Nootropil (Nootropil)

Piracetam tablet

What is this medicine?

PIRACETAM is indicated for patients suffering from myoclonus of cortical origin, irrespective of aetiology, and should be used in combination with other anti-myoclonic therapies. It is a type of anti emetics. Piracetam is a nootropic agent i.e. a psychotropic drug which improves directly the efficiency of the higher epencephalic functions of the brain involved in cognitive processes such as those related to learning, memory, thought and consciousness, both in normal and deficient situations, without being sedative of psycho stimulant. Piracetam exerts those various activities by different ways of action: it modulates brain neurotransmission, promotes metabolic conditions for neuronal plasticity & improves microcirculation through antispasmodic & haemorrheological properties, without being a vasodilator. It is a cyclic derivative of GABA. It is one of the racetams.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• cerebral vascular accident
• cerebral insufficiency
• ischemic or even hemorrhagic acute accidents
• hypersensitivity
• severe renal impairment
• hepatic impairment
• behavior and psychotic problems in old age
• Mental retardation in children

How should I use this medicine?

Adults: 800 mg three times a day. Children: 50 mg/kg bodywt in 3 separate doses. Once the desired result has been obtained, reduce the initial dose by half. Due to the effect of piracetam on platelet aggregation, caution is recommended in patients with underlying disorders of haemostasis, major surgery or severe haemorrhage. Abrupt discontinuation of treatment should be avoided as this may induce myoclonic or generalised seizures in some myoclonic patients. As piracetam is almost exclusively excreted by the kidneys caution should be exercised in treating patients with known renal impairment. In renally impaired and elderly patients an increase in terminal half-life is directly related to renal function as measured by creatinine clearance. The daily dose must be individualized according to renal function. Adults: 800 mg three times a day. Children: 50 mg/kg bodywt in 3 separate doses. Once the desired result has been obtained, reduce the initial dose by half. Overdosage: No specific measure is indicated. Close attention should be given to keeping the patient well hydrated and monitoring the urine flow. The patient's general condition should be closely monitored.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Any incompatibility has not been observed yet. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. It is much better when you check it with your health care provider .

What should I watch for while using this medicine?

Close attention should be given to keeping the patient well hydrated and monitoring the urine flow. The patient's general condition should be closely monitored. Precautions: reduce dose according to weight/age, impaired renal or hepatic functions, cardiac disorders, while pregnancy and lactation use it with caution.

What side effects may I notice from this medicine?

This list may not describe all possible side effects.

• epigastric distress
• CNS stimulation
• dizziness
• excitement
• skin rash
• sleep disturbances
• diarrhea
• depression
• weight gain

Where should I keep my medicine?

This medicinal product does not require any special storage conditions. Keep out of the reach of children. Throw away any unused medicine after the expiration date.