to a condition known as neuroleptic malignant syndrome, which is characterized by fever, muscle rigidity, and autonomic instability. A gradual taper is recommended when discontinuing the medication.

Lastly, patients should be encouraged to inform their healthcare providers of all medications they are taking, including over-the-counter drugs, herbal supplements, and vitamins, to ensure that potential interactions with pergolide can be assessed and managed appropriately.

If you have any questions or require further information regarding the safe and effective use of pergolide mesylate oral liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and prescribers.

How Does it Work

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Pergolide Mesylate is a dopamine agonist that mimics the action of dopamine in the brain. It is particularly effective in the treatment of Parkinson's disease, a neurological disorder characterized by a deficiency of dopamine, leading to symptoms such as tremors, stiffness, and bradykinesia (slowness of movement). Pergolide Mesylate works by stimulating dopamine receptors in the brain, which helps to improve these symptoms. Additionally, this medication has been used off-label for the treatment of hyperprolactinemia, a condition where there is an excess of prolactin in the blood, often leading to various symptoms including infertility and bone loss.

The 0.1 mg/ml oral liquid formulation of Pergolide Mesylate provides a precise dosage that can be easily adjusted according to the patient's needs. This is particularly beneficial for conditions like Parkinson's disease, where the therapeutic window is narrow and individual response to medication can vary significantly. The liquid form is also advantageous for patients who have difficulty swallowing pills or tablets, such as the elderly or those with dysphagia. Moreover, it allows for a more rapid absorption and onset of action compared to solid dosage forms, which can be crucial for patients requiring timely symptom relief.

When administered, Pergolide Mesylate is absorbed through the gastrointestinal tract and crosses the blood-brain barrier to exert its effects on the central nervous system. The medication's efficacy in managing the symptoms of Parkinson's disease and other conditions related to dopamine deficiency is well-documented, with many patients experiencing significant improvements in their quality of life. However, it is important to note that while Pergolide Mesylate can alleviate symptoms, it does not cure the underlying disease processes.

For patients and prescribers considering the use of Pergolide Mesylate 0.1 mg/ml oral liquid, it is essential to understand the importance of individualized dosing and close monitoring for potential side effects, which may include nausea, dizziness, and orthostatic hypotension, among others. The liquid formulation allows for easy dose adjustments to find the optimal balance between therapeutic benefits and side effects. If you have any questions or require further information about this medication and its use, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance needed to ensure safe and effective treatment.

Other Uses

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Pergolide mesylate, a dopamine agonist originally approved for the treatment of Parkinson's disease, has been repurposed in veterinary medicine, particularly for horses, to manage the symptoms of pituitary pars intermedia dysfunction (PPID), also known as Equine Cushing's Disease. While the 0.1 mg/ml oral liquid formulation of pergolide mesylate is specifically intended for human use, it may facilitate precision dosing in veterinary applications as well, provided it is done under the guidance of a veterinarian.

Beyond its use in Parkinson's disease or veterinary applications, pergolide may have investigational or off-label uses in treating other conditions that involve dysregulation of the dopaminergic system. For example, restless legs syndrome (RLS) is a condition that has been treated with dopamine agonists. However, due to the potential for serious side effects such as heart valve damage, pergolide is not typically a first-line treatment for RLS and may only be considered if other treatments have failed or are not tolerated. Additionally, some clinicians may experiment with pergolide for conditions such as fibrotic complications or for patients with severe dopamine-responsive dystonia, following very careful consideration and when other treatments are not adequate.

Given the complexity of these conditions and the specific pharmacological profile of pergolide, this medication should only be used under strict medical supervision. Adjustments to dosage or even discontinuation may be necessary, and long-term use requires regular medical assessment due to the risk of adverse effects. It is crucial for both patients and prescribers to engage in a thorough risk-benefit analysis before initiating treatment with pergolide mesylate, regardless of the condition being treated.

In cases where patients have difficulty swallowing pills or require a very specific dose that cannot be met with standard tablet sizes, the 0.1 mg/ml oral liquid formulation can be of significant benefit. This is particularly relevant in geriatric or pediatric patients, as well as those with neurological conditions that may impair swallowing. The liquid formulation allows for dose flexibility and ease of administration which may enhance adherence to treatment regimes and result in better patient outcomes. Since pergolide is not commonly prescribed and may involve significant monitoring and dosage adjustments, compounding pharmacists can offer valuable support in ensuring that the medication meets individual patient needs.

Patients and prescribers who would like to learn more about the use of pergolide mesylate 0.1 mg/ml oral liquid for conditions beyond its primary indication, or who require assistance with dosing and administration, should reach out to us for guidance. As compounding pharmacists at Bayview Pharmacy, we are equipped to provide detailed information and support to ensure safe and effective medication use.

Frequently Asked Questions

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What is Pergolide Mesylate 0.1 mg/ml Oral Liquid used for?

Pergolide Mesylate Oral Liquid is a medication used to treat Parkinson's disease and other medical conditions as directed by a healthcare provider. It helps to alleviate symptoms by mimicking the action of dopamine, a neurotransmitter in the brain that is typically low in patients with Parkinson's.

How should Pergolide Mesylate Oral Liquid be taken?

This medication should be taken exactly as prescribed by your healthcare provider. The liquid form allows for the medication to be measured accurately with a provided syringe or dropper and taken orally, usually once a day.

Who is Pergolide Mesylate Oral Liquid suitable for?

It is particularly suitable for patients who have difficulty swallowing pills such as tablets or capsules, including pediatric and geriatric patients, or those with conditions that impair swallowing.

Can Pergolide Mesylate Oral Liquid be mixed with food or drinks?

Before mixing the medication with food or drinks, it is important to consult with a healthcare provider or pharmacist. Some medications may interact with certain foods or drinks, which could affect how the medication works or increase the risk of side effects.

What should I do if I miss a dose of Pergolide Mesylate Oral Liquid?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double up doses to make up for the missed one without consulting your healthcare provider.

Are there any side effects associated with Pergolide Mesylate Oral Liquid?

Like any medication, Pergolide Mesylate Oral Liquid can have side effects, though not everyone will experience them. Common side effects include nausea, headache, dizziness, and fatigue. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

How should Pergolide Mesylate Oral Liquid be stored?

The medication should be stored at room temperature, away from direct sunlight and moisture. Keep the bottle tightly closed when not in use and out of reach of children and pets. Your pharmacist can provide additional information on storage requirements.

Can Pergolide Mesylate Oral Liquid be taken with other medications?

Before starting any new medication, including Pergolide Mesylate Oral Liquid, you should inform your healthcare provider of all the medications you are currently taking. This includes over-the-counter drugs, vitamins, and herbal supplements, as there may be potential interactions.

Is it possible to overdose on Pergolide Mesylate Oral Liquid?

Yes, it is possible to overdose on this medication if taken in larger doses than prescribed. Symptoms of overdose may include nausea, vomiting, confusion, hallucinations, and fainting. Seek immediate medical attention if an overdose is suspected.

What should I do if I have questions about my Pergolide Mesylate Oral Liquid dosage?

If you have any questions or concerns about your dosage of Pergolide Mesylate Oral Liquid, you should contact your healthcare provider or pharmacist. It is important to only take the dosage that has been prescribed for you.

Is Pergolide Mesylate Oral Liquid safe for pregnant or breastfeeding women?

The safety of Pergolide Mesylate Oral Liquid for pregnant or breastfeeding women has not been fully established. You should discuss the potential risks and benefits with your healthcare provider before taking this medication if you are pregnant, planning to become pregnant, or breastfeeding.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.