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Nootropil - instructions for use, analogs, reviews and release forms (tablets 800 mg and 1200 mg, capsules 400 mg, injections in injections) of a drug for the treatment of brain disorders in adults, children and in pregnancy

Nootropil - instructions for use, analogs, reviews and release forms (tablets 800 mg and 1200 mg, capsules 400 mg, injections in injections) of a drug for the treatment of brain disorders in adults, children and in pregnancy

In this article, you can read the instructions for using the drug Nootropil. Presented are the opinions of visitors to the site - consumers of this medication, as well as the opinions of doctors of specialists on the use of Nootropil in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues Nootropil in the presence of existing structural analogues. Use to treat the effects of stroke and brain disorders in adults, children, as well as in pregnancy and lactation.

 

Nootropil - Nootropic preparation, cyclic derivative of gamma-aminobutyric acid (GABA).

 

Directly affects the central nervous system, improving cognitive (cognitive) processes, such as the ability to learn, memory, attention, and mental performance. Nootropism has an effect on the central nervous system in various ways: it changes the rate of spread of excitation in the brain, improves metabolic processes in nerve cells, improves microcirculation, acting on the rheological characteristics of the blood and without causing vasodilating action.

 

Improves communication between the cerebral hemispheres and synaptic conductivity in neocortical structures, increases mental capacity, improves cerebral blood flow.

 

Piracetam (the active substance of the drug Nootropil) inhibits platelet aggregation and restores the elasticity of the erythrocyte membrane, reduces the adhesion of red blood cells. At a dose of 9.6 g reduces the level of fibrinogen and von Willebrand factors by 30-40% and lengthens the time of bleeding. Piracetam has a protective and restoring effect when brain function is impaired due to hypoxia and intoxication.

 

Nootropil reduces the severity and duration of the vestibular nystagmus.

 

Composition

 

Piracetam + auxiliary substances.

 

Pharmacokinetics

 

After taking the drug inside Nootropil quickly and almost completely absorbed from the digestive tract. Bioavailability of the drug is approximately 100%. Does not bind to blood plasma proteins. When tested on animals, pyracetam selectively accumulates in the tissues of the cerebral cortex, mainly in the frontal, parietal and occipital lobes, in the cerebellum and basal ganglia. It is not metabolized in the body. Penetrates through the blood-brain and placental barrier. 80-100% of piracetam is excreted by the kidneys unchanged by renal filtration.

 

Indications

  • symptomatic treatment of psycho-organic syndrome, in particular in elderly patients with memory loss, dizziness, decreased concentration and general activity, mood changes, behavioral disorders, gait disorders, as well as in patients with Alzheimer's disease and senile dementia of the Alzheimer type;
  • treatment of the consequences of ischemic stroke, such as speech disorders, emotional disorders, to enhance motor and mental activity;
  • chronic alcoholism - for the treatment of psycho-organic and abstinence syndromes;
  • comatose conditions (and during the recovery period), incl. after injuries and intoxications of the brain;
  • treatment of vertigo of vascular genesis;
  • in the complex therapy of low learning in children with psycho-organic syndrome;
  • for the treatment of cortical myoclonia as a mono- or complex therapy;
  • sickle-cell anemia (as part of complex therapy).

 

Forms of release

 

Tablets coated with 800 mg and 1200 mg.

 

Capsules 400 mg.

 

Solution for oral administration 200 mg / ml.

 

Solution for intravenous and intramuscular injection (injections in ampoules for injection).

 

Instructions for use and dosage

 

Assign inside and parenterally. The daily dose is 30-160 mg / kg.

 

Parenteral appoint in case of impossibility of reception inside, in the same daily dose.

 

Inside is taken during meals or on an empty stomach; Tablets and capsules should be washed down with liquid (water, juice). Multiplicity of admission is 2-4 times a day.

