Nootropil 800 Mg Tablet (30 Tab)

NOOTROPIL 800 MG TABLET

NOOTROPIL 800 MG TABLET is a nootropic medication manufactured by Dr. Reddy's Laboratories Ltd.

• Name:

  • Brand Name: Nootropil 800 mg Tablet
  • Common Name: Piracetam

• Composition:

  • Each film-coated tablet contains 800 mg of Piracetam.

• Uses: Nootropil is primarily used in adult patients for:

  • Cortical myoclonus (a movement disorder characterized by involuntary jerking or twitching of muscles, particularly in the arms and legs), used in combination with other anti-myoclonic therapies.
  • Memory loss associated with Alzheimer's disease.
  • Age-related and post-traumatic memory loss.
  • Vertigo (dizziness).
  • Dyslexia (a learning disorder), especially in children above 8 years when used in combination with appropriate measures like speech therapy.
  • Cognitive disorders, including those related to aging (involution syndrome) such as memory deficits, asthenia, and disturbed psychomotor reactions.
  • Stroke, and dementia in Parkinson's disease.
  • Post-traumatic syndrome, addressing cerebral dysfunction and sequelae like headache, agitation, and memory disorders.
  • Sickle cell disease, by improving blood flow and reducing vaso-occlusive crises.

• Dosage and Administration:

  • Nootropil tablets should be swallowed whole with liquid, and can be taken with or without food.
  • It is advisable to take the medicine at the same time each day.
  • For myoclonus, the daily dosage typically begins at 7.2 g (nine 800mg tablets) and can be increased by 4.8 g every three to four days, up to a maximum of 24 g per day, divided into two or three doses.
  • For psycho-organic syndrome related to aging, an initial dose may be 2.4 g per day (three 800 mg tablets) in 3 divided doses for 6 weeks, followed by a maintenance dose of 1.2 g per day in 3 divided doses.
  • The total daily dose can range from 1.2 g to 4.8 g, divided into two to four sub-doses, depending on the indication and severity.
  • Dosage adjustment is recommended for elderly patients and those with compromised renal function.
  • Abrupt discontinuation of treatment should be avoided, as it may induce myoclonic or generalized seizures.

• Side Effects:

  • Common: Nervousness, weight gain, hyperactivity (hyperkinesia), somnolence/sleepiness, depression, headache, dizziness, stomach pain, diarrhea, nausea, restlessness, agitation, and weakness.
  • Less Common/Serious: Allergic reactions (difficulty breathing, swelling), bleeding and bruising, worsened seizures, hallucinations, confusion, anxiety, difficulty balancing, insomnia, muscle spasms, and skin rash.

• Precautions:

  • Contraindications: Do not take if allergic to piracetam or other pyrrolidone derivatives, have severe renal impairment (creatinine clearance less than 20 ml/min), cerebral hemorrhage, or Huntington's Chorea.
  • Bleeding Disorders: Use with caution in patients with severe hemorrhage, those at risk of bleeding (e.g., gastrointestinal ulcer), underlying disorders of hemostasis, history of hemorrhagic cerebrovascular accident, major surgery, or those using anticoagulants or antiplatelet drugs.
  • Kidney Problems: Dosage adjustment is necessary for patients with impaired renal function.
  • Pregnancy and Breastfeeding: Consult a doctor before use; generally not recommended unless clearly necessary. Piracetam is excreted in human breast milk. Contraception is advised while using this medication to avoid pregnancy.
  • Alcohol: Caution is advised as alcohol consumption may lead to increased sleepiness.
  • Driving and Machinery: May cause dizziness, sleepiness, or shakiness; avoid driving or operating machinery if these side effects occur.
  • Sodium Content: At the maximum daily dose (24g or 30 tablets of 800mg), the medicine contains 43.8 mg of sodium, which should be considered by patients on a controlled sodium diet.
  • Other Medications: Inform your doctor about all other medications, including thyroid extract, anticoagulants, or low-dose aspirin, due to potential interactions.

• Storage:

  • Store in the original packaging, protected from sunlight and moisture.
  • Keep out of the sight and reach of children and pets.
  • Store below 30°C.

