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NOOTROPIL is indicated for patients struggling with myoclonus of cortical origin, no matter aetiology, and will be used along with other anti-myoclonic therapies.
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The dosage regime shows important interindividual variability, requiring an individualised dose finding approach. A reasonable protocol should be to introduce piracetam at the dosage of 7.2 g/day, increasing by 4.8 g/day every 3 to 4 days up to maximum of 20g/day, given in either several divided doses and other antimyoclonic drugs unchanged at their optimal dosage. If possible, depending on clinical benefit, a shot ought to be designed to subsequently lessen the dosage of other antimyoclonic drugs.
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Store this medicine at room temperature in a tightly-closed container, faraway from heat and light-weight.
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The negative effects reported regarding the Nootropil include nervousness, agitation, irritability, anxiety and sleep disturbances. The incidence of the during numerous studies was 5% or less and they were often noted inside older patients taking over 2.4 g daily. In the most of cases a dose reduction sufficed to generate these symptoms disappeared. Some patients may complain of fatigue or drowsiness. Gastro-intestinal problems like nausea, vomiting, diarrhoea and stomachache seemed to be reported, but their Incidence during clinical trials was 2% or less. Other symptoms, like vertigo, headaches, trembling and sexual stimulation have occasionally been reported.
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NOOTROPIL (Piracetam) is contra-indicated in patients with severe renal impairment (renal creatinine clearance of lower than 20 ml per minute), hepatic impairment and to those under 16 years of age. It is also contraindicated in patients with cerebral haemorrhage, Huntington's Chorea plus those that have hypersensitivity to piracetam, other pyrrolidone derivatives or one of the excipients .
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Nootropil mustn't be prescribed in pregnancy or when breastfeeding.
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Airmail: 2-3 weeks, EMS: 3-8 business days.