


Ask a doctor about a prescription for Memotropil 20%
Piracetam
Memotropil 20% is a medicine belonging to the nootropic subgroup. It reduces blood viscosity, increases blood flow through brain vessels without vasodilatory action, and also increases oxygen utilization and glucose consumption in brain tissue with impaired blood supply. Memotropil 20% is indicated for the treatment of myoclonus (brief, shock-like muscle contractions in one or more limbs or trunk) of cortical origin.
Particular caution should be exercised when using Memotropil 20%:
in patients taking anticoagulant medications or medications that inhibit platelet aggregation (including low-dose acetylsalicylic acid);
Tell your doctor about all medicines you are taking, or have recently taken, and about medicines you plan to take.
If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, ask your doctor for advice before using this medicine. Pregnancy Piracetam crosses the placental barrier. The medicine should not be used in pregnant women or women planning to become pregnant, unless it is absolutely necessary. Breastfeeding Piracetam passes into breast milk. Due to the risk of side effects in breastfed infants, breastfeeding should be discontinued during treatment with the medicine.
The occurrence of side effects after taking piracetam, such as drowsiness, nervousness, excessive restlessness, and depression, poses a risk associated with driving and operating machinery. If these occur, do not drive or operate machinery.
The medicine contains less than 1 mmol (23 mg) of sodium per ampoule, which means the medicine is considered "sodium-free".
This medicine should always be used as directed by your doctor or pharmacist. If you are unsure, ask your doctor or pharmacist. The medicine should be administered intravenously over a few minutes in the recommended dose or in 2 or 3 divided doses. It should not be mixed with other medicines. Treatment can be continued using piracetam in the form of film-coated tablets. Detailed dosing and administration instructions are provided at the end of the leaflet, in the section "Information intended for healthcare professionals only". Use in patients with renal impairment Piracetam is excreted by the kidneys, and therefore, particular caution should be exercised in patients with renal impairment. The doctor may recommend reducing the dose of the medicine. Use in elderly patients The doctor may recommend reducing the dose of the medicine. Use in patients with hepatic impairment There is no need to modify the dosage in patients with hepatic impairment only.
If you think you have received too much of the medicine, inform your doctor. Piracetam has low toxicity. During administration of very high doses of the medicine, side effects may be intensified.
If you think you have missed a dose of the medicine, inform your doctor as soon as possible. Do not take two doses of the medicine at the same time or at short intervals.
Do not stop treatment with the medicine without consulting your doctor. After stopping treatment in patients with myoclonus, the disease may recur or seizures may occur. If you have any further questions about the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you experience any side effects, including those not listed in this leaflet, inform your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products Al. Jerozolimskie 181C 02-222 Warsaw Tel.: +48 22 49 21 301 Fax: +48 22 49 21 309 Website: https://smz.ezdrowie.gov.pl Side effects can also be reported to the marketing authorization holder. By reporting side effects, you can help provide more information on the safety of this medicine.
Store the medicine out of sight and reach of children. Do not store above 25°C. Do not freeze the solution. Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month. The notation on the packaging after the abbreviation EXP means the expiry date, and after the abbreviation Lot means the batch number. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.
Clear solution, odorless. Available packs:
Polpharma S.A. ul. Pelplińska 19, 83-200 Starogard Gdański tel. +48 22 364 61 01
Information intended for healthcare professionals only: Memotropil 20% should be administered intravenously in the recommended dose over a few minutes or in a daily dose in 2-3 divided doses. It should not be mixed with other medicines. Recommended dose of the medicine in cortical myoclonusInitially, 7.2 g of piracetam per day is administered. If necessary, the doctor will increase the dose every 3 or 4 days by 4.8 g of piracetam per day, up to a maximum dose of 24 g per day. In combined treatment with other antiepileptic medicines, the doses of other medicines should be maintained at the recommended therapeutic doses. If clinical improvement is achieved, the doses of other medicines should be reduced, if possible, in the opinion of the doctor. Treatment with piracetam should be continued as long as the underlying brain disease persists. In patients with an acute episode, every 6 months the doctor will attempt to reduce the dose or discontinue the medicine. To this end, the dose of piracetam should be reduced by 1.2 g every 2 days (every 3 or 4 days in the case of the Lance-Adams syndrome, to prevent sudden recurrence of the disease).
Piracetam is excreted by the kidneys, and therefore, particular caution should be exercised in patients with renal impairment. The following table shows the dose reduction depending on creatinine clearance.
| Kidney function | Creatinine clearance (ml/min) | Dosing and frequency |
| Normal | >80 | usually administered daily dose, in two to four divided doses |
| Mild impairment | 50-79 | 2/3 of the usually administered daily dose, in two or three divided doses |
| Moderate impairment | 30-49 | 1/2 of the usually administered daily dose, in two divided doses |
| Severe impairment | <30 | 1/6 of the usually administered daily dose, once daily |
| End-stage renal impairment |
| use is contraindicated |
Do not use the medicine if visible changes are observed in the solution.
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Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Memotropil 20% – subject to medical assessment and local rules.