In the article, we will understand why Nootropil is prescribed. He is part of the group of nootropic medicines. The main active substance in its composition is piracetam. The medicine is often used for memory disorders, intellectual pathologies.
Reviews about "Nootropil" are abundant.
Pharmacological forms of the drug
The manufacturer produces the drug in four pharmacological forms - in capsules, tablets, a solution intended for oral use, a solution intended for administration intravenously or intramuscularly.
The release form of Nootropil is also described in the instructions.
Composition, description of this medication
The main active component in the composition of the drug is piracetam.
The tablet form of the medicine may contain 800 or 1200 mg of piracetam. The auxiliary components are: magnesium stearate, lactose monohydrate, silicon dioxide, propylene glycol.
The capsule form of the drug contains 400 mg of the active ingredient. Auxiliary components are: magnesium stearate, lactose monohydrate, silicon dioxide, propylene glycol.
Each milliliter of oral solution contains 200, 330 mg of piracetam. Additional components in the solution are: propyl parahydroxybenzoate, flavor, methyl parahydroxybenzoate, acetic acid, sodium acetate, glycerol, purified water, sodium saccharin.
Each milliliter of the solution used for intravenous or intramuscular administration contains 200 mg of piracetam. As auxiliary components in its manufacture are used: acetic glacial acid, injection water, sodium trihydrate acetate.
Reviews about Nootropil are most often positive.
Pharmacological group of drugs
Against the background of the use of the drug, the rate of glucose utilization increases, the production of RNA and phospholipids accelerates, the ATP level in the cells forming the brain increases, glycolytic reactions are stimulated, the metabolism in the brain normalizes, and memory and learning ability improve.
As the instructions for use indicate, Nootropil is also suitable for children.
It is able to inhibit the aggregation of activated platelets, has a positive effect on the speed of propagation of impulses in the brain tissue, microcirculation.
The drug is able to have a protective effect if there are brain damage provoked by electric shock, hypoxia, intoxication. Under the influence of the drug, blood flow in the brain increases, synaptic performance and conductivity in neocortical structures increase.
Nootropil is often prescribed to improve memory.
The therapeutic effect of the use of the medication develops gradually. The psychostimulating and sedative effect of taking the drug does not develop.
Nootropil: indications
Experts recommend using the medicine to treat memory disorders, intellectual disorders. The use of the medication is justified only if the patient does not have dementia.
For adult patients, it is indicated for the treatment of the following conditions:
- Sickle-cell vaso-occlusive crisis.
- Cortical myoclonus.
- Dizziness, imbalance (psychogenic and vasomotor dizziness are exceptions).
- Psycho-organic syndrome, which is accompanied by a decrease in cognitive abilities and memory, dizziness, behavior disorder, mood swings.
What are the indications of Nootropil in children?
For children, the drug is prescribed as a prophylactic for sickle-cell vaso-occlusive crisis, as well as if dyslexia is diagnosed. The tablet form can be used in children from 3 years old, the Nootropil syrup - from a year.
The drug should not be used in the lactation period, during pregnancy. A similar limitation is associated with insufficient clinical data on the effects of piracetam on a woman’s health during these periods of life.
Contraindications to the use of a medication
"Nootropil" is not allowed for use if the patient has the following conditions or diseases:
- Individual susceptibility to the active or auxiliary components of the drug.
- Negative reaction to pyrrolidone derivatives.
- Disturbed blood circulation in the brain.
- The last stages of chronic renal dysfunction.
- Age up to 3 years (when using the tabletted "Nootropil")
- Age up to 1 year (when using an oral solution).
- Huntington's syndrome.
Caution should be exercised when prescribing a medication to patients who have hemostasis, severe bleeding, chronic renal failure.
Drug use
The range of application of Nootropil is extensive, and therefore the dosage and treatment regimen should be selected by a doctor who will take into account the etiology of the disease, its severity, as well as the age of the patient.
Adult patients are advised to start parenteral therapy with a dosage of 10 grams. The infusion should last up to 30 minutes. When the therapeutic effect occurs, the dosage must be reduced, switch to the oral form of Nootropil.
Capsule and tablet preparation should be taken twice a day. The dosage should be up to 160 mg / kg body weight. The duration of therapy can reach six months.
For children, the dosage is determined based on weight in consultation with the pediatrician.
Negative impact
According to reviews of Nootropil, the following negative reactions may develop against the background of its use:
- Vertigo.
- Lowering blood pressure.
- Confusion.
- Hyperthermia.
- Imbalance.
- Thrombophlebitis.
- Insomnia.
- Abdominal pains.
- Asthenia.
- Increased libido.
- Dermatitis.
- Hallucinations.
- Quincke's edema.
- Anxiety.
- Vomiting
- Headache.
- Hives.
- Ataxia.
- Itching
- Dizziness.
- Anaphylactic reactions.
- Depression.
- Diarrhea.
- Drowsiness.
- Nausea.
- Irritability.
When these negative reactions appear, especially in children, it is important to consult a doctor. You may need a dose adjustment or complete discontinuation of the drug.
The combination of Nootropil with thyroid hormones can provoke confusion, sleep disturbances, and irritability. Isoenzymes of cytochrome P450 are not inhibited.
Special instructions for use
If the drug is used to treat cortical myoclonia, it is important to exclude a sharp interruption of therapy, as this can provoke repeated attacks.
If the drug is used to treat sickle cell anemia, irregular use of the drug, as well as a dosage of less than 160 mg / kg, can cause an exacerbation of the disease.
Piracetam has the ability to penetrate filter membranes in hemodialysis machines.
Overdose
If an overdose occurs, the following symptoms develop: blood diarrhea, abdominal pain. In this case, the patient requires inducing vomiting, gastric lavage. Hemodialysis is effective.
Analogs
Nootropil has a sufficient number of structural analogues. Among them are Lucetam, Biotropil, Piracetam, Piracezin, Fezam, Karnitsetin, Bravinton, Acefen.
If it becomes necessary to replace Nootropil with a similar drug, especially in the treatment of children, it is important to consult a doctor who can determine the feasibility of such a replacement.
Cost
The average cost of a tabletted "Nootropil" with a dosage of 1200 mg is 250 rubles per package, containing 20 tablets. A pack of 30 tablets with a dosage of 800 mg will cost about 290 rubles. Injection "Nootropil" costs an average of 320 rubles for 12 ampoules. Oral solution costs about 330 rubles per bottle.
Reviews about Nootropil
Nootropil has a huge number of positive reviews. Patients note that the drug is highly effective if it is used according to indications and long courses. Short courses of medication do not provide a therapeutic effect.
An important advantage of the drug is its ability to improve brain activity, memory, and speech development in pediatric patients.
Negative reviews also occur, and they are mostly associated with the ability of the drug to provoke the development of negative effects.
It is important to remember that the use of the drug must be agreed with the doctor.