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Receptor-binding studies indicate that cabergoline has low affinity for dopamine D 1 , ? 1 – and ? 2 -adrenergic, and 5-HT 1 – and 5-HT 2 -serotonin receptors. The prolactin-lowering efficacy of Dostinex was demonstrated in hyperprolactinemic women in two randomized, double-blind, comparative studies, one with placebo and the other with bromocriptine. In the placebo-controlled study (placebo n=20; cabergoline n=168), Dostinex produced a dose-related decrease in serum prolactin levels with prolactin normalized after 4 weeks of treatment in 29%, 76%, 74% and 95% of the patients receiving 0. In the 8-week, double-blind period of the comparative trial with bromocriptine (cabergoline n=223; bromocriptine n=236 in the intent-to-treat analysis), prolactin was normalized in 77% of the patients treated with Dostinex at 0. Restoration of menses occurred in 77% of the women treated with Dostinex, compared with 70% of those treated with bromocriptine. Among patients with galactorrhea, this symptom disappeared in 73% of those treated with Dostinex compared with 56% of those treated with bromocriptine. Following single oral doses of 0. A repeat-dose study in 12 healthy volunteers suggests that steady-state levels following a once-weekly dosing schedule are expected to be twofold to threefold higher than after a single dose. The absolute bioavailability of cabergoline is unknown. A significant fraction of the administered dose undergoes a first-pass effect. The elimination half-life of cabergoline estimated from urinary data of 12 healthy subjects ranged between 63 to 69 hours. The prolonged prolactin-lowering effect of cabergoline may be related to its slow elimination and long half-life. In animals, based on total radioactivity, cabergoline (and/or its metabolites) has shown extensive tissue distribution. 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