 

With symptomatic treatment of chronic psychoorganic syndrome, depending on the severity of symptoms, 1.2-2.4 g per day are prescribed, and during the first week - 4.8 g per day.

 

When treating the consequences of a stroke (chronic stage), 4.8 g per day is prescribed.

 

In the treatment of coma, as well as difficulties in perception in people with brain injuries, the initial dose is 9-12 g per day, supporting - 2.4 grams per day. Treatment lasts at least 3 weeks.

 

With alcohol withdrawal syndrome - 12 g per day. Supportive dose of 2.4 grams per day.

 

Treatment of dizziness and associated disorders of equilibrium - 2.4-4.8 g per day.

 

Children to correct reduced learning assign 3.3 g per day - 8 ml 20% solution for oral administration 2 times a day. Treatment continues throughout the school year.

 

In cortical myoclonia, treatment begins with 7.2 grams per day, every 3-4 days the dose increases by 4.8 g / day until a maximum dose of 24 g / day is reached. Treatment continues throughout the period of the illness. Every 6 months, attempts are made to reduce the dose or discontinue the drug, gradually reducing the dose by 1.2 g every 2 days. In the absence of effect or a slight therapeutic effect, treatment is discontinued.

 

With sickle cell anemia, the daily prophylactic dose is 160 mg / kg body weight divided into 4 equal doses.

 

Side effect

  • nervousness;
  • drowsiness;
  • depression;
  • dizziness;
  • headache;
  • disturbance of balance;
  • insomnia;
  • excitation;
  • anxiety;
  • hallucinations;
  • increased sexuality;
  • increase in body weight (most often occurs in elderly patients receiving the drug in doses greater than 2.4 g per day);
  • nausea, vomiting;
  • diarrhea;
  • stomach ache;
  • dermatitis;
  • itching;
  • rashes;
  • edema;
  • asthenia.

 

Contraindications

  • acute violation of cerebral circulation (hemorrhagic stroke);
  • terminal stage of renal failure (with CC <20 ml / min);
  • children's age up to 1 year (for oral solution);
  • children under 3 years (for tablets and capsules);
  • hypersensitivity to the components of the drug.

 

Application in pregnancy and lactation

 

Adequate and strictly controlled studies of the safety of the use of Nootropil in pregnancy have not been conducted. You should not prescribe the drug during pregnancy, except in cases of extreme necessity.

 

Piracetam penetrates the placental barrier, excreted in breast milk. The concentration of pyracetam in newborns reaches 70-90% of its concentration in the blood of the mother. If you need to use the drug during lactation should refrain from breastfeeding.

 

In experimental studies on animals, no damaging effects on the embryo and its development have been identified, including. in the postnatal period, as well as changes in the course of pregnancy and childbirth.

 

Use in children

 

Contraindicated in children under the age of 1 year in the form of a solution for oral administration and children up to 3 years of age in the form of tablets and capsules.

 

special instructions

 

In connection with the effect of piracetam on platelet aggregation, it is recommended that the drug be administered with caution to patients with hemostasis disorder, during major surgeries, or to patients with symptoms of severe bleeding. In the treatment of patients with cortical myoclonia, sudden interruption in treatment should be avoided, which can lead to the resumption of seizures.

 

With prolonged therapy of elderly patients, regular monitoring of renal function parameters is recommended, if necessary, dose adjustment is performed depending on the results of the study of creatinine clearance.

 

Impact on the ability to drive vehicles and manage mechanisms

 

Taking into account possible side effects, care should be taken when working with mechanisms and driving a car.

 

Drug Interactions

 

There was no interaction of Nootropil with clonazepam, phenytoin, phenobarbital, sodium valproate.

 

Piracetam in high doses (9.6 g per day) increased the effectiveness of acenocoumarol in patients with venous thrombosis: there was a greater decrease in platelet aggregation, fibrinogen, von Willebrand factors, viscosity of blood and plasma than in the administration of acenocoumarol alone.