Here are some frequently asked questions about Nootropil 800 mg Tablet:

What is Nootropil 800 mg Tablet used for?

Nootropil 800 mg Tablet, containing Piracetam, is primarily used to treat various cognitive disorders and movement conditions. It is prescribed for memory loss associated with Alzheimer's disease, age-related memory decline, and memory loss following head injuries. It also helps manage conditions like Parkinsonism, stroke, vertigo, and myoclonus (a movement disorder characterized by uncontrollable muscle jerking). Additionally, it may be used to treat dyslexia in children aged 8 years and older.

How does Nootropil 800 mg Tablet work?

Nootropil is a nootropic agent that acts directly on the brain and nervous system. While its exact mechanism is not fully understood, it is believed to improve communication between nerve cells, enhance the activity of the chemical messenger acetylcholine, and increase blood and oxygen supply to the brain. It also helps protect brain cells from oxygen deprivation and stabilizes cell membranes, thereby supporting overall brain function and enhancing cognitive processes.

What is the usual dosage for Nootropil 800 mg Tablet?

The dosage of Nootropil 800 mg Tablet varies depending on the condition being treated and individual needs. For psycho-organic syndrome related to aging, an initial dose might be 2.4 grams (three 800 mg tablets) per day, divided into 3 doses, for about 6 weeks, followed by a maintenance dose of 1.2 grams per day in 3 divided doses. For post-traumatic syndrome, an initial dose of 3 x 800 mg orally per day may be prescribed, gradually decreasing. For myoclonus, daily doses can start at 7.2 grams and increase up to a maximum of 24 grams, divided into two or three doses. Always follow your doctor's specific instructions for dosage and duration.

What are the possible side effects of Nootropil 800 mg Tablet?

Common side effects can include nervousness, weight gain, sleeplessness (insomnia), dizziness, nausea, agitation, hyperkinesia (involuntary movements), depression, stomach pain, and diarrhea. Less common side effects may include fatigue and mood changes. Rarely, more serious side effects such as seizures, allergic reactions, and bleeding or bruising can occur. If any side effects worsen or become bothersome, consult your doctor.

Is Nootropil 800 mg Tablet safe during pregnancy or breastfeeding?

Nootropil is generally not recommended during pregnancy unless clearly necessary and the potential benefits outweigh the risks, as there is insufficient data on its use in pregnant women and it crosses the placental barrier. Piracetam is excreted into human breast milk, so it should not be used while breastfeeding, or breastfeeding should be discontinued during treatment. Always consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Can Nootropil 800 mg Tablet be taken with other medications?

Caution is advised when taking Nootropil with certain medications. It can increase the effects of antiplatelet drugs and anticoagulants (blood thinners like cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, tirofiban), which may increase the risk of bleeding. Concomitant use with thyroid hormones (T3+T4) has been reported to cause confusion, irritability, and sleep disturbances. While it doesn't significantly alter the blood levels of common anti-epileptic drugs like carbamazepine, phenytoin, phenobarbitone, or valproate, it's crucial to inform your doctor about all medications you are taking to avoid potential interactions. Alcohol does not significantly affect piracetam serum levels.

What precautions should be taken while taking Nootropil 800 mg Tablet?

Do not take Nootropil if you are allergic to piracetam or any of its components, have severe kidney disease, cerebral hemorrhage (bleeding in the brain), or Huntington's disease. Use with caution if you have any bleeding disorders, gastrointestinal ulcers, or are undergoing surgery (including dental surgery), as it can affect platelet aggregation. Do not stop taking Nootropil abruptly without consulting your doctor, as this can lead to a relapse of your condition or induce seizures. If you experience dizziness or sleepiness, avoid driving or operating heavy machinery. Elderly patients and those with kidney problems may require dosage adjustments.

What happens if a dose of Nootropil 800 mg Tablet is missed?

If you miss a dose of Nootropil, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a forgotten one, as this may increase the risk of side effects. If you are unsure, contact your doctor or pharmacist for advice.

How should Nootropil 800 mg Tablet be stored?

Nootropil 800 mg Tablets should be stored below 30°C. Keep the medicine in its original packaging, out of the reach and sight of children. Do not use the tablets after the expiry date printed on the carton.