Alcetam 400mg Tablet (Piracetam): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Sudden swelling of the face, lips, or throat, or difficulty breathing.
- Unusual bleeding or bruising, such as bleeding gums, nosebleeds, or blood in urine or stool.
- Severe abdominal pain, nausea, or vomiting.
- Chest pain, shortness of breath, or irregular heartbeat.
- Severe headache, confusion, or changes in vision.
- Yellowing of the skin or eyes (jaundice).
- Decreased urine output or swelling in the legs or ankles.
- New or worsening involuntary muscle movements.
If experiencing severe symptoms, call emergency services immediately.
What is davaindia piracetam 400mg tablet used for?
This medicine contains Piracetam 400mg, a nootropic agent used to treat cognitive impairment, cortical myoclonus, and vertigo. It works by improving brain cell function and blood flow. It is taken orally, usually two to three times daily. Common side effects include nervousness, insomnia, and weight gain. It should be used under medical supervision.
- Generic Name: Piracetam
- Manufacturer: Davaindia Generic Pharmacy
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 davaindia piracetam 400mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पिरासिटाम 400 मिलीग्राम युक्त है और मस्तिष्क की कार्यप्रणाली में सुधार के लिए उपयोग की जाती है। इसका उपयोग मुख्य रूप से याददाश्त की कमी, ध्यान केंद्रित करने में कठिनाई और मानसिक भ्रम जैसी समस्याओं में किया जाता है, विशेषकर बुजुर्गों में। यह मायोक्लोनस नामक स्थिति में भी प्रभावी है, जिसमें मांसपेशियों में अचानक झटके आते हैं। इसके अलावा, यह स्ट्रोक के बाद भाषा संबंधी समस्याओं और चक्कर आने में भी मदद कर सकती है। यह दवा मस्तिष्क को अधिक ऑक्सीजन और ग्लूकोज पहुंचाने में मदद करती है, जिससे दिमाग की कोशिकाएं बेहतर तरीके से काम करती हैं। हालांकि, यह कोई जादुई दवा नहीं है और इसका सेवन डॉक्टर की सलाह के बिना नहीं करना चाहिए।
साइड इफेक्ट्स: इस दवा के कुछ सामान्य दुष्प्रभाव हो सकते हैं, जैसे बेचैनी, घबराहट, चिड़चिड़ापन, नींद न आना और वजन बढ़ना। कुछ लोगों को पेट खराब, जी मिचलाना, उल्टी या दस्त भी हो सकते हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। लेकिन अगर ये लगातार बने रहें या परेशान करें, तो डॉक्टर से सलाह लें। कभी-कभी गंभीर दुष्प्रभाव भी हो सकते हैं, जैसे एलर्जी, रक्तस्राव या नसों में सूजन। अगर आपको सांस लेने में तकलीफ, चेहरे या गले में सूजन, या असामान्य रक्तस्राव दिखे, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी पूरी मेडिकल हिस्ट्री बताएं, खासकर अगर आपको किडनी या लिवर की बीमारी, रक्तस्राव विकार, या दौरे पड़ने की समस्या है। गर्भवती या स्तनपान कराने वाली महिलाओं को इस दवा का सेवन डॉक्टर की सलाह के बिना नहीं करना चाहिए। इस दवा को लेते समय शराब न पिएं, क्योंकि इससे नींद और चक्कर जैसे दुष्प्रभाव बढ़ सकते हैं। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन चलाने या मशीनरी चलाने से बचें। दवा को डॉक्टर के बताए अनुसार ही लें और अचानक बंद न करें।
💊 davaindia piracetam 400mg tablet Uses & Benefits
- [{"condition":"Cognitive impairment in dementia","description":"This medicine is used to help improve memory, attention, and overall cognitive function in people with dementia, including Alzheimer's disease and vascular dementia.
- It may help slow down the decline in mental abilities, but it is not a cure.","evidence":"Limited to moderate; some studies show benefit, but results are inconsistent."},{"condition":"Cortical myoclonus","description":"This medicine is used to treat cortical myoclonus, a condition characterized by sudden, brief, involuntary muscle jerks.
