Nootropil 33% Oral Solution

• 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 you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

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

• if you are allergic to piracetam or any of the other ingredients of this medicine (listed in section 6).
• if you have ever had serious kidney problems
• if you have ever experienced a brain haemorrhage
• if you suffer from Huntington’s disease also known as Huntington’s Chorea

If any of the above applies to you, do not take Nootropil Solution and talk to your doctor or pharmacist.

Talk to your doctor or pharmacist before taking Nootropil Solution

• if you think your kidneys may not be working perfectly. (Your doctor may need to start you on a lower dose.)
• if you have ever had any kind of bleeding problem.

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

Tell your doctor if you are taking any of the following medicines:

• Thyroid extract or thyroxine
• Anticoagulants such as warfarin or acenocoumarol
• Low dose aspirin
• Any other medicines, including medicines obtained without a prescription.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. If you are taking this medicine, use contraception to avoid becoming pregnant. If you are taking Nootropil Solution and you think you may be pregnant, consult your doctor immediately.

Nootropil Solution may cause drowsiness and shakiness. If this happens to you, do not drive or use machinery.

Nootropil Solution contains parahydroxybenzoate which may cause allergic reactions (possibly delayed). This medicine contains less than 1 mmol sodium (23 mg) per 22.6 g, that is to say essentially ‘sodium-free’. When the dose is greater than 22.6 g it cannot be considered ‘sodium-free’ and it should be taken into consideration by patients on a controlled sodium diet. At maximum daily dose (24 g) this medicine contains-24.3 mg of sodium. This is equivalent to 1.2% of the recommended maximum daily dietary intake of sodium for an adult.

Also contains glycerol which may cause headache, stomach upset and diarrhoea.

Your doctor will choose the dose that is right for you. Your dose will be shown clearly on the label that your pharmacist puts on your medicine. If it does not, or you are not sure, ask your doctor or pharmacist.

How much medicine to take and when to take it

• The recommended starting dose is 7.2 g which is approximately 4 teaspoons of solution per day (using a 5ml measuring teaspoon). This will be approximately 20ml.
• It is best to split the dose so that the solution is taken on two or three separate occasions during the day (e.g. Two spoons in the morning and two spoons in the evening or one spoon in the morning, one at midday and two spoons in the evening.)
• When you start taking this medicine your doctor may tell you to gradually increase the dose to ensure that you receive the best dose to treat your condition
• Follow your doctor’s instructions carefully.

• Swallow the undiluted solution
• Do not mix the solution with any other liquid
• As the medicine has a very bitter taste you may drink a glass of water or a soft drink afterwards.

If you are elderly or have kidney problems your doctor may reduce your dose.

If you accidentally take too much, immediately go to the nearest hospital casualty department or your doctor.

Do not take a double dose to make up for a forgotten dose. Simply take the next dose as planned.

Do not stop taking Nootropil Solution without first talking to your doctor. Abruptly stopping your medicine may cause twitching and jerking.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

By reporting side effects you can help provide more information on the safety of this medicine.

The active substance is piracetam. Each 5 ml of solution contains 1.666 g piracetam.

The other ingredients are glycerol, methyl parahydroxybenzoate (E 218), propyl parahydroxybenzoate (E 216), sodium acetate, acetic acid and purified water.

Nootropil Solution is a clear, colourless solution. It comes in bottle which contains 125ml or 300 ml of the solution.

Not all pack sizes may be marketed.