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Tinexa (Brand name: Cabgolin)

  • $5.39AUD
  • Availability: In Stock
  • Active Ingredient Cabergoline
Tinexa (Cabergoline) is used to treat a hormone imbalance in which there is too much prolactin in the blood (also called hyperprolactinemia).
Analogs of Tinexa (Brand name: Cabgolin): Dostinex  
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Actualene   Alactin   Anuar   Tinexa  
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0.5 mg
Product name Per Pill Per Pack  
10 pills $8.17AUD $81.68AUD
30 pills $6.09AUD $245.04AUD $182.55AUD
60 pills $5.56AUD $490.08AUD $333.87AUD
90 pills $5.39AUD $735.12AUD $485.17AUD

Drug Name

Tinexa (Cabergoline) 

Drug Uses

Tinexa is in a group of drugs called dopamine receptor antagonists. It works by reducing the amount of prolactin (a hormone) that is released from the pituitary gland.
Tinexa is used to treat a hormone imbalance in which there is too much prolactin in the blood (also called hyperprolactinemia).
Tinexa may also be used for other purposes not listed in this medication guide.

How to use

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. 

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Tinexa is usually taken twice each week for at least 6 months. Do not take this medication every day unless your doctor tells you to.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis to measure your prolactin levels. Your doctor may want to continue checking your prolactin levels for several months after you stop taking Tinexa. Do not miss any scheduled appointments.

Drug Class and Mechanism

Tinexa is used for treating disorders associated with high levels of the hormone prolactin, either due to tumors in the pituitary gland or to unknown causes. It may also be used for other conditions as determined by your doctor. 

Tinexa is a dopamine receptor agonist. It works by blocking prolactin secretion from the pituitary gland.

Missed Dose

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. 

Storage

Store Tinexa at room temperature away from moisture and heat.

Warnings/Precautions

Do NOT use Tinexa if: 
you are allergic to any ingredient in Tinexa or to ergot derivatives (eg, ergotamine)
you have uncontrolled high blood pressure
if you have a history of certain fibrotic (scarring) disorders (eg, of the lung, heart, kidneys)
you are taking a butyrophenone (eg, haloperidol), metoclopramide, a phenothiazine (eg, chlorpromazine), or a thioxanthene (eg, thiothixene)

Some medical conditions may interact with Tinexa. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have liver problems or high blood pressure, or if you take medicine that may lower your blood pressure
if you have certain serious problems caused by pregnancy (eg, high blood pressure, seizures)

Possible Side Effects

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Constipation; dizziness; headache; indigestion; nausea; tiredness or weakness; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); behavior changes (eg, aggression, increased gambling or sexual urges); chest pain; confusion; cough; depression; fainting; hallucinations; irregular heartbeat; mood or mental changes; shortness of breath; sudden unexplained weight gain; swelling of hands or feet; vision disturbances.

More Information

If you have any questions about Tinexa, please talk with your doctor, pharmacist, or other health care provider.
Tinexa is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

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Following the safety recommendations and taking into consideration contraindications, warnings and precautions will decrease the risk of experiencing unwanted reactions and side effects. However, patients, who are hypersensitive to the components of the drug, can witness mild to severe adverse reactions listed below. Contact your doctor or online medical specialist to eliminate the risk of serious consequences. Seek medical assistance the moment you have noticed the following side effects:

Rare

  • Bloody nose
  • difficulty in concentrating
  • increased in sexual ability, desire, drive, or performance
  • increased interest in sexual intercourse

More Common

  • Difficulty having a bowel movement (stool)
  • dizziness
  • excess air or gas in the stomach or intestines
  • full feeling
  • headache
  • lack or loss of strength
  • passing gas

Less Common

  • Abdominal or stomach pain
  • acid or sour stomach
  • anxiety
  • belching
  • blemishes on the skin
  • breast pain
  • burning, itching, or stinging of the skin
  • changes in vision
  • cramps
  • depression
  • diarrhea
  • difficulty with moving
  • dry mouth or toothache
  • feeling of constant movement of self or surroundings
  • feeling of warmth
  • gas
  • heartburn
  • heavy bleeding
  • indigestion
  • itching skin
  • joint pain
  • muscle aches and pains
  • muscle stiffness
  • pimples
  • redness of the face, neck, arms, and occasionally, upper chest
  • runny nose
  • sensation of spinning
  • shivering
  • sleeplessness
  • sleepiness or unusual drowsiness
  • sneezing
  • sore throat
  • stomach discomfort or upset
  • sudden sweating
  • trouble with sleeping
  • unable to sleep
  • weight loss

Incidence Not Known

  • Chest pain or tightness
  • continuing loss of appetite
  • continuing or severe abdominal or stomach pain
  • continuing or severe nausea and vomiting
  • cough
  • decreased ability to exercise
  • fever
  • increased frequency of urination
  • loss of appetite
  • lower abdominal or stomach pain
  • lower back pain
  • nausea
  • shortness of breath
  • trouble with breathing
  • vomiting
  • weakness
  • Attack, assault, or force
  • feeling that others are watching you or controlling your behavior
  • feeling that others can hear your thoughts
  • hair loss or thinning of the hair
  • pathological gambling
  • severe mood or mental changes
  • unusual behavior
Type Small Molecule
Accession Number DB00248  (APRD00836)
Groups Approved
Synonyms
  • (8beta)-N-[3-(dimethylamino)Propyl]-N-[(ethylamino)carbonyl]-6-(2-propenyl)-ergoline-8-carboxamide
  • (8R)-6-Allyl-N-[3-(dimethylamino)propyl]-N-(ethylcarbamoyl)ergoline-8-carboxamide
  • 1-((6-Allylergolin-8beta-yl)carbonyl)-1-(3-(dimethylamino)propyl)-3-ethylurea
  • 1-[(6-Allylergoline-8beta-yl)carbonyl]-1-[3-(dimethylamino)propyl]-3-ethylurea
  • 1-Ethyl-3-(3'-dimethylamionpropyl)-2-(6'-allylergoline-8'beta-carbonyl)urea
  • Cabergolina
  • Cabergoline
  • Cabergolinum
UNII LL60K9J05T
CAS number 81409-90-7
Weight Average: 451.6043
Monoisotopic: 451.294725453
Chemical Formula C26H37N5O2
InChI
InChI=1S/C26H37N5O2/c1-5-11-30-17-19(25(32)31(26(33)27-6-2)13-8-12-29(3)4)14-21-20-9-7-10-22-24(20)18(16-28-22)15-23(21)30/h5,7,9-10,16,19,21,23,28H,1,6,8,11-15,17H2,2-4H3,(H,27,33)/t19-,21-,23-/m1/s1
IUPAC Name
1-[3-(dimethylamino)propyl]-3-ethyl-1-[(2R,4R,7R)-6-(prop-2-en-1-yl)-6,11-diazatetracyclo[7.6.1.0²,⁷.0¹²,¹⁶]hexadeca-1(16),9,12,14-tetraene-4-carbonyl]urea
Protein binding

Moderately bound (40% to 42%) to human plasma proteins in a concentration-independent manner.

Toxicity

Overdosage might be expected to produce nasal congestion, syncope, or hallucinations.

Half life

The elimination half-life is estimated from urinary data of 12 healthy subjects to range between 63 to 69 hours.

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