 

The possibility of changing the pharmacodynamics of piracetam under the influence of other drugs is low, because 90% of its dose is excreted unchanged in the urine.

 

When taking piracetam at a dose of 20 mg per day, Cmax in the blood plasma and the character of the pharmacokinetic curve of anticonvulsants (carbamazepine, phenytoin, phenobarbital, valproic acid) in patients with epilepsy receiving constant doses of these drugs do not change.

 

When taking Nootropil in a dose of 1.6 g with alcohol concentrations in the serum of pyracetam and ethanol (alcohol) did not change. Used to treat alcohol withdrawal syndrome.

 

Analogues of the drug Nootropil

 

Structural analogs for the active substance:

  • Lucetsam;
  • Memotropized;
  • Nootebril;
  • Noocetam;
  • Piraben;
  • Pyramids;
  • Pyramidal;
  • Piracetam;
  • Stamine;
  • Cerebrial;
  • The escotrope.

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Other medicines:

Reviews (43):
Guests
swimmer
Maybe my response will not be published, all the same, consider anti-advertising, but I want to say about the price of the medicines that we drink. All straight like to drink so much Nootropil and for the brain is good, and helps to think better, and remember, and from all sorts of strokes helps, only no one can say. than this superfood can differ from the usual Pyracetam (!!!), which is part of this product more expensive than the cheap analogue-parent. For me it has long been clear that it is necessary to take not actively advertised preparations, but good analogs based on active substances, those that are written in small handwriting on the package with the medicine. And so yes Nootropil is a good remedy, but I drink Pyracetam and also I do not know the problems, but I pay less, because it is efficient.
Guests
medic
Hello!! I certainly understand those people who drink nootropil according to the doctor's prescription, but why drink it if you have not been examined by a doctor ?! To stuff your body with chemistry? Well, that since nootropil helps memory, etc., but we ourselves must train memory, we can not build up artificial memory !! Then eventually it will call you. If you are prescribed by doctors, then drink, well, if it's you yourself for prevention and so on (each with different excuses), do not harm your body !! Be healthy and happy !!
Administrators
admin
medic, this is the right approach. Any prescription of a medicine should be justified and appointed by a specialist, even if this drug is a common vitamin. There have been cases when people drove themselves into hypervitaminosis by taking several fat-soluble vitamins, because they were advised by healers, acquaintances and the list can be continued.
Guests
Svetlana Vasilyevna
Very good drug. Saw before the exams, passed perfectly.And do not give a damn if it's artificial memory or not, the main result is: without nerves and problems passed exam. This is not constant, but in exceptional cases
Guests
Dmitriy
Administrator, open your eyes to all readers, is there a difference between Nootropil and Pyracetam, except in the manufacturer and the price?
Administrators
admin
Dmitriy, 100% counterparts to each other. Differences only in manufacturers and auxiliary substances, the active substance specified in the question of drugs is the same.
Guests
Andrei
Can I apply nootropil, in case of organic brain damage?
Administrators
admin
Andrei, Yes. Organic brain damage or dementia is in the indications for the use of the drug Nootropil. Can be used.
Guests
Ksenia
Whether it is possible to apply nootropilum or piracetamum at a vegeto-vascular dystonia?
Administrators
admin
Ksenia, Can. There are no restrictions in the instructions to these drugs in the VSD is not indicated. Most likely, even there will come an improvement.
Guests
marina
Tell me, but can a child take this medication after suffering thrombocytopenic purpura?
Administrators
admin
marina, On this issue, consult a doctor who has a child on a dispensary account, as Nootropil acts on the platelet system of blood and reduces platelet aggregation. Without consultation in your case can not do.
Guests
a guest
How to administer nootropil in ampoules?
Administrators
admin
a guest, The drug Nootropilum is administered intramuscularly or intravenously to patients in an unconscious state or if the administration of oral forms is not possible due to the condition of the patient. Preferred is intravenous administration. Injections should be made by specially trained specialists in compliance with the rules of aseptic and antiseptic.
