NOOTROPIL 200 mg /Ml Solution

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5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Nootropil 20%

Contents of the leaflet

  1. Leaflet attached to the packaging: patient information
  2. Nootropil 20%, 200 mg/ml, oral solution
  3. Nootropil 33%, 333 mg/ml, oral solution
  4. What is Nootropil and what is it used for
  5. Important information before taking Nootropil
    1. When not to take Nootropil:
    2. Warnings and precautions
    3. Taking Nootropil with food, drink, and alcohol
    4. Children and adolescents
    5. Taking Nootropil in patients with renal and/or hepatic impairment
    6. Taking Nootropil in elderly patients
    7. Pregnancy and breastfeeding
    8. Driving and using machines
    9. Nootropil and other medicines
    10. Nootropil contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216), glycerol, and sodium
    11. Nootropil 20% also contains benzyl alcohol
  6. How to take Nootropil
    1. Taking Nootropil in elderly patients
    2. Taking a higher dose of Nootropil than recommended
    3. Missing a dose of Nootropil
  7. POSSIBLE SIDE EFFECTS
    1. Reporting side effects
  8. How to store Nootropil
  9. Contents of the pack and other information
    1. What Nootropil contains
    2. What Nootropil looks like and contents of the pack
    3. Marketing authorization holder and manufacturer
    4. Date of last revision of the leaflet:

Leaflet attached to the packaging: patient information

Nootropil 20%, 200 mg/ml, oral solution

Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

Nootropil 33%, 333 mg/ml, oral solution

Piracetam
Read the leaflet carefully before taking the medicine, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for a specific person. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any not listed in the leaflet, tell your doctor or pharmacist. See section 4.

Table of contents of the leaflet:

  • 1. What is Nootropil and what is it used for
  • 2. Important information before taking Nootropil
  • 3. How to take Nootropil
  • 4. Possible side effects
  • 5. How to store Nootropil
  • 6. Contents of the pack and other information

1. What is Nootropil and what is it used for

Nootropil is a nootropic medicine. It reduces blood viscosity, increases blood flow through the vessels in the brain without vasodilating action, and also increases oxygen and glucose utilization in ischemic brain tissue.
Indications for use of Nootropil
Nootropil is used in:

  • treatment of cortical myoclonus (short, violent muscle contractions in one or more limbs or trunk);
  • treatment of dyslexic disorders in children in combination with speech therapy;
  • treatment of dizziness.
Medicine questions

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2. Important information before taking Nootropil

When not to take Nootropil:

  • if the patient is allergic to piracetam, other pyrrolidone derivatives, or any of the other ingredients of this medicine (listed in section 6);
  • if the patient has cerebral hemorrhage;
  • if the patient has terminal renal failure;
  • if the patient has Huntington's chorea.

Warnings and precautions

Before starting treatment with Nootropil, discuss it with your doctor or pharmacist.
Due to the effect of piracetam on platelet aggregation, caution should be exercised in patients with coagulation disorders, undergoing major surgical procedures, and in patients with severe bleeding, bleeding risk, e.g., in gastric and intestinal ulcer disease, with coagulation disorders, with a history of hemorrhagic stroke, undergoing major surgical procedures, including dental procedures, using anticoagulant products or platelet aggregation inhibitors, including small doses of acetylsalicylic acid.
Sudden discontinuation of treatment should not be performed in patients treated for myoclonus, to avoid recurrence of myoclonus or generalized seizures.

Taking Nootropil with food, drink, and alcohol

Nootropil can be taken during or between meals.

Children and adolescents

See: "How to take Nootropil".

Taking Nootropil in patients with renal and/or hepatic impairment

Piracetam is excreted by the kidneys. Caution should be exercised when administering the medicine to patients with impaired renal function. Depending on the severity of renal impairment, dose adjustment may be required.

Taking Nootropil in elderly patients

In elderly patients with impaired renal function, the doctor will adjust the dose of the medicine.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks she may be pregnant, or plans to have a child, she should consult her doctor or pharmacist before taking this medicine.
There are insufficient data on the use of piracetam in pregnant women. Piracetam crosses the placental barrier. The concentration of the medicine in the blood of newborns is approximately 70-90% of the concentration in the mother's blood.
Piracetam passes into human milk. Therefore, piracetam should be avoided during breastfeeding or breastfeeding should be discontinued during treatment with piracetam.

Driving and using machines

The medicine may affect the ability to drive and use machines, and this should be taken into account.

Nootropil and other medicines

Tell your doctor or pharmacist about all medicines you are taking now or have recently taken, as well as any medicines you plan to take.
In particular, tell your doctor or pharmacist about:

  • thyroid hormones. Cases of confusion (disorientation), irritability, and insomnia have been reported during concomitant use of the medicine with thyroid hormones (T + T).
  • anticoagulant medicines, such as acenocoumarol.

The likelihood of other medicines affecting the metabolism of piracetam is low.
Concomitant administration of alcohol did not affect the concentration of piracetam in serum. Taking a dose of 1.6 g of piracetam orally did not affect the concentration of alcohol. However, it is not recommended to consume alcohol during treatment with the medicine.

