PIRAMEM 400 mg. 60 tablets

ACTAVIS
PIRAMEM 400 mg. 60 tablets
€ 15.00
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What is Piramem and what it is used
Piramem the group consisting of nootropic drugs, derivatives of gamma-aminobutyric acid. Piramem improves and restores violations in cognitive processes (learning ability, memory, attention and mental performance) due to brain diseases and intoxication (poisoning). Does not have a calming effect and psychostimulant. Piramem improves the rheological properties of the blood.

Piramem apply to:
Adults
Improving the impairment of memory and attention, and the lack of motivation due to brain diseases and disabilities (ie psycho-organic syndrome);
Treatment of sudden, involuntary muscle contractions (ie cortical (cortical) myoclonus), alone or in combination with other drugs;
Treatment of vertigo and related disorders of balance, with the exception of dizziness of vascular or mental origin;
For prophylaxis and remission of sickle cell vaso-occlusive crisis (ie vascular crisis - blockage of small blood vessels) in sickle cell anemia (an inherited disease in which abnormal hemoglobin structure and changed the shape of red blood cells) .
Children
Treatment of speech disorders (dyslexia), in combination with other appropriate measures such as speech therapy;
For prophylaxis and remission of sickle cell vaso-occlusive crisis.
2. What you need to know before you take Piramem
Do not take Piramem if:
you are allergic to the active substance or to any of the other ingredients of this medicine (listed in section 6);
have a brain hemorrhage;
suffer from kidney failure last stage;
suffering from etc. Huntington's chorea.
Warnings and Precautions
Talk to your doctor or pharmacist before taking Piramem:
if you have heavy bleeding or if your risk of bleeding is increased (eg. you have gastrointestinal ulcers, bleeding disorders have suffered from bleeding in the brain, have undergone major surgery (including dental));
have severe kidney disease. Your doctor may need to change the daily dose, if you have any disturbances in the function of the kidneys. In elderly patients need a regular monitoring of renal function;
it should be borne in mind that the abrupt termination of treatment with the product in patients with myoclonus may lead to recurrence of the symptoms or its deterioration.
Daily dose lower than recommended in patients with sickle cell anemia may provoke renewed crisis.
It is recommended that elderly patients to regularly visit your doctor to adjust the dose if necessary.

Other medicines and Piramem
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Coadministration of piracetam with thyroid hormones is reported occurrence of confusion, irritability and sleep disturbances.
Concomitant treatment with anticoagulants and antiplatelet aggregants (anti-clotting drugs and medicines for blood thinning) including acetylsalicylic acid (low dose) increases the risk of bleeding.

Piramem with food, drinks and alcohol
No evidence of the need for special diets or restrictions on certain types of foods and beverages during treatment with the product.

Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine.

Pregnancy
There are no adequate data from the use of piracetam in pregnant women. Not recommended use of the product during pregnancy unless clearly necessary after the physician's discretion.

Breastfeeding
Piracetam is excreted in human milk, therefore it is not recommended its use during lactation. In the event that treatment with the product is necessary, breast feeding should be discontinued.

Driving and using machines
Some of the side effects (drowsiness, anxiety) associated with the intake of the product may have an adverse effect on the ability to drive and use machines, which must be taken into account.

Piramem contains lactose monohydrate, wheat starch and E110
Piramem 400 mg film-coated tablets and Piramem capsules contain lactose monohydrate. If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this product.
Piramem 400 mg capsules contain E110, which might cause allergic reactions. Piramem 400 mg film-coated tablets contain wheat starch. It is suitable for people with celiac disease (gluten enteropathy). Patients with wheat allergy (different from celiac disease) should not take this product.

3. How to take Piramem
Always take this medicine exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist.

Adults
Treatment of myoclonus (sudden involuntary muscle contractions) with cortical origin initial daily dose is 7,2 g, which increased by 4,8 g every 3-4 days up to a maximum daily dose of 24 g, divided in 2 or 3 accepted. Treatment with protivomioklonichni other medicinal products should be maintained at the same dose.
Depending on the clinical outcome achieved if possible dose of other such medicinal products should be reduced. Once started, treatment with piracetam should last as long as the original cerebral disease continues. Every 6 months should attempt to lower the dose or treatment discontinuation.
Caution - patients with kidney problems should take lower doses (see. Precautions for use). The duration of treatment depends on the nature of your disease and response to your complaints. If you feel that the effect of the drug is too strong or too weak, talk to your doctor or pharmacist.
Symptomatic treatment of psihoorganichen syndrome (deterioration of mental activity)
The recommended daily dose ranges from 2.4 to 4,8 g, divided into 2 or 3 doses. Treatment begins with daily doses of 4,8 g piracetam during the first few weeks, after which the daily dose was decreased to 2,4 g.

Treatment of vertigo (dizziness and tinnitus)
The recommended daily dose ranges from 2.4 to 4,8 g, divided into 2 or 3 doses.