Guests
Wise
Prompt, Nootropilum it is possible to accept as an independent preparation or in a complex with other preparations, for example with such as Actovegin?
Administrators
admin
Wise, It is possible independently, and it is possible and in a complex with other preparations. As the doctor decides.
Guests
KulakovVD
I experienced myself in connection with the disease:
1. Nootropil for injections - helps, and very noticeably, with anemia and associated dizziness. Often could not even drive a car.
2. Piracetam and other analogs were taken orally (I wanted to get away from painful injections). A week later, the head in the occipital part began to ache after taking the tablets - for an hour it was necessary to lie without getting up.
The rest think for yourself, cheaper or more expensive.
Hello. Tell me, please, my daughter psychoneurologist appointed cortexin, nootropil and neuromultivitis. We were treated and started to climb hair more than usual (I did not notice before), maybe it's from these drugs or not? Thank you.
Administrators
admin
natalya suvorinaNone of the drugs indicated in the question, as well as their combination, causes alopecia or alopecia. There are no side effects in this. I can assume either some vitamin deficiency, or a hormonal failure in the child (it would be good to also indicate the age of the patient for a full understanding of the situation and the diseases for which the therapy regimen is prescribed).
Thank you very much for the answer! To the child almost 6 years! Drugs are prescribed from the delay of speech development!
Administrators
admin
natalya suvorinaSuch a disease can not affect baldness, unless the delay in speech development and, accordingly, baldness is caused by a violation of blood flow in the vessels of the head. You should carefully check, in young children, alopecia on a flat place does not arise, it's not adults who have everything possible.
Guests
Alunchik
The drug is good, only I took a half tablet (800 mg).
Guests
Olga
How long is the course of treatment with Nootropil?
Administrators
admin
Olga, The instructions to the drug says that the course of treatment with Nootropil should last at least 3 weeks. The duration of treatment in a particular case is determined by the attending physician of the patient.
Guests
Tatiana K
Good afternoon. The child was prescribed to drink as a syrup 5.0 mg twice a day. The syrup spits out or tears it up, can I replace the syrup with tablets?
Administrators
admin
Tatiana K, Tablets for children under 3 years are contraindicated, since children at this age can not adequately swallow them. In the rest it is possible, if you know the dosage and know how to recalculate it to the active substance, if not - contact the doctor for the appointment. And vomiting may not be from the syrup, it's also good to talk with the child's attending physician.
Guests
lads
I am frightened, the testimony is precisely what is required in the treatment, and the secondary: recourse I do not remember,so that such passions were shown in Soviet times. These medicines were accepted by many and the results were good, and now it's just a horror story, not a medicine. Now, on the appointment of a neurologist, I take Oxyvin for the second month and do not feel any improvement, then Meixaron, 10 injections of Neurox, and no improvement: dizziness is, movement is not strong, but I feel and much more of that in the side. So why take it then.
Guests
Professor
It is necessary to fight with the formation of false ideas by advertisers about this drug. People should understand that this is a serious medication for serious illnesses, and not a toy for young people.
Administrators
admin
Professor, I agree. Any drug should be appointed by a doctor, and not sold without a prescription by crooked businessmen who give the proceeds from which their prize dances.
Guests
Semenoff
With such a list of pobochek, I'm better sleepy like.
Guests
Elena
Hello! I have intracranial pressure and vegetovascular dystonia according to the analysis of a neurologist.She prescribed injections and pills for me, there is nootropil intravenously, and encephabol tablets. Can I drink tablets nootropil or piracetam?
Administrators
admin
ElenaIt is possible to replace Piracetam injections with tablet formulations. Nootropil contains in its composition the active substance piracetam, therefore it can be replaced by a similar preparation.
Guests
Vasilevna
