Nootropil. 1200 mg. 20 tablets

Nootropil WHAT IS AND WHAT IT IS USED
Nootropil belongs to the nootropic drug derived from gamma-aminobutyric acid. Nootropil improves and restores cognitive function after various brain injuries such as hypoxia (oxygen deficiency), intoxication (poisoning) and others., Show no sedative or psychostimulant action.
Nootropil improves the rheological properties of the blood.

Nootropil is used for:
adults:
Symptomatic treatment of psycho-organic syndrome with the following events: breach of memory and attention, lack of motivation;
Treatment of cortical myoclonus (sudden involuntary muscle contractions), alone or in combination;
Treatment of vertigo (dizziness and ringing in the ears) and related disorders of balance, with the exception of dizziness of vasomotor or psychic origin;
Prevention and remission of sickle cell vaso-occlusive crisis.
children:
Treatment of dyslexia (difficulty reading ability) in combination with appropriate measures such as speech therapy;
Prevention and remission of sickle cell vaso-occlusive crisis.

2. BEFORE YOU TAKE Nootropil
Do not take Nootropil:
If you are allergic (hypersensitive) to piracetam or any of the other ingredients of Nootropil;
In the case of cerebral hemorrhage;
If you have a severe renal insufficiency;
If you have a disease Huntington's chorea.
Take special care with Nootropil:
If you are having heavy bleeding or risk of bleeding;
If you have kidney problems may need dose reduction depending on the severity. Your doctor will decide whether the dose should be adjusted;
In patients with myoclonus should avoid abrupt discontinuation of treatment, as this can cause myoclonic and generalized seizures.
Using other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
When concomitant treatment with thyroid extract (T3 + T4) reported the occurrence of confusion, irritability and sleep disturbances. Concomitant treatment with anticoagulants or antiplatelet agents (including low-dose acetylsalicylic acid) increases the risk of bleeding.

Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine.
Nootropil should not be used during pregnancy unless clearly necessary. There are no adequate data from the use of piracetam in pregnant women.
Piracetam is excreted in human milk. Do not use piracetam during lactation or breast-feeding should be discontinued while undergoing treatment with piracetam.

Driving and using machines
Nootropil may affect the ability to drive and use machines as a result of some of the side effects that must be considered.

Use in elderly patients
It is recommended that elderly patients to attend regular doctor to adjust the dose if necessary.

Important information for excipients
This medicine contains approximately 2 mmol (or about 46 mg) of sodium per 24 g piracetam. This should be taken into consideration by patients on a controlled sodium diet.

3. HOW TO TAKE Nootropil
Always take Nootropil exactly as your doctor tells you. If you are not sure, ask your doctor or pharmacist.
Nootropil can be taken with or without food.

The usual dose is:
Symptomatic treatment of psycho-organic syndromes (deterioration of mental activity):
Treatment was initiated with daily doses of 4,8 g piracetam in the first few weeks and then reduced to 2,4 g per day. These doses should be divided into 2-3 doses.

Treatment of myoclonus (involuntary sudden muscle contractions) of cortical origin:
The daily dose should be initiated with 7,2 g, and increased by 4,8 g every three or four days to a maximum of 24 g, distributed over two or three doses. Treatment with other protivomioklonichni medicines should be maintained at the same dose. Depending on the clinical outcome achieved, if possible, the dosage of other drugs should be reduced.
Once started, treatment with piracetam should continue for as long as original cerebral disease.
However, every 6 months should attempt to reduce the dose or treatment discontinuation. Attention, patients with kidney problems should take lower doses (see Take special care with Nootropil). The duration of treatment depends on the nature of your disease and course of your complaints. If you think the effect of Nootropil is too strong or too weak, talk to your doctor or pharmacist.

Treatment of vertigo (dizziness and tinnitus):
The recommended daily dose ranges from 2,4 g to 4,8 g, divided into two or three doses.

Prevention and remission of sickle cell vaso-occlusive crisis:
The recommended dosage for prevention of 160 mg / kg orally, divided four.
The recommended daily dose of remission is 300 mg / kg, intravenously, divided four (the forms used for injection or infusion use).
Dose lower than 160 mg / kg or occasional use could lead to renewed crisis.

children
Prevention and remission of sickle cell vaso-occlusive crisis:
The recommended dosage for prevention of 160 mg / kg.
The recommended daily dose of remission is 300 mg / kg, intravenously.
Dose lower than 160 mg / kg or occasional use could lead to renewed crisis.
Piracetam can be used in children over 3 years of suffering from sickle cell anemia in the regime of the recommended daily dose (mg / kg). Piracetam was administered in a limited number of children from 1 to 3 years.

Treatment of dyslexia (difficulty reading ability) in combination with speech therapy in children:
For children over 8 years and adolescents daily recommended dose is about 3,2 g, divided into two doses.

application
The tablets should be swallowed with liquid.
It is recommended that the daily dose be taken two to four times.

Duration of treatment
You should take Nootropil as long as advised by your doctor. In the treatment of chronic diseases optimum effect is usually achieved after 6 to 12 weeks.

If you take more dose Nootropil
Tell your doctor if you take more than you should.

If you forget to take Nootropil
Do not take a double dose to make up for a missed dose. Continue to take Nootropil as you have been told your doctor.

If you stop taking Nootropil
To prevent the resumption of complaints discontinuing Nootropil should be gradual - with 1,2 g piracetam every 2 days.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines Nootropil can cause side effects, although not everybody gets them.
Tell your doctor if you have any of the following and they worry you.

The frequency of possible side effects listed below is defined using the following convention:
Very common (affects more than 1 in 10 patients);
Common (affects 1 - 10 of 100 patients);
Uncommon (affects 1 - 10 of 1000 patients);
Rare (affects 1 - 10 of 10 000 patients);
Very rare (affects less than 1 in 10,000 patients);
Not known (data can not be estimated).
Common:
Disorders of Nervous System: hyperkinesia (hyperactivity);
Investigations: weight increase;
Psychiatric: nervousness.
Uncommon:
Psychiatric disorders: depression;
Nervous System: somnolence (sleepiness);
General disorders: asthenia (weakness).
Not known:
Blood disorders: bleeding disorders;
Ear and labyrinth disorders: vertigo (feelings of dizziness);
Gastrointestinal disorders: abdominal pain, pain in the upper abdomen, diarrhea, nausea, vomiting;
Immune system disorders: anaphylactic reaction, hypersensitivity;
Nervous system disorders: ataxia (uncoordinated movements), balance disorder, worsening of epilepsy, headache, insomnia;
Psychiatric disorders: agitation, anxiety, confusion, hallucinations;
Skin and subcutaneous tissue disorders: angioneurotic edema, dermatitis, pruritus, urticaria.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE Nootropil
Keep out of reach of children.
No special storage conditions.
Do not use after the expiry date stated on the carton after "EXP". The expiry date refers to the last day of that month.

6. FURTHER INFORMATION
What does Nootropil
The active substance is piracetam.

Other ingredients are:
Core: macrogol 6000, silica colloidal anhydrous, magnesium stearate, croscarmellose sodium.
Film coat: hydroxypropylmethylcellulose, titanium dioxide (E 171), macrogol 400 and macrogol 6000.
Nootropil looks like and contents of pack
White, oblong, film-coated scored tablets marked N / N
Packaging: Cardboard boxes of 20, 30, 60 and 100 tablets.