- It is often used as an add-on treatment to other medicines.","evidence":"Well-established for this indication."},{"condition":"Post-stroke aphasia","description":"This medicine may be used to help improve language and communication difficulties after a stroke, although evidence is mixed.","evidence":"Limited; some studies suggest benefit, but more research is needed."},{"condition":"Vertigo and balance disorders","description":"This medicine is sometimes prescribed to help relieve vertigo and improve balance, particularly in older adults.","evidence":"Limited; evidence is not strong."},{"condition":"Dyslexia in children","description":"This medicine has been studied for dyslexia, but its use for this condition is not widely accepted and evidence is weak.","evidence":"Limited; not recommended for routine use."}]
Off-label uses: [{"condition":"Age-related cognitive decline","description":"Sometimes prescribed off-label to healthy older adults who experience mild memory problems, but evidence does not support routine use for this purpose.","evidence":"Insufficient"},{"condition":"Sickle cell disease","description":"This medicine has been studied for reducing the frequency of painful crises in sickle cell disease, but it is not a standard treatment.","evidence":"Limited"},{"condition":"Attention deficit hyperactivity disorder (ADHD)","description":"Rarely used off-label for ADHD, but there is no strong evidence to support its effectiveness.","evidence":"Insufficient"}]
Primary treatment for: Cognitive impairment in dementia
Also treats: Cortical myoclonus, Post-stroke aphasia, Vertigo, Dyslexia
📋 Drug Information
| Generic Name(s) | Piracetam |
| Brand Name | Acter 800mg Tablet |
| Manufacturer | Davaindia Generic Pharmacy |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Nootropic agent |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place. Protect from light and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| WHO Guideline | Not established from the available information. The World Health Organization does not have specific guidelines for the use of Piracetam. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research does not have specific guidelines for the use of Piracetam. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
The exact mechanism of action of this medicine is not fully understood. It is thought to work by increasing the fluidity of cell membranes in the brain, which may enhance the function of certain receptors and ion channels. This medicine is also believed to improve the flow of oxygen and glucose to brain tissues, thereby supporting neuronal metabolism and function. Additionally, it may enhance the release of neurotransmitters such as acetylcholine and glutamate, which are important for learning and memory. In cortical myoclonus, this medicine may help reduce involuntary muscle jerks by stabilizing nerve cell membranes and improving communication between neurons. Overall, this medicine is classified as a nootropic agent, meaning it is believed to improve cognitive function, but its precise effects at the molecular level are still being studied.
Mechanism Steps
💡 How to Take davaindia piracetam 400mg tablet
Strength: This medicine is available as an immediate-release tablet containing 400 mg of Piracetam.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for cognitive impairment is 800 mg to 1200 mg per day, divided into two or three doses. For cortical myoclonus, the starting dose is often 7.2 g per day, increased gradually up to 24 g per day if needed, under close medical supervision. For vertigo, a common dose is 800 mg three times daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Always follow your doctor's prescription. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced kidney function, which can affect the elimination of this medicine. Dose adjustment is often necessary based on creatinine clearance. It is recommended to start with a lower dose and monitor for side effects. Consult your doctor for individualized dosing. |
| Renal Impairment | In patients with renal impairment, dose adjustment is required based on creatinine clearance. For creatinine clearance 50-79 mL/min, the usual dose may be given but with increased intervals. For 30-49 mL/min, the dose may need to be reduced by half. For 20-29 mL/min, the dose may need to be reduced to one-third. This medicine is contraindicated in severe renal impairment (creatinine clearance <20 mL/min). Consult your doctor for precise dosing. |
| Hepatic Impairment | No specific dose adjustment is required for hepatic impairment, as this medicine is not significantly metabolized by the liver. However, caution is advised in patients with both hepatic and renal impairment. |
| Maximum Daily Dose | The maximum daily dose depends on the indication and is determined by the prescribing doctor. For cognitive impairment, doses up to 2400 mg per day have been used. For myoclonus, doses up to 24 g per day have been used under close supervision. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of davaindia piracetam 400mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Aspirin | Major | |
| Clopidogrel | Major | |
| Levothyroxine | Moderate | |
| Methylphenidate | Moderate | |
| Benztropine | Moderate | |
| Alcohol | Moderate |
🚨 Major Interactions
- Anticoagulants (e.g., warfarin)
- Antiplatelet agents (e.g., aspirin, clopidogrel)
- Thyroid hormones (e.g., levothyroxine)
⚡ Moderate Interactions
- CNS stimulants (e.g., methylphenidate)
- Anticholinergics (e.g., benztropine)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Both alcohol and this medicine can affect the central nervous system, and combining them may increase the risk of drowsiness, dizziness, and impaired coordination. This can affect your ability to drive or operate machinery. Additionally, alcohol may worsen some side effects such as nervousness or agitation. It is best to abstain from alcohol during treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity or allergy to Piracetam or any component of the formulation.","Severe renal impairment (creatinine clearance < 20 mL/min).","Cerebral hemorrhage (bleeding in the brain).","Huntington's disease.","Pregnancy and breastfeeding, unless specifically advised by a doctor."]
