Ceham P

CEHAM P by ALKEM PANTACARE

CEHAM P is a combination medication primarily prescribed for neurological conditions, particularly in the context of stroke recovery and cognitive enhancement. It works by protecting and nourishing brain cells, enhancing blood flow, and improving overall brain function.

Composition

CEHAM P Tablet contains two active ingredients:

• Citicoline (500 mg): A neuroprotective agent that aids in the repair and regeneration of damaged brain cells by enhancing the synthesis of phosphatidylcholine, a key component of neuronal membranes. It also increases levels of neurotransmitters like acetylcholine and dopamine, crucial for cognitive functions.
• Piracetam (800 mg): A nootropic medicine that improves cognitive performance and brain function. It protects the brain and nervous system against oxygen deprivation and enhances acetylcholine activity for improved brain cell communication.

Uses

CEHAM P Tablet is commonly used for:

• Acute Stroke Management: It helps protect brain cells, improve blood and oxygen flow to the brain, and support recovery after a stroke. It is effective in reducing brain damage and promoting healing in stroke patients.
• Cognitive Dysfunction: It is beneficial in managing cognitive dysfunction associated with conditions like Alzheimer's disease, Parkinson's disease, and other cerebrovascular diseases. It aims to improve memory, learning, and overall neurological status.
• Brain Trauma: It can be used in the treatment of cerebral insufficiency resulting from head trauma or brain injury.

Dosage and Administration

The dosage and duration of treatment for CEHAM P should be determined by a healthcare provider based on the patient's age, body weight, and medical condition.

• It can be taken with or without food, preferably at the same time each day to maintain a consistent level of the medication in the body.
• Swallow the tablet whole with water; do not crush, break, or chew it.
• If a dose is missed, take it as soon as remembered, but skip it if it's close to the next scheduled dose. Do not take a double dose.

Side Effects

Common side effects of CEHAM P Tablet may include:

• Weight gain
• Hyperactivity
• Stomach pain, nausea, vomiting, diarrhea, or constipation
• Nervousness, agitation, or sleeplessness
• Headache
• Muscle spasm, uncoordinated body movements, or shakiness
• Decreased or low blood pressure
• Dizziness or drowsiness

These side effects typically resolve on their own, but a doctor should be consulted if they persist or cause significant discomfort.

Precautions

• Allergies: Do not take CEHAM P if allergic to citicoline, piracetam, or any other components of the formulation.
• Medical Conditions: Inform your doctor about any history of intracranial hemorrhage (bleeding in the brain), bleeding disorders, severe renal or hepatic impairment, gastrointestinal ulcers, or Huntington's disease.
• Pregnancy and Breastfeeding: It is advisable to consult a doctor before taking CEHAM P if pregnant, planning for pregnancy, or breastfeeding.
• Driving and Operating Machinery: CEHAM P may cause drowsiness, sleepiness, or shakiness, which can impair concentration and reaction time. Avoid driving or operating machinery if affected.
• Alcohol Consumption: Avoid consuming alcohol with CEHAM P, as it can intensify sedative effects.
• Drug Interactions: Inform your doctor about all medications, supplements, or herbal products being taken, especially thyroid medications, anticoagulants (like warfarin or low-dose aspirin), meclofenoxate, and anti-Parkinson's medicine like levodopa.
• Children: CEHAM P is not recommended for children due to a lack of established safety and efficacy data.

Storage

• Store CEHAM P in a cool and dry place, away from direct sunlight.
• Keep it out of sight and reach of children and pets.
• Store at room temperature, typically between 10ºC to 25ºC or below 30ºC.
• Keep the medicine in its original container, tightly closed.

Here are some frequently asked questions about CEHAM P by ALKEM PANTACARE:

What is CEHAM P used for?

CEHAM P Tablet is primarily used in the rehabilitation of stroke patients, particularly during the acute phase. It helps in speeding up the recovery process by decreasing brain damage, promoting healing, and enhancing overall health after a stroke. Additionally, it can be beneficial in treating cerebral insufficiency resulting from head trauma or brain injury, managing cognitive dysfunction associated with conditions like Alzheimer's disease and other cerebrovascular diseases, and may help individuals with Parkinson's disease.

How does CEHAM P work?

CEHAM P Tablet contains a combination of two powerful medicines: Citicoline and Piracetam. Citicoline helps repair damaged nerve cells by boosting the production of phosphatidylcholine, which is crucial for neuronal membrane repair, and aids in acetylcholine production. Piracetam is a nootropic agent that protects the brain and nervous system from oxygen deprivation and enhances the activity of acetylcholine, a chemical messenger vital for brain cell communication and cognitive function. Together, they improve blood flow, oxygen supply to the brain, and help in the repair and regeneration of brain cells.

What is the usual dosage?

The dosage and duration of CEHAM P Tablet should be precisely as advised by your doctor, as it depends on your age, body weight, medical condition, and the severity of your health. It is generally recommended to take it at the same time each day, with or without food, to maintain a consistent level of medication in the body.

What are the possible side effects?

Common side effects of CEHAM P Tablet may include weight gain, hyperactivity, stomach pain, nervousness, diarrhea, decreased blood pressure, uncoordinated body movements, dizziness, headache, muscle spasm, nausea, and vomiting. Some individuals might also experience constipation, agitation, and low blood pressure. These side effects are often temporary and may resolve as your body adjusts to the medication, but if they persist or cause concern, you should consult your doctor.

Is CEHAM P safe during pregnancy or breastfeeding?

CEHAM P Tablet is generally not recommended for use during pregnancy due to limited information on its effects and should only be used if considered necessary by a healthcare professional after evaluating the risks and benefits. Similarly, it is not recommended for breastfeeding mothers unless specifically advised by a doctor, as its safety in lactation has not been established.

Can CEHAM P be taken with other medications?

CEHAM P Tablet can interact with certain medications. It should be used with caution if you are taking anticoagulants (blood thinners) like aspirin and warfarin, as it may increase the risk of bleeding. Nootropic medicines or psychostimulants (e.g., modafinil, methylphenidate) might enhance CEHAM P's effects, potentially leading to overstimulation. If you are taking levodopa for Parkinson's disease, CEHAM P might interfere with its absorption, reducing its effectiveness. Always inform your doctor about all medications, supplements, or herbal products you are currently taking to avoid potential interactions.

What precautions should be taken?

Do not take CEHAM P if you have a known allergy to Citicoline, Piracetam, or any of its components, or if you have severe renal or hepatic impairment, or cerebral hemorrhage (uncontrolled bleeding in the brain). Caution is advised if you have a history of intracranial hemorrhage, bleeding disorders, gastrointestinal ulcers, or if you are scheduled for major surgery. Patients with severe kidney disease should not use it, and dose adjustment may be necessary for those with kidney impairment. It is not recommended for children as its safety and effectiveness have not been established. Avoid driving or operating machinery if you experience drowsiness, sleepiness, or shakiness, as these can impair your focus. Alcohol consumption should generally be avoided or limited as it can intensify sedative effects.

What happens if a dose is missed?

If you forget to take a dose of CEHAM P Tablet, take it as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one. It is important to complete the entire course of treatment as prescribed by your doctor, even if your symptoms alleviate.

How should it be stored?

CEHAM P Tablet should be stored in a cool and dry place, away from direct sunlight. Keep it out of sight and reach of children and pets. It is typically stored at temperatures between 10ºC to 25ºC or below 30ºC. Store it in the container or pack it came in, tightly closed.