Prophylaxis and remission of sickle cell vaso-occlusive crisis
Recommended daily dose for prophylaxis is 160 mg / kg taken orally, divided into 4 doses.
The recommended daily dose for remission is 300 mg / kg, administered into a vein, divided into 4 (used for injectable forms, and infusion administration.
Daily dose lower than 160 mg / kg or irregular intake may lead to renewed crisis.

Children and adolescents
Treatment of dyslexia (difficulty in reading and understanding of reading) in combination with speech therapy
For children aged 8 years and adolescents, the recommended dose is 3,2 g, in two divided doses.

For prophylaxis and remission of sickle cell vaso-occlusive crisis
Recommended daily dose for prophylaxis is 160 mg / kg taken orally. The recommended daily dose for remission is 300 mg / kg, administered into the vein.
Daily dose lower than 160 mg / kg or irregular intake may lead to renewed crisis.
Piracetam may be administered to children over 3 years old, suffering from sickle cell anemia at the recommended daily dose (in mg / kg). Piracetam has been administered to a limited number of children aged 1 to 3 years.

Method of administration
Tablets and capsules Piramem should be administered orally and be swallowed with liquid. Can be taken with or without food. Recommended daily dose is administered two to four times.

Duration of treatment
You should take Piramem as long as advised by your doctor. In the treatment of chronic diseases optimum effect is usually achieved after 6 to 12 weeks.

If you take more dose Piramem
If you accidentally or on purpose you use more than the prescribed dose, contact your doctor immediately or go to the nearest hospital. Do not use the medicine more often or for a longer time than prescribed to avoid overdose.

If you forget to use Piramem
Do not take a double dose to make up the missed dose. Apply the usual dose as soon as possible after you remember and continue treatment as usual.

If you stop taking Piramem
In order to avoid the resumption of complaints discontinuation of treatment with Piramem should be gradual - every 2 days the dose is reduced to 1,2 g.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. If any of the below effects that you are worried, contact your doctor.

Frequencies they can be:
very common (affects more than 1 in 10 patients);
common (affects up to 1 in 10 patients);
Uncommon (affects up to 1 in 100 patients);
rare (affects up to 1 in 1000 patients);
very rare (affects up to 1 in 10,000 patients);
not known (from the available data can not be estimated).
During treatment with piracetam are possible following adverse reactions:
Common:
Nervousness;
Increased physical activity (hyperkinesia);
Weight gain.
Uncommon:
Depression;
Drowsiness;
Weakness (asthenia).
Not known:
Disturbances in blood clotting (bleeding disorders);
Severe allergic reaction which causes difficulty in breathing or dizziness, hypersensitivity;
Agitation, anxiety, confusion, hallucinations;
Difficulties in coordinating your movements, impaired balance, worsening of epilepsy, headache, insomnia;
Dizziness (vertigo);
Pain in the abdomen, pain in the upper abdomen, diarrhea, nausea, vomiting;
Severe allergic reaction which causes swelling of the face or throat (angioedema), dermatitis (inflamed and irritated skin), pruritus, urticaria.
Adverse event reporting
If you get any side effects, tell your doctor or pharmacist.
This includes any possible effects not listed in this leaflet.

5. How to store Piramem
At temperatures below 25 ° C.
Keep out of the reach and sight of children.
Do not use this medicine after the expiry date stated on the carton. The expiry date refers to the last day of that month.
Do not use this medicine if you notice any change in the appearance of tablets or capsules.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Contents of the pack and other information
What Piramem:
Piramem 400 mg hard capsules
The active substance is piracetam (piracetam) 400 mg.
The other ingredients are lactose monohydrate; silica colloidal anhydrous (type R-972); silica colloidal anhydrous (type 200); talc; magnesium stearate; gelatin capsule (gelatin, E104, E171, E110).

Piramem 400 mg film-coated tablets
The active substance is piracetam (piracetam) 400 mg.
The other ingredients are lactose monohydrate; cellulose, microcrystalline; wheat starch; silica colloidal anhydrous; magnesium stearate; copovidone; talc.
The composition of the film coating: a copolymer of methacrylic acid-ethyl acrylate copolymer (1: 1), talc, titanium dioxide, macrogol 6000, polysorbate 80.

Piramem 800 mg film-coated tablets
The active substance is piracetam (piracetam) 800 mg.
The other ingredients are copovidone, crospovidone, magnesium stearate.
The composition of the film coating: a copolymer of methacrylic acid-ethyl acrylate copolymer (1: 1), talc, titanium dioxide, macrogol 6000, macrogol 400, polysorbate 80, silica colloidal anhydrous, magnesium stearate.

Piramem looks like and contents of the pack
Piramem 400 mg hard capsules
Yellow, solid, cylindrical capsules.
10 pieces in blister, 6 blisters in a box.

Piramem 400 mg film-coated tablets
White or almost white, round biconvex film-coated tablets.
10 pieces in blister 4 blister pack.
€ 15.00
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