Pyramem 400 mg. 60 tablets

€18
Tax included

Piramem belongs to the group of nootropic drugs, derivatives of gamma-aminobutyric acid. Piramem improves and restores disorders in cognitive processes (ability to learn, memory, attention and mental performance) as a result of brain diseases and intoxications (poisoning). It does not have a calming and psychostimulating effect. Piramem improves the rheological properties of blood.

Quantity

1. What is Pyramem and what is it used for

Piramem belongs to the group of nootropic drugs, derivatives of gamma-aminobutyric acid. Piramem improves and restores disorders in cognitive processes (ability to learn, memory, attention and mental performance) as a result of brain diseases and intoxications (poisoning). It does not have a calming and psychostimulating effect. Piramem improves the rheological properties of blood.

In adults, Piramem is used for:

improving memory and attention disorders, as well as the lack of motivation due to brain diseases and disabilities (the so-called psychoorganic syndrome)

treatment of sudden, involuntary muscle contractions (so-called cortical myoclonus), alone or in combination with other drugs;

treatment of vertigo and related balance disorders, excluding dizziness of vascular or mental origin;

  prevention and remission of sickle cell vasoocclusive crisis (so-called vascular crisis - blockage of small blood vessels) in sickle cell anemia (a hereditary disease in which the structure of hemoglobin is disturbed and the shape of red blood cells is changed).

In children, Piramem is used for:

treatment of speech disorders (dyslexia), in combination with other appropriate measures such as speech therapy;

prevention and remission of sickle cell vasoocclusive crisis.

Do not take Pyramem

if you are allergic to the active substance or to any of the other ingredients of this medicine (listed in point 6);

if you have a brain haemorrhage;

if you suffer from end-stage renal failure;

if you suffer from Huntington's chorea.

Warnings and precautions

Talk to your doctor or pharmacist before taking Piramem:

if you have severe bleeding or if your risk of bleeding is increased (e.g. you have a stomach ulcer, blood clotting disorders, you have had a brain haemorrhage in the past, you have had major surgery (including dental);

you have severe kidney disease. Your doctor may assess the need for a change in the daily dose if you have impaired kidney function. In elderly patients, periodic control of renal function is necessary, it is necessary to take into account that abrupt discontinuation of treatment with the product in patients with myoclonus may lead to the recurrence of symptoms or its worsening.

Administration of a daily dose lower than recommended in patients with sickle cell anemia may provoke a renewal of the crisis.

Elderly patients should visit their doctor regularly so that the dose can be adjusted if necessary.

Other medicines and Piramem

You should tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Confusion, irritability, and sleep disturbances have been reported when piracetam is taken concurrently with thyroid hormones.

Concomitant treatment with anticoagulants and antiplatelet agents (anticoagulants and blood thinners), including acetylsalicylic acid in low doses, increases the risk of bleeding.

We feast on food, drink and alcohol

There is no evidence of the need for a special diet or restrictions on certain types of food and drink during treatment with the product.

Pregnancy, lactation and fertility

If you are pregnant or breast-feeding, think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist for advice before using this medicine.

Pregnancy

There are insufficient data on the use of piracetam in pregnant women. It is not recommended to use the product during pregnancy, except in the case of absolute necessity after the doctor's judgment.

Breastfeeding

Piracetam is excreted in breast milk, therefore its use during breastfeeding is not recommended. In the event that treatment with the product is imperative, breastfeeding should be discontinued.

Driving and using machines

Some of the side effects (drowsiness, depression) associated with taking the product may have an adverse effect on the ability to drive and operate machinery, which should be taken into account.

Piramem contains lactose and coloring E 110

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

The dye E 110 can cause allergic reactions.

3. How to take Piramem

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.

Adults

Treatment of myoclonus (sudden involuntary muscle contractions) of cortical origin The initial daily dose is 7.2 g, which is increased by 4.8 g every 3-4 days until reaching a maximum daily dose of 24 g divided by 2 or 3 accepts. Treatment with other antimyoclonic medicinal products should be maintained in the same

Treatment of vertigo, vertigo and tinnitus)

The recommended daily dose ranges from 2.4 g to 4.8 g, divided into 2 or 3 doses.

