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Zyvex Zyvex Pharma
Oral

Specifications

Presentation
2 mg/tab · 100 tabs
Product Name
Cabaser
Manufacturer
Zyvex Pharmaceuticals
Substance
Cabergoline
Category
Sexual Health
Packaging
Plain, unbranded, tracked on dispatch

Research use notice. This product is supplied for laboratory research and qualified professional use only. Always consult applicable laws and a licensed physician before use.

Caber 2

2 mg/tab · 100 tabs

Dopamine agonist used to keep prolactin in range alongside 19-nor compounds such as tren and deca.

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  • Sealed, in-date stock straight from the warehouse
  • Tamper-evident packaging with batch code and expiry
  • Plain, unbranded parcels with tracking on dispatch
  • Batch documentation available on request

About Caber 2

What Is Zyvex Pharma Caber (Cabergoline)

Zyvex Pharma Caber (Cabergoline) — also known as Zyvex Pharma Dostinex, Cabaser, and Caber — is a long-acting ergot-derivative dopamine receptor agonist that has become the definitive pharmacological tool for prolactin management in clinical endocrinology and performance enhancement. Developed by Pharmacia & Upjohn and approved by the FDA in 1996, Zyvex Pharma Cabergoline represents a significant advancement over older dopamine agonists like bromocriptine, offering superior efficacy, longer duration of action, and improved tolerability.

The secretion of prolactin by the anterior pituitary is mainly under hypothalamic inhibitory control, likely exerted through the release of dopamine by tuberoinfundibular neurons. Zyvex Pharma Caber is a long-acting dopamine receptor agonist with a high affinity for D2 receptors. Results of in vitro studies demonstrate that cabergoline exerts a direct inhibitory effect on the secretion of prolactin by rat pituitary lactotrophs. Receptor-binding studies indicate that cabergoline has low affinity for dopamine D1, α1- and α2-adrenergic, and 5-HT1- and 5-HT2-serotonin receptors. This selective D2 receptor affinity is the foundation of its potent prolactin-lowering activity.

Each tablet contains pharmaceutical-grade cabergoline in precisely dosed 0.25mg and 0.5mg strengths, allowing for flexible titration based on individual prolactin levels and clinical response.

What Makes Zyvex Pharma Caber (Cabergoline) Unique

1. Potent, Long-Lasting Prolactin Suppression: Zyvex Pharma Caber is a dopaminergic ergoline derivative with potent and long-lasting prolactin-lowering activity. It acts by direct stimulation of the D2-dopamine receptors on pituitary lactotrophs, thus inhibiting prolactin secretion. The clinical efficacy of Zyvex Pharma Cabergoline was demonstrated in hyperprolactinemic women in two randomized, double-blind, comparative studies. In the placebo-controlled study (placebo n=20; cabergoline n=168), cabergoline 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 0.125, 0.5, 0.75, and 1 mg twice weekly, respectively. In the 8-week, double-blind period of the comparative trial with bromocriptine, prolactin was normalized in 77% of the patients treated with cabergoline at 0.5 mg twice weekly compared with 59% of those treated with bromocriptine at 2.5 mg twice daily.

2. Extended Half-Life Enabling Twice-Weekly Dosing: Zyvex Pharma Caber has an elimination half-life estimated from urinary data of healthy subjects ranging between 63 and 109 hours. Following oral administration, peak plasma concentrations of cabergoline are reached within 2-3 hours. Over the 0.5-7mg dose range, cabergoline shows linear pharmacokinetics in healthy adult volunteers and parkinsonian patients. The pharmacokinetic properties of Zyvex Pharma Cabergoline allow once-daily administration in patients with Parkinson's disease and twice-weekly administration in patients with hyperprolactinaemia, making this drug advantageous over other dopaminergic agents in terms of both therapeutic compliance and better symptom control. This extended half-life means the compound continues exerting its prolactin-lowering effects for days after the last dose, providing sustained hormonal balance without the need for daily administration.

