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NOOTROPIL is indicated for patients experiencing myoclonus of cortical origin, regardless of aetiology, and may be utilized in combination 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 in a dosage of 7.2 g/day, increasing by 4.8 g/day every three or four days up to and including maximum of 20g/day, succumbed either a few divided doses and keep other antimyoclonic drugs unchanged at their optimal dosage. If possible, based on clinical benefit, an endeavor should be made to subsequently slow up the dosage of other antimyoclonic drugs.

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Take the medicine as prescribed by your doctor.

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Store this medicine at room temperature in the tightly-closed container, from heat and light-weight.

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The side effects reported associated with Nootropil include nervousness, agitation, irritability, anxiety and sleep disturbances. The incidence of the during many studies was 5% or less and they also were more frequently noted within the older patients taking a lot more than 2.4 g daily. In the most of cases a dose reduction sufficed to make these symptoms disappeared. Some patients may complain of fatigue or drowsiness. Gastro-intestinal problems such as nausea, vomiting, diarrhoea and stomachache have also been reported, but their Incidence during many studies was 2% or less. Other symptoms, for example 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 lower than 20 ml for each minute), hepatic impairment and those under 16 years. It is also contraindicated in patients with cerebral haemorrhage, Huntington's Chorea and in those that have hypersensitivity to piracetam, other pyrrolidone derivatives or any of the excipients .

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Nootropil mustn't be prescribed in pregnancy or when breastfeeding.

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