⚠️ Warnings & Precautions
["Use with caution in patients with mild to moderate renal impairment; dose adjustment may be required.","May increase the risk of bleeding; use with caution in patients with bleeding disorders or those on anticoagulants.","May cause drowsiness or dizziness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol while taking this medicine.","Not recommended for use in children under 16 years of age for cognitive impairment, as safety and efficacy have not been established.","Elderly patients may be more sensitive to the effects of this medicine; dose adjustment may be needed based on renal function.","Do not stop taking this medicine abruptly without consulting your doctor, as withdrawal symptoms may occur."]
🤱 Lactation Safety
This medicine is excreted in breast milk. It is not known if it is safe for breastfeeding infants. Breastfeeding is not recommended while taking this medicine unless advised by your doctor. Consult your doctor to discuss the risks and benefits.
💊 Overdose Management
There is limited information on overdose with this medicine. In case of suspected overdose, seek immediate medical attention. Symptoms of overdose may include severe agitation, drowsiness, or gastrointestinal upset. Treatment is supportive and symptomatic. There is no specific antidote. Hemodialysis may be considered in severe cases to remove the drug from the bloodstream, as this medicine is dialyzable.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Before you start taking this medicine, it is important to discuss your full medical history with your doctor. Inform them if you have kidney disease, liver disease, a bleeding disorder, or if you have ever had a stroke or a brain hemorrhage. This medicine may not be suitable for you if you have severe kidney impairment, as it is removed from the body by the kidneys. Your doctor may need to adjust your dose or monitor your kidney function regularly. Avoid driving or operating heavy machinery until you know how this medicine affects you, as it can cause drowsiness, dizziness, or nervousness. Do not drink alcohol while taking this medicine, as it can increase the risk of central nervous system side effects. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before taking this medicine. It is not known if this medicine is safe during pregnancy or if it passes into breast milk. Always take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly without consulting your doctor, as this may cause withdrawal symptoms or worsening of your condition. Keep this medicine out of the reach of children and store it in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to have reduced kidney function, which can affect the elimination of this medicine and increase the risk of side effects. Dose adjustment based on creatinine clearance is often necessary. Start with a lower dose and monitor closely for side effects such as confusion, drowsiness, or falls. Regular monitoring of kidney function is recommended. Elderly patients may also be more sensitive to the central nervous system effects of this medicine.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before taking this medicine. The safety of this medicine during pregnancy is not well-established, and it should be used only if clearly needed. Your doctor may recommend stopping the medicine or switching to an alternative. Use effective contraception while taking this medicine if you are of childbearing age and not planning pregnancy.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may increase the risk of bleeding, so your doctor may advise you to stop it before surgery. Do not stop the medicine without consulting your doctor. After surgery, follow your doctor's instructions on when to resume the medicine.