3. Superior Efficacy Compared to Bromocriptine: The comparative clinical trial data demonstrates that Zyvex Pharma Caber achieves superior prolactin normalization rates compared to the older dopamine agonist bromocriptine. Restoration of menses occurred in 77% of the women treated with cabergoline, compared with 70% of those treated with bromocriptine. Among patients with galactorrhea, this symptom disappeared in 73% of those treated with cabergoline compared with 56% of those treated with bromocriptine. This superior efficacy translates directly to performance enhancement contexts, where rapid and complete prolactin suppression is essential for managing 19-nor compound-induced prolactin elevation.

4. Selective D2 Receptor Affinity with Minimal Off-Target Activity: Receptor-binding studies indicate that Zyvex Pharma Cabergoline has low affinity for dopamine D1, α1- and α2-adrenergic, and 5-HT1- and 5-HT2-serotonin receptors. This selectivity means that at therapeutic doses used for prolactin suppression, the compound primarily activates D2 receptors in the pituitary, with minimal interaction with other receptor systems. This selectivity profile contributes to its improved tolerability compared to non-selective dopamine agonists.

5. The Essential Adjunct for 19-Nor Compounds: Zyvex Pharma Caber has become indispensable in performance enhancement protocols involving 19-nor compounds such as Deca-Durabolin (Nandrolone) and Trenbolone. Nandrolone can raise prolactin levels indirectly by interfering with dopamine regulation in the pituitary gland. This process is different from testosterone, which is why some people experience adverse effects connected to prolactin even when their estrogen levels are normal. Zyvex Pharma Cabergoline addresses this specific mechanism by directly stimulating D2 receptors to suppress prolactin secretion, providing targeted management that aromatase inhibitors and SERMs cannot achieve.

Zyvex Pharma Caber Guide

Zyvex Pharma Caber is administered orally. The compound has an elimination half-life of approximately 63 to 109 hours, allowing for convenient twice-weekly dosing in prolactin management protocols. The first dose is typically taken when bloodwork confirms elevated prolactin levels, or prophylactically in cycles involving 19-nor compounds at higher doses.

Standard Prolactin Management Dosage (Men):

  • Low-Dose Prophylactic: 0.25mg twice weekly
  • Standard Management: 0.25mg to 0.5mg twice weekly
  • Aggressive Management: 0.5mg twice weekly (for severe prolactin elevation)
  • Maximum Commonly Used: 0.5mg twice weekly in performance enhancement contexts

Clinical Hyperprolactinemia Dosage:

  • Initial Dose: 0.5mg per week, administered as a single dose or divided into two doses
  • Titration: Increase dose following monthly monitoring of serum prolactin levels, usual dose 0.25-2mg once weekly, usually 1mg weekly
  • Maximum Dose: 1mg weekly (doses above this are not recommended for hyperprolactinemia)

Administration Protocol:

  • Take with or without food. Food does not affect the pharmacokinetics of cabergoline.
  • For twice-weekly dosing, space doses evenly (e.g., Monday and Thursday)
  • Begin with the lowest effective dose and titrate upward based on bloodwork and tolerability
  • For performance enhancement contexts, initiate Zyvex Pharma Caber only when bloodwork confirms prolactin elevation—not as a blanket preventative
  • Monitor prolactin levels at weeks 4 and 8 of the cycle to guide dosing adjustments

The "Prolactin Management" Application:

Zyvex Pharma Caber has become the definitive choice for prolactin management in performance enhancement protocols because it addresses the specific hormonal disruption caused by 19-nor compounds. While aromatase inhibitors manage estrogen and SERMs block estrogen receptors, neither addresses prolactin elevation—a distinct pathway that requires dopamine agonist intervention. The extended half-life of Zyvex Pharma Cabergoline means prolactin suppression is maintained continuously with only twice-weekly dosing, providing stable hormonal balance without the peaks and troughs of shorter-acting alternatives.

Synergistic Stacking Considerations:

  • With Deca-Durabolin Cycles: Zyvex Pharma Caber 0.25mg twice weekly when prolactin exceeds normal range. Monitor bloodwork at weeks 4 and 8 to determine the need for and appropriate dose of cabergoline.
  • With Trenbolone Cycles: Zyvex Pharma Caber 0.25mg to 0.5mg twice weekly. Trenbolone is particularly potent in elevating prolactin due to its progestogenic activity.
  • Post-Cycle Therapy: Zyvex Pharma Caber 0.25mg twice weekly during the first week of PCT to manage prolactin rebound as exogenous androgens clear the system.

