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NOOTROPIL is indicated for patients being affected by myoclonus of cortical origin, irrespective of aetiology, and may be utilized 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 is usually to introduce piracetam at the dosage of 7.2 g/day, increasing by 4.8 g/day every three to four days up to maximum of 20g/day, shown in either two or three divided doses while keeping other antimyoclonic drugs unchanged at their optimal dosage. If possible, according to clinical benefit, an effort ought to be created to subsequently reduce the dosage of other antimyoclonic drugs.

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Store this medicine at room temperature inside a tightly-closed container, from heat and light.

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 Active ingredient: Piracetam

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The unwanted effects reported in connection with Nootropil include nervousness, agitation, irritability, anxiety and sleep disturbances. The incidence of those during clinical trials was 5% or less plus they were more frequently noted in the older patients taking greater than 2.4 g daily. In the majority of cases a dose reduction sufficed to create these symptoms disappeared. Some patients may complain of fatigue or drowsiness. Gastro-intestinal problems like nausea, vomiting, diarrhoea and stomachache have been reported, on the other hand Incidence during clinical trials was 2% or less. Other symptoms, such as 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 less than 20 ml for each minute), hepatic impairment also to those under 16 years. It is also contraindicated in patients with cerebral haemorrhage, Huntington's Chorea plus individuals with hypersensitivity to piracetam, other pyrrolidone derivatives or the excipients .

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Nootropil shouldn't be prescribed during pregnancy or when breastfeeding.

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