Cycloset

Cycloset is a prescription medication used to improve blood sugar control with type 2 diabetes mellitus. Cycloset belongs to a group of drugs called dopamine receptor agonists. It is unknown how Cycloset works to improve blood sugar control. 

Cycloset comes in a tablet form and is taken once daily within 2 hours after waking in the morning. Take Cycloset with food. 

Common side effects of Cycloset include nausea, tiredness, and dizziness. Do not drive or operate heavy machinery until you know how it affects you.

Cycloset is a prescription medication used with diet and exercise to improve blood sugar control in patients with type 2 diabetes mellitus. 

This medication may be prescribed for more uses. Ask your doctor or pharmacist for more information.

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Common side effects of Cycloset include:

• Nausea
• Fatigue
• Dizziness
• Vomiting
• Headache
• Low blood sugar (hypoglycemia), especially when used with another type of diabetes medicine known as a sulfonylurea

This is not a complete list of Cycloset side effects. Ask your doctor or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

• Highly protein-bound medications which include:
  • salicylates such as acetylsalicylic acid (Aspirin)
  • sulfonamides such as trimethoprim/sulfamethoxazole (Septra, Bactrim), sulfasalazine (Azulfidine), dapsone (DDS), hydrochlorothiazide (Microzide), sumatriptan (Imitrex, Sumavel DosePro), zonisamide (Zonegran), acetazolamide (Diamox), and celecoxib (Celebrex)
  • chloramphenicol 
  • probenecid 
• mental health conditions, especially antipsychotic medicines
• migraine or other types of headaches
• type 2 diabetes
• Medications that block a protein in the body (CYP3A4) such as some macrolide antibiotics (clarithromycin, telithromycin), some HIV protease inhibitors (indinavir, nelfinavir, ritonavir, saquinavir), some HCV protease inhibitors (boceprevir, telaprevir), some azole antifungals (ketoconazole, itraconazole, posaconazole, voriconazole), conivaptan (Vaprisol), delavirdine (Rescriptor), and nefazodone
• Medications that increase the activity of the enzyme CYP3A4 such as carbamazepine (Tegretol, Equetro, Carbatrol), phenobarbital, phenytoin (Dilantin), rifampin (Rifadin), St John's wort, and nimodipine (Nimotop)

This is not a complete list of Cycloset drug interactions. Ask your doctor or pharmacist for more information.

Serious side effects have been reported with Cycloset including the following:

• Low blood pressure. Cycloset can cause low blood pressure upon standing and loss of consciousness. 
• Fainting
• A mental disorder characterized by a disconnection from reality (psychosis). Cycloset may worsen this mental disorder or reduce the effectiveness of drugs that treat this mental disorder. 
• Dizziness and drowsiness. Do not drive or operate heavy machinery until you know how this medication affects you. 

Do not take Cycloset if you:

• are allergic to Cycloset or to any of its ingredients
• take ergot alkaloids. Ask your healthcare provider for a list of these medicines, if you are not sure.
• have fainting (syncopal) migraines 
• are nursing (Cycloset may stop milk production and there have been reports of stroke in nursing women)

Cycloset should not be used to treat type 1 diabetes or diabetic ketoacidosis. 

Grapefruit and grapefruit juice may interact with Cycloset and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.

Before taking Cycloset, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

• if you are allergic to Cycloset or to any of its ingredients
• have Type 1 diabetes mellitus
• have diabetic ketoacidosis
• have ever passed out or fainted
• have migraine headaches
• have or have had low blood pressure (hypotension)
• have or have had a mental health condition, especially a psychotic disorder
• are pregnant or plan to become pregnant. It is not known if Cycloset will harm your unborn baby. Talk with your healthcare provider if you are pregnant or plan to become pregnant.

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Ask your doctor about the safe use of alcoholic beverages while you are taking Cycloset. Alcohol can make the side effects from Cycloset worse.

Ask your doctor what to do if you get sick, develop an infection or fever, experience unusual stress, or are injured. These conditions can affect your blood sugar and the amount of Cycloset you may need.

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Cycloset falls into category B. It is not known if Cycloset will harm your unborn baby. If you become pregnant during your treatment with Cycloset, stop taking the medication and call your doctor.

If you do not wish to become pregnant, use a method of birth control other than hormonal contraceptives while you are taking Cycloset. 

Tell your doctor if you are breastfeeding or plan to breastfeed. Do not breastfeed while you are taking Cycloset.

Take Cycloset exactly as prescribed.

Cycloset comes in a tablet form.

• Take Cycloset by mouth each day.
• Take Cycloset with food.
• Take Cycloset within 2 hours after waking in the morning.
• If you miss your morning dose, wait until the next morning to take your medication.
• Do not take a double dose of Cycloset.
• During periods of stress on the body, such as fever, trauma, infection, or surgery, your medication needs may change. Contact your healthcare provider right away.
• If you take too much Cycloset, call your healthcare provider or go to the nearest emergency department right away.
• While taking Cycloset:
  • check your blood sugar as your healthcare provider tells you to
  • stay on your prescribed diet and exercise program
  • learn to prevent, recognize, and manage low blood sugar (hypoglycemia), high blood sugar (hyperglycemia), and complications of diabetes
  • see your healthcare provider for regular blood tests, including your blood sugar levels and hemoglobin HbA1c

Take Cycloset exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

The dose your doctor recommends may be based on how you respond to this medication.

The recommended dose of Cycloset to help control blood sugar in type 2 diabetes mellitus is 1.6 mg to 4.8 mg once daily with food that is taken within 2 hours after waking in the morning.

If you take too much Cycloset, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

• Store below or at 25ºC (77ºF).
• Keep this and all medicines out of the reach of children.