Crucial Note: Zyvex Pharma Caber should be used judiciously and only when indicated by bloodwork. Over-suppression of prolactin can lead to dopamine receptor downregulation and other endocrine disruptions. The goal is not to eliminate prolactin entirely, but to keep it within the normal physiological range.

Post-Cycle Therapy (PCT)

Zyvex Pharma Caber (Cabergoline) plays a specific and critical role in Post-Cycle Therapy that differs from SERMs like Nolvadex and Clomid. While SERMs address the estrogen-mediated suppression of the HPTA axis, Zyvex Pharma Caber addresses the prolactin-mediated suppression that occurs with 19-nor compounds and during the post-cycle recovery window.

How Prolactin Affects Recovery

Elevated prolactin levels suppress gonadotropin-releasing hormone (GnRH) secretion from the hypothalamus, which in turn reduces LH and FSH production, ultimately impairing testosterone synthesis and recovery. During a cycle involving 19-nor compounds, prolactin levels can rise significantly, creating a secondary suppression mechanism that SERMs alone cannot address. As the cycle ends and exogenous androgens clear the system, there is often a prolactin rebound as the body's hormonal balance attempts to recalibrate.

Zyvex Pharma Caber in the PCT Window

Including Zyvex Pharma Caber in the PCT protocol serves two purposes: it addresses any residual prolactin elevation from the cycle, and it prevents the prolactin rebound that can delay HPTA recovery. The standard protocol involves continuing Zyvex Pharma Caber at a reduced dose (0.25mg twice weekly) during the first week of PCT, then tapering off as prolactin levels normalize.

Common PCT Integration:

  • Week 1 of PCT: Zyvex Pharma Caber 0.25mg twice weekly
  • Weeks 2-4 of PCT: Discontinue unless bloodwork indicates continued prolactin elevation
  • Monitoring: Check prolactin levels at the start of PCT and again at week 4 to confirm normalization

Important Note: Zyvex Pharma Caber is not a replacement for SERM-based PCT. It should be used as an adjunct to address the specific prolactin pathway, while Nolvadex or Clomid addresses the estrogen-mediated suppression. Using Zyvex Pharma Cabergoline alone will not restore the HPTA axis after a suppressive cycle.

Crucial Consideration: Dopamine agonists should be used in a planned way, not as a preventative measure. Starting cabergoline without confirmed prolactin elevation can lead to unnecessary dopamine receptor downregulation and other complications.

Potential Side Effects

Zyvex Pharma Caber carries a side-effect profile that is shaped primarily by its dopamine agonist mechanism and, with long-term use, by its ergot-derived structure.

Cardiac Valvulopathy (The Primary Concern):

The most significant safety concern with Zyvex Pharma Caber is the risk of drug-induced valvular heart disease (DIVHD). Zyvex Pharma Cabergoline is an ergot-derivative dopamine agonist, and its long-term use is associated with cardiac toxicity linked to its affinity for serotonin receptors present in valve tissue. This serotonin agonist activity can induce valvular heart disease, with a spectrum of severity ranging from mild involvement to severe hemodynamic compromise. Through their affinity for serotonin 5-HT2B receptors, ergot-derived dopamine agonists activate downstream cellular signaling pathways that promote valve leaflet thickening, fibrosis, and retraction. The risk is primarily associated with long-term, high-dose use; the data did not support an association between clinically significant valvulopathy and low-dose cabergoline treatment. Cabergoline appears to be safe in patients with prolactinoma up to the cumulative dose of ~300 mg. However, baseline and follow-up echocardiographic evaluations are recommended for anyone receiving long-term therapy.

Dopamine Receptor Downregulation:

Using too many dopamine agonists may have difficulties of their own, such as downregulation of dopamine receptors. Over-suppression of prolactin can lead to a dependency on exogenous dopamine agonism, potentially affecting mood, motivation, and natural dopamine signaling. This is why Zyvex Pharma Caber should be used at the lowest effective dose and only when indicated by bloodwork.