Nootropil contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216), glycerol, and sodium

The medicine contains methyl and propyl parahydroxybenzoates, which may cause allergic reactions (possible late reactions).
The medicine contains glycerol, which may cause headache, gastrointestinal disturbances, and diarrhea.
Nootropil 20%
The maximum daily dose (24 g of piracetam) contains 80.4 mg of sodium, the main component of table salt. This corresponds to 4.02% of the maximum recommended daily dose of sodium in the diet for adults.
Nootropil 33%
The maximum daily dose (24 g of piracetam) contains 24.35 mg of sodium, the main component of table salt. This corresponds to 1.22% of the maximum recommended daily dose of sodium in the diet for adults.

Nootropil 20% also contains benzyl alcohol

The maximum daily dose (24 g of piracetam) contains 0.13 mg of benzyl alcohol, which corresponds to 0.001 mg/ml. Benzyl alcohol may cause allergic reactions.
Patients with liver or kidney disease should consult their doctor before taking the medicine, as a large amount of benzyl alcohol may accumulate in their body and cause adverse reactions (so-called metabolic acidosis).
Pregnant or breastfeeding women should consult their doctor before taking the medicine, as a large amount of benzyl alcohol may accumulate in their body and cause adverse reactions (so-called metabolic acidosis).

3. How to take Nootropil

This medicine should always be taken as directed by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist.
1,000 mg is equivalent to 1 gram.
1 ml of the 200 mg/ml solution is equivalent to 0.2 grams.
1 ml of the 333 mg/ml solution is equivalent to 0.333 grams.
Treatment of cortical myoclonus
Treatment should start with a dose of 7.2 g of Nootropil per day, increasing every 3 or 4 days by 4.8 g of the medicine per day to a maximum dose of 24 g per day. Nootropil should be taken in divided doses 2 or 3 times a day.
In combination therapy with other anti-myoclonic medicines, the doses of other medicines should be maintained at the recommended therapeutic doses. If clinical improvement is achieved and possible, the doses of other medicines should be reduced.
In patients with myoclonus, the symptoms may evolve over time, and therefore the doctor should attempt to reduce the dose or discontinue the medicine every 6 months. To do this, the dose of piracetam should be reduced by 1.2 g every 2 days to prevent sudden recurrence of the disease.
Treatment of dyslexic disorders in children in combination with speech therapy
In combination with speech therapy in children aged 8 to 13 years: 3.2 g of Nootropil per day in 2 divided doses.
Treatment of dizziness
2.4 g of Nootropil per day in 3 divided doses of 0.8 g for 8 weeks.
The doctor may reduce the dose of piracetam in patients with impaired renal function.

Taking Nootropil in elderly patients

In elderly patients treated with piracetam for a long time, the doctor will individually adjust the dose of the medicine after assessing kidney function.

If a higher dose of the medicine than recommended is taken, consult your doctor or pharmacist immediately.
Overdose symptoms: one case of bloody diarrhea and abdominal pain has been reported in a patient who overdosed on the medicine. There is no specific antidote in case of piracetam overdose.
Treatment of overdose is symptomatic and may involve hemodialysis, gastric lavage, or induction of vomiting .

Missing a dose of Nootropil

Do not take a double dose to make up for a missed dose.

4. POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects reported in clinical trials and after the product was marketed are listed below by frequency of occurrence as follows:
Very common:
more than 1 in 10 people;
Common:
between 1 and 10 in 100 people;
Uncommon:
between 1 and 10 in 1,000 people;
Rare:
between 1 and 10 in 10,000 people;
Very rare:
less than 1 in 10,000 people;
Frequency not known:
cannot be estimated from the available data.
Common

  • nervousness
  • weight gain
  • increased motor activity (hyperkinesia)

Uncommon

  • weakness (asthenia)
  • depression
  • drowsiness

Frequency not known

  • bleeding disorders
  • anaphylactoid reactions (a type of hypersensitivity reaction to the medicine)
  • hypersensitivity
  • excitement
  • anxiety
  • confusion
  • hallucinations
  • dizziness
  • abdominal pain
  • epigastric pain
  • diarrhea
  • nausea
  • vomiting
  • angioedema
  • skin inflammation
  • itching
  • hives
  • coordination disorders (ataxia)
  • balance disorders
  • seizure exacerbation
  • headache
  • insomnia You should immediatelyinform your doctor if you experience symptoms such as: skin redness, swelling, hives, shortness of breath, throat swelling, breathing difficulties.

Reporting side effects

If you experience any side effects, including any not listed in the leaflet, tell your doctor or pharmacist. 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 181 C, 02-222 Warsaw, phone: +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 the medicine.