Prevention and remission of sickle cell vasoocclusive crisis The recommended daily dose for prevention is 160 mg/kg orally, divided into 4 doses.

The recommended daily dose for remission is 300 mg/kg administered intravenously, divided into 4 doses (injection and infusion forms are used).

A daily dose lower than 160 mg/kg or irregular intake may lead to a relapse of the crisis.

Children and adolescents

Treatment of dyslexia (difficulty in reading and understanding what is read) in combination with speech therapy

For children aged 8 years and adolescents, the recommended daily dose is 3.2 g, divided into two doses.

For prophylaxis and remission of sickle cell vasoocclusive crisis The recommended daily dose for prophylaxis is 160 mg/kg taken orally. The recommended daily dose for remission is 300 mg/kg administered intravenously.

A daily dose lower than 160 mg/kg or irregular intake may lead to the crisis.

Piracetam can be administered to children over 3 years of age suffering from sickle cell anemia in the recommended daily doses (in mg/kg). Piracetam has been used in a limited number of children aged 1 to 3 years.

Application method

Capsules should be taken orally and swallowed with liquid. They can be taken with or without food. It is recommended that the daily dose be taken in two to four doses.

Duration of treatment

You should take Piramem for as long as your doctor has advised you. In the treatment of chronic diseases, the optimal effect is usually achieved after 6 to 12 weeks.

If you have taken more than the required dose of Piramem

If you have accidentally or deliberately used a higher than prescribed dose, contact your doctor immediately or visit the nearest medical facility. Do not use the medicine more often or for a longer time than prescribed to avoid an overdose.

If you forget to take Piramem

Do not take a double dose to make up for a missed dose. Administer the usual dose as soon as possible after you have detected the omission and continue the treatment in the usual way.

If you have stopped taking Piramem

In order to avoid the resumption of complaints, discontinuation of treatment with Piramem should be done gradually - every 2 days the dose is reduced by 1.2 g.

If you have any further questions related to 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 you experience any of the reactions listed below that concern you, notify your doctor.

According to their frequency, side effects can be very common (may affect more than 1 in 10 patients), common (may affect up to 1 in 10 patients), uncommon (may affect up to 1 in 100 patients), rare (may affect affect up to 1 in 1,000 patients), very rare (may affect up to 1 in 10,000 patients) and not known (cannot be estimated from the available data).

The following adverse drug reactions are possible during treatment with piracetam:

Common:

nervousness;

increased motor activity (hyperkinesia);

weight gain.

Uncommon:

depression;

drowsiness;

weakness (asthenia).

Not known frequency:

blood clotting disorders (hemorrhagic disorders);

severe allergic reaction that causes difficulty in breathing and dizziness, hypersensitivity;

agitation, anxiety, confusion, hallucinations;

difficult coordination of movements, impaired balance, worsening of epilepsy, headache, insomnia;

dizziness (vertigo);

abdominal pain, upper abdominal pain, diarrhea, nausea, vomiting;

severe allergic reaction that causes swelling of the face or throat (angioedema), dermatitis (inflamed and irritated skin), itching, hives.

5. How to store Pyramem

To be stored below 25°C.

Keep out of the reach of children.

Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiration date corresponds to the last day of the specified month.

Do not dispose of medicines down the drain or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help protect the environment.

6. Contents of the package and additional information

What Pyramem contains:

Active substance: piracetam. Each hard capsule contains 400 mg of piracetam.

Other ingredients:

Capsule content: lactose monohydrate, colloidal anhydrous silica (type R-972), colloidal anhydrous silica (type 200), talc, magnesium stearate.

Composition of the gelatin capsule: gelatin, dyes: E 104, E171 and E 110.

What Pyramem looks like and contents of the pack

Yellow, hard, cylindrical gelatinous

1000 Items