Nausea and Gastrointestinal Effects:

Nausea, vomiting, and gastrointestinal discomfort are among the most commonly reported side effects of cabergoline, particularly during the initial titration phase. Taking the medication with food may help mitigate these effects.

Headache and Dizziness:

Headache, dizziness, and vertigo have been reported. These effects are typically transient and diminish with continued use or dose adjustment.

Fatigue and Somnolence:

Some users experience fatigue, drowsiness, or somnolence, particularly at higher doses. Zyvex Pharma Caber should be used with caution when operating heavy machinery or driving until the individual response is established.

Psychological Effects:

Dopamine agonists can affect mood and psychological state. While some users report improved mood and confidence, others may experience irritability, anxiety, or emotional lability. These effects are dose-dependent and individual.

Red Flag Warnings:

Discontinue immediately and seek medical attention if you experience: shortness of breath, chest pain, or signs of heart failure such as swelling in the legs or ankles; new or worsening cardiac symptoms; severe abdominal pain; or symptoms of a serious allergic reaction including rash, itching, or difficulty breathing.

Mandatory Protocol: Bloodwork is non-negotiable. Monitor prolactin levels at baseline, week 4, and post-cycle. For extended use, periodic echocardiographic evaluation is recommended to detect early signs of valvular changes.

Who Shouldn't Use Zyvex Pharma Caber (Cabergoline)

Zyvex Pharma Caber is not appropriate for every user. The following populations should avoid this compound or use it only under strict medical supervision:

  • Individuals with a History of Cardiac Valvular Disease: Given the risk of valvulopathy associated with ergot-derived dopamine agonists, anyone with pre-existing heart valve conditions should avoid Zyvex Pharma Cabergoline.
  • Individuals with Uncontrolled Hypertension: Dopamine agonists can affect blood pressure regulation. Zyvex Pharma Caber should be used with caution in anyone with uncontrolled hypertension.
  • Individuals with a History of Psychosis or Psychiatric Disorders: Dopamine agonism can exacerbate psychotic symptoms. Zyvex Pharma Cabergoline is not recommended for anyone with a history of psychosis or severe psychiatric disorders.
  • Individuals with Raynaud's Phenomenon: Ergot-derived compounds can worsen vasospastic conditions. Zyvex Pharma Caber should be avoided by anyone with Raynaud's phenomenon or other peripheral vascular disorders.
  • Individuals with Hepatic Impairment: Cabergoline is extensively metabolized by the liver. Severe hepatic impairment may require dose adjustment or avoidance of Zyvex Pharma Cabergoline.
  • Pregnant or Breastfeeding Women: The safety of Zyvex Pharma Caber in pregnancy and lactation has not been established. It should not be used by pregnant women or those planning to become pregnant.
  • Individuals Taking Dopamine Antagonists: Concurrent use of dopamine antagonists (e.g., antipsychotics, metoclopramide) may reduce the efficacy of Zyvex Pharma Cabergoline.
  • Individuals with a History of Fibrotic Disorders: Ergot-derived dopamine agonists have been associated with fibrotic reactions in various tissues. Zyvex Pharma Caber should be avoided by anyone with a history of pulmonary, retroperitoneal, or cardiac fibrosis.

The Zyvex Pharma Caber Advantage

Zyvex Pharma Caber (Cabergoline) represents the most effective and convenient pharmacological tool for prolactin management available. Its potent D2 receptor agonism, extended half-life enabling twice-weekly dosing, and superior efficacy compared to older dopamine agonists make it the definitive choice for addressing prolactin elevation in both clinical and performance enhancement contexts. The clinical data demonstrating prolactin normalization in 95% of patients at the 1mg twice-weekly dose confirms its remarkable efficacy, while its safety profile at low doses used for prolactin management is well-established. For the athlete managing 19-nor compound-induced prolactin elevation, the individual seeking to restore hormonal balance and libido, or the patient requiring long-term hyperprolactinemia management, Zyvex Pharma Cabergoline offers a scientifically grounded solution with decades of clinical validation.

Ready to restore your hormonal balance and manage prolactin effectively? Secure your Zyvex Pharma Caber (Cabergoline) today and experience the most advanced dopamine agonist therapy available — backed by our fast, discreet, and insured delivery.

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