Hello. To me nootropilum have appointed or nominated in eye clinic in occasion of vision decrease. 25 years ago there was an operation - a keratotomy. I accept the sixth day 800 times a day. There's a fog in my head ...
Guests
V.V.
Over the years, once a year, I pierce Nootropil (as directed by a neurologist) intravenously. As an independent drug, and in a complex. Originally was attributed to the doctor Piracetam, after the first injection was bad throughout the day. Replaced Nootropil - everything is fine. So decide: cheaper or more expensive. I think, it is necessary to approach individually.
Tell me, please, can I replace the 200 mg / 1 ml syrup with the tablets. To the son of 9 years, 56 kg. Dosage in syrup to 8 ml twice a day. And how many tablets to drink per day, I'm afraid of making a mistake. Tell me please. Tablets bought a dosage of 800 mg.
Administrators
admin
Soldatova Elvira Vladimirovna, At you all is simple. The child is prescribed 8 ml of oral solution at 200 mg in 1 ml, that is, for a one-time intake, this results in 1.600 mg of active ingredient, it means that in 800 mg tablets this will be 2 tablets 2 times a day. Your child at the age of 9 can already give this medicine in tablets.
Visitors
tehlkhpp
Tell me please. I have vegetative-vascular dystonia, frequent headaches, deterioration of memory, attention, dizziness, it sometimes "bounces on corners", I feel insecure when walking in the dark. Independently (without consulting a doctor) drank two courses of tablets Noopept. My head almost stopped hurting, my mood improved. It has been almost a month since I do not accept and again started headaches.Advise, maybe try to take Nootropil?
Administrators
admin
tehlkhpp, Nootropil is not an analogue of the active substance of the drug Hoopept, therefore direct replacement is not possible. Most likely in the first reception of Noopept you independently measured yourself a short-term course of treatment and therefore ran into insufficient time for the effectiveness of the drug. It is necessary to apply to the neurologist in person to determine the cause of the symptoms, diagnosis and appointment of competent treatment.
Visitors
bhfblf
After HCC was prescribed nootropil 0.8 g x 3 times. After 5 days of admission exacerbation of gastritis. Is this medication related to another cause?
Administrators
admin
bhfblf, Nausea and abdominal pain, possible side effects when taking Nootropil. Check can be a short-term withdrawal of the drug, if all the unpleasant symptoms disappear, then it is worthwhile to choose another doctor with the attending physician, because this medicine does not suit you. Otherwise, the cause of the aggravation is something else.
Guests
EkZi
About the difference between Piracetam and Nootropilum - I'll tell you the difference. I have spent my whole life, every six months, drinking a course that also includes Nootropil. I drink according to the doctor's testimony, tk. I have neurosensory hearing loss and this course helps to maintain hearing. But one day, it turned out that Nootropil was not in the pharmacies, and it was decided to replace the domestic analogue - Piracetam. So I immediately started allergic to it. I spent my childhood allergic, but there was never any reaction to Nootropil. And here you are. I had to stop urgently to drink. A few years later, when I had to make a replacement for the second time, fortunately, I managed to get around, but according to the results of the audiogram it was revealed that the improvement was very insignificant. As a result: piracetam is a cheaper analogue, and, accordingly, the marriage of its production is several times higher. Results from its use can come out the most unexpected and the probability of side effects increases. Yes, and the effectiveness is lame, can help, or maybe not. If it suits you - please, it's good, there is an opportunity to be treated more economically.But in such cases as me, Nootropil is a real savior.
Guests
Andrei
Hello. I was injected with phenazepam for 3 weeks, (treated for alcoholism), and now both diction and memory are very affected. Tell me, please, will I help nootropil?
Administrators
admin
AndreiIf Nootropil is appointed by the attending physician - it is necessary to take the prescribed treatment, and if you decide to take the medicine yourself - I can not know. These symptoms can occur with various diseases and conditions from stroke to side effects from taking pills, injections.

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