🦷 Dental Procedures
Before any dental procedure, inform your dentist that you are taking this medicine. It may increase the risk of bleeding during dental work. Your dentist may take extra precautions or consult with your doctor. Do not stop the medicine without consulting your doctor. Maintain good oral hygiene to reduce the risk of bleeding gums.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or dizziness in some people. If you experience these effects, avoid activities that require mental alertness, such as driving or operating machinery, until you know how the medicine affects you. Exercise is generally safe and encouraged, but start slowly and avoid strenuous activities if you feel unsteady. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, or nervousness in some people, which may affect your ability to perform certain tasks. Avoid driving or operating heavy machinery until you know how this medicine affects you. If your job requires high levels of concentration, discuss with your doctor about timing your doses to minimize impact. Most people can continue their normal work activities with caution. If side effects are bothersome, consult your doctor for dose adjustment.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as allergic reactions, bleeding, or severe skin reactions, stop the medicine and seek immediate medical attention. Your doctor may decide to stop the medicine if it is not providing benefit or if you develop a condition that makes continued use unsafe. Always follow your doctor's guidance regarding discontinuation.
📅 Long-Term Use Effects
Long-term use of this medicine may be necessary for chronic conditions like dementia or myoclonus. Regular monitoring of kidney function is important, especially in elderly patients or those with kidney disease. Some patients may experience tolerance, but this is not well-documented. There is no evidence of dependence or addiction. Periodic evaluation by your doctor will determine if continued treatment is beneficial. If you experience any new or worsening side effects, report them to your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Structured activities to improve memory and thinking skills, often used alongside medication for dementia.
Evidence: Well-establishedCan help improve balance and reduce vertigo symptoms.
Evidence: Well-establishedFor post-stroke aphasia, speech therapy can improve language skills.
Evidence: Well-establishedSome supplements like omega-3 and vitamin E are sometimes used for cognitive health, but evidence is mixed.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations as recommended by your doctor. However, if you are feeling unwell or have a fever, it is best to postpone vaccination until you recover. Always inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label clearly visible. Bring a copy of your prescription or a letter from your doctor, especially if you are traveling internationally, as some countries may have restrictions on certain medicines. Keep the medicine in your carry-on luggage to avoid loss or exposure to extreme temperatures. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, adjust your dosing schedule gradually to match your new local time, but consult your doctor for specific advice. Do not pack it in checked luggage in case of delays or lost baggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The time to notice improvement varies. For myoclonus, it may take a few days to weeks. For cognitive impairment, it may take several weeks to months. Continue taking it as prescribed and attend follow-up appointments.
A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: The safety of this medicine during pregnancy is not well-established. It should be used only if clearly needed and under your doctor's supervision. Consult your doctor if you are pregnant or planning to become pregnant.
A: No, do not stop taking this medicine suddenly without consulting your doctor. Abrupt withdrawal may cause worsening of symptoms or other side effects.
🤔 Common Patient Concerns
🔄 Substitutes for davaindia piracetam 400mg tablet
View AllAlternative brands with exact same active ingredient:
-
Nervopil 400mg TabletInd Swift Laboratories Ltd ₹15.58 44.4% CHEAPER
-
stayhappi piracetam 400mg capsuleSarvagunaushdhi Pvt Ltd ₹21.87 21.9% CHEAPER
-
intracet 400mg tabletIntra Labs India Pvt Ltd ₹28.13 0.5% COSTLIER
-
brentor 400mg tabletZee Laboratories ₹35.63 27.3% COSTLIER
-
neutal 400mg tabletTalent Healthcare ₹36.56 30.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Piracetam is a miracle drug that can make anyone smarter.
Fact: Piracetam is approved for specific medical conditions and its cognitive-enhancing effects in healthy individuals are not well-established. It is not a magic pill for intelligence. - Myth: Piracetam is safe for everyone.
Fact: Piracetam can cause side effects and is not safe for people with severe kidney problems, bleeding disorders, or during pregnancy. It should only be used under medical supervision. - Myth: You can stop taking Piracetam whenever you want.
Fact: Stopping Piracetam suddenly can lead to withdrawal symptoms or worsening of the condition. Always consult your doctor before stopping.
🔄 Alternative Options
Generic Alternatives
- Piracetam 400mg tablet
Brand Alternatives
- Alcetam 400mg tablet
- Nootropil 400mg tablet
- Cerecetam 400mg tablet