Piracetam
Instructions for use:
- 1. Pharmacological action
- 2. Release form
- 3. Indications for use
- 4. Contraindications
- 5. Method of application
- 6. Side effects
- 7. Storage conditions
Prices in online pharmacies:
from 25 rubles.
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Piracetam is a synthetic nootropic drug widely used in psychiatric and neurological practice.
pharmachologic effect
The active substance Piracetam, acting directly on the brain, improves cognitive processes such as memory, learning ability, attention and mental performance. In addition, the drug has a restorative and protective effect in cases of cerebral dysfunction caused by intoxication and hypoxia.
Piracetam, according to the instructions, has a different effect on the central nervous system:
- Affects blood viscosity without having a vasodilating effect;
- Improves the metabolic processes of nerve cells;
- Improves microcirculation;
- Changes the speed of propagation of impulses in the brain.
When using Piracetam, communication between the cerebral hemispheres, cerebral blood flow and synaptic conduction in neocortical structures are improved.
Release form
Piracetam is available in dosage form:
- Capsules, 400 mg each. 60 pieces per pack;
- Coated tablets, 200 mg each. 60 pieces per pack;
- 20% solution for injection, in ampoules of 5 ml.
The analogues of Piracetam in terms of the mechanism of action are the drugs Lucetam, Memotropil, Nootropil, Piracetam-AKOS, Escotropil.
Indications for the use of Piracetam
Piracetam is prescribed for adults according to the instructions:
- For the treatment of dizziness (vertigo), as well as associated balance disorders, except for cases of dizziness of psychogenic and vasomotor origin;
- For symptomatic treatment of psycho-organic syndrome with an accompanying decrease in activity, memory and concentration, as well as changes in behavior, mood and gait;
- For the prevention and relief of sickle-cell vaso-occlusive crisis;
- For the treatment of cortical myoclonus both in monotherapy and as part of complex therapy.
According to indications, Piracetam is prescribed to children in the following cases:
- Dyslexia, usually in combination with other methods, including speech therapy;
- Sickle cell vaso-occlusive crisis, for prevention and relief.
Contraindications
According to the instructions, Piracetam is contraindicated for use with:
- Hypersensitivity to one of the components of the drug;
- Hemorrhagic stroke;
- Pregnancy and lactation;
- Psychomotor agitation;
- Chronic renal failure (CC less than 20 ml / min);
- Chorea of Huntington.
In addition, when indicated, Piracetam should be used with caution in cases of:
- Chronic renal failure (CC 20-80 ml / min);
- Hemostasis disorders;
- Heavy bleeding;
- Major surgical interventions.
How to use Piracetam
According to the indications, Piracetam in capsule form is recommended to be taken on an empty stomach or during meals. The daily dose is most often divided into 2-4 doses, while the last dose should be taken no later than 17 hours so as not to cause sleep disturbances. Piracetam in the form of a solution for injection can be used intravenously and intramuscularly in cases of unconsciousness or difficulty in swallowing.
When using Piracetam for the treatment of cortical myoclonus, the initial dose of 7.2 g per day is increased by 4.8 g every three days. Throughout the entire period of the disease, treatment is carried out by taking 24 g of the drug per day. After six months of therapy, it is recommended to try to cancel the drug or reduce the daily dose, gradually reducing it by 1.2 g per day. If the use of Piracetam gives a slight therapeutic effect, the treatment should be discontinued. It is not recommended to abruptly cancel the drug in order to avoid recurrence of attacks.
With symptomatic treatment of psychoorganic syndrome, 4.8 g per day is taken during the first week of therapy, after which the dose is reduced to a maintenance dose of 1.2-2.4 g.
In the treatment of dizziness, as well as associated balance disorders, 2.4-4.8 g of Piracetam are usually prescribed per day.
For the prevention of sickle-cell vaso-occlusive crisis in children and adults, the daily dose of 160 mg per 1 kg of body weight is divided into 4 equal parts. During therapy, it should be borne in mind that irregular intake of Piracetam can exacerbate the disease. For the treatment of the disease, the drug should be administered intravenously at 300 mg per 1 kg per day.
In children over 8 years old, the treatment of dyslexia with Piracetam, according to reviews, is effective in combination with other methods. In this case, take 4 capsules (400 mg) twice a day.
In chronic renal failure, it is necessary to adjust the dose taken depending on the severity of the disease:
- With a mild degree (CC 50-79 ml / min), 2/3 of the recommended daily dose should be taken in 2-3 doses;
- With an average degree (CC 30-49 ml / min) - 1/3 of the daily dose, divided into 2 doses;
- In severe cases (CC 20-30 ml / min) - once 1/6 of the daily dose.
Side effects of Piracetam
Most often, when using Piracetam, according to reviews, violations of the central nervous system are observed, such as:
- Motor disinhibition;
- Drowsiness;
- Asthenia;
- Insomnia;
- Imbalance;
- Hallucinations;
- Irritability;
- Depression;
- Headache;
- Exacerbation of the course of epilepsy;
- Mental arousal;
- Ataxia;
- Anxiety;
- Confusion of consciousness.
In addition, in therapeutic doses, Piracetam, according to reviews, can cause:
- Nausea, diarrhea, vomiting, abdominal pain;
- Vertigo;
- Anaphylactic reactions, hypersensitivity, angioedema;
- Decreased blood pressure, fever;
- Increase in body weight;
- Itching, dermatitis, urticaria;
- Thrombophlebitis, pain at the injection site.
When using Piracetam in doses that exceed therapeutic ones, the risk of developing diarrhea with an admixture of blood and abdominal pain increases. Since there is no specific antidote, in case of an overdose with Piracetam, you should carry out:
- Symptomatic therapy;
- Induction of vomiting;
- Gastric lavage;
- Hemodialysis (efficiency 50-60%).
With the simultaneous use of Piracetam with iodine-containing thyroid hormones, irritability, confusion and sleep disturbance may occur.
Storage conditions
If indicated, Piracetam can be purchased with a prescription. The shelf life of ampoules with solution and capsules is 3 years, tablets - 24 months.
Piracetam: prices in online pharmacies
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Drug name Price Pharmacy |
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Piracetam 200 mg film-coated tablets 60 pcs. RUB 25 Buy |
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Piracetam 400 mg capsules 30 pcs. RUB 31 Buy |
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Piracetam 200 mg / ml solution for intravenous and intramuscular administration 5 ml 10 pcs. RUB 33 Buy |
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Piracetam 200 mg / ml solution for intravenous and intramuscular administration 5 ml 10 pcs. 35 RUB Buy |
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Piracetam 200 mg / ml solution for intravenous and intramuscular administration 5 ml 10 pcs. RUB 36 Buy |
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Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
