Neurocetam Capsule (Piracetam 400mg): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is stem 400mg tablet used for?
Piracetam is a nootropic medicine used to improve cognitive function in conditions like age-related memory impairment and vertigo. It works by enhancing blood flow and oxygen use in the brain. It is available as a 400 mg capsule and is taken orally, usually 2-3 times a day. Common side effects include nervousness and insomnia. It should be used under medical supervision.
- Generic Name: Piracetam (400mg)
- Manufacturer: Triton Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 stem 400mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पिरासेटम 400 मिलीग्राम कैप्सूल के रूप में उपलब्ध है और यह मस्तिष्क की कार्यक्षमता को बेहतर बनाने में मदद करती है। इसका उपयोग मुख्य रूप से याददाश्त की कमी, चक्कर आना (वर्टिगो), और मायोक्लोनस जैसी स्थितियों में किया जाता है। यह दवा मस्तिष्क में रक्त के प्रवाह को बढ़ाकर और ऑक्सीजन की आपूर्ति में सुधार करके काम करती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में बेचैनी, घबराहट, नींद न आना, और पेट में गड़बड़ी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, रक्तस्राव, या मतिभ्रम हो सकते हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक को स्वयं न बदलें। गाड़ी चलाने या मशीनरी चलाने से बचें जब तक कि आपको पता न चल जाए कि यह दवा आप पर कैसे असर करती है। गुर्दे की बीमारी, रक्तस्राव विकार, या गर्भावस्था के मामले में डॉक्टर को सूचित करें। शराब का सेवन न करें।
💊 stem 400mg tablet Uses & Benefits
[{"condition":"Age-related cognitive decline","description":"May improve memory, attention, and overall cognitive function in older adults with mild cognitive impairment.","evidence":"Limited"},{"condition":"Vertigo","description":"Helps reduce dizziness and balance problems associated with vertigo of various causes.","evidence":"Moderate"},{"condition":"Myoclonus","description":"Used as an adjunct in the treatment of myoclonic jerks, particularly in patients with epilepsy.","evidence":"Moderate"},{"condition":"Dyslexia","description":"Sometimes prescribed to improve reading and language skills in children with dyslexia, though evidence is mixed.","evidence":"Limited"},{"condition":"Stroke recovery","description":"May aid in rehabilitation after a stroke by improving blood flow and oxygen supply to the brain.","evidence":"Limited"}]
Off-label uses: [{"condition":"Attention deficit hyperactivity disorder (ADHD)","description":"Occasionally used off-label to improve attention and reduce hyperactivity, but not FDA-approved for this use.","evidence":"Limited"},{"condition":"Sickle cell disease","description":"Investigated for its potential to reduce red blood cell sickling and improve blood flow, but evidence is insufficient.","evidence":"Limited"},{"condition":"Tinnitus","description":"Sometimes tried for ringing in the ears, but studies have not consistently shown benefit.","evidence":"Limited"}]
Primary treatment for: Cognitive impairment
Also treats: Vertigo, Myoclonus, Dyslexia, Stroke recovery
📋 Drug Information
| Generic Name(s) | Piracetam (400mg) |
| Brand Name | stem 400mg tablet |
| Manufacturer | Triton Healthcare Pvt Ltd |
| 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 dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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
Piracetam is thought to exert its effects through multiple mechanisms. It is believed to enhance the fluidity of cell membranes, which may improve the function of neurotransmitter receptors and ion channels. It also appears to increase blood flow and oxygen utilization in the brain, particularly in areas involved in memory and learning. Additionally, Piracetam may have a protective effect on brain cells by reducing oxidative stress and preventing damage from lack of oxygen. It is classified as a nootropic, but its exact mechanism of action is not fully understood.
Mechanism Steps
💡 How to Take stem 400mg tablet
Strength: Piracetam 400 mg immediate-release capsule
Dosage Information
| Adult Dosage | The usual adult dose of Piracetam for cognitive impairment is 800-1600 mg per day, divided into 2-3 doses. For vertigo, the dose may be 800-1600 mg per day. For myoclonus, the dose may start at 7.2 g per day and be adjusted based on response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced renal function and may require lower doses. Dose should be adjusted based on creatinine clearance. Consult your