5. How to store Nootropil

Keep the medicine out of sight and reach of children.
Do not use this medicine after the expiry date stated on the carton. The expiry date refers to the last day of the month.
There are no special storage requirements.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the pack and other information

What Nootropil contains

Nootropil 20%, 200 mg/ml, oral solution
The active substance of Nootropil is piracetam. 1 ml of the oral solution contains 200 mg of piracetam.
The other ingredients are: glycerol 85%, sodium saccharin, sodium acetate trihydrate, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216), apricot flavor 52247 A (contains benzyl alcohol, bergamot oil (debergaptenized), propylene glycol (E 1520), ethanol, linalol), caramel flavor 052929 A7 (contains benzyl alcohol, propylene glycol (E 1520), ethanol, anise oil), glacial acetic acid, purified water.
Nootropil 33%, 333 mg/ml, oral solution
The active substance of Nootropil is piracetam. 1 ml of the oral solution contains 333 mg of piracetam.
The other ingredients are: glycerol 85%, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216), sodium acetate trihydrate, glacial acetic acid, purified water.

What Nootropil looks like and contents of the pack

Nootropil 20% oral solution is a clear, colorless to very light brown liquid.
The pack contains a 150 ml or 200 ml bottle of the solution.
Nootropil 33% oral solution is a clear, colorless liquid.
The pack contains a 125 ml or 300 ml bottle of the solution.

Marketing authorization holder and manufacturer

Marketing authorization holder
UCB Pharma SA
Allée de la Recherche 60
B-1070 Brussels
Belgium
Manufacturer
NextPharma SAS
Route de Meulan 17
78520 Limay
France
To obtain more detailed information about this medicine, contact the local representative of the marketing authorization holder:
UCB Pharma Sp. z o.o.
ul. Kruczkowskiego 8
00-380 Warsaw
phone: + 48 22 696 99 20

Date of last revision of the leaflet:

  • Nootropil 20%
  • Country of registration
  • Dosage form
    Solution, 200 mg/ml
  • ATC code
    N06BX03
  • Active substance
  • Prescription required
    Yes
  • Manufacturer
  • Importer
    UCB Pharma S.A.
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Online doctors for Nootropil 20%

Discuss questions about Nootropil 20%, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(14)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(22)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

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€156
Doctor
5.0(6)

Anastasiia Hladkykh

Psychiatry15 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
Book a video appointment
€156
Doctor
5.0(1)

Daria Portnova

Psychiatry31 years of experience

Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations. In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life. Patients consult Dr Daria Portnova for the following concerns: 

  • existential crises and complex life situations;
  • loss, grief, and emotional exhaustion;
  • relationship difficulties, separation, and divorce;
  • psychological and psychiatric trauma, including complex PTSD (cPTSD);
  • anxiety disorders: generalised anxiety disorder and panic disorder;
  • social anxiety and social phobia;
  • obsessive-compulsive disorder (OCD);
  • sleep disorders;
  • depressive disorders;
  • bipolar affective disorder;
  • schizoaffective disorder;
  • schizophrenia;
  • personality disorders.

Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.

Book a video appointment
€116
Doctor
5.0(1)

Pedro Alvarez Guerrero

Psychiatry8 years of experience

Dr. Alvarez Guerrero graduated in Medicine from the San Pablo CEU University in Madrid. He subsequently completed his specialization in Psychiatry in the Department of Psychiatry at Hospital Sant Joan de Deu in Manresa (Barcelona), where over the course of four years he acquired solid training in the bio-psycho-social model, developing his expertise across the different areas of mental health.

During his residency, he undertook training placements at Hospital Clínic de Barcelona, where he trained for several months in the psychiatric consultation-liaison unit. He also completed another placement at Hospital de Cruces in Bilbao, in the first-episode psychosis unit.

Throughout his professional career, Dr. Alvarez Guerrero has sought to complement his medical training with psychotherapeutic tools that allow him to address mental health disorders from a comprehensive perspective. For this reason, he specialized in Brief Strategic Psychotherapy through the Spanish Society of Psychosomatic Medicine and Psychotherapy, an approach focused on targeted and effective interventions.

With the aim of deepening his knowledge and promoting the rational use of treatments, he also completed a Master’s Degree in Psychopharmacology at the University of Valencia, which has enabled him to rigorously integrate the most up-to-date scientific evidence into the clinical management of psychopharmacological treatments.

He has also shown a particular interest in the field of legal psychiatry, completing an Official Master’s Degree in Legal, Forensic and Criminological Psychopathology at the Universitat Internacional de Catalunya. This training has allowed him to acquire the necessary competencies for the preparation of psychiatric expert reports in judicial and medico-legal contexts, thereby broadening the scope of his professional activity.

Book a video appointment
€116

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Frequently Asked Questions

Is a prescription required for Nootropil 20%?

Nootropil 20% requires a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Nootropil 20%?

The active ingredient in Nootropil 20% is piracetam. This information helps identify medicines with the same composition but different brand names.

Who manufactures Nootropil 20%?

Nootropil 20% is manufactured by UCB Pharma S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Nootropil 20% online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Nootropil 20% is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Nootropil 20% in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Nootropil 20% in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Nootropil 20%?

Other medicines with the same active substance (piracetam) include Biotropil 1200, Biotropil 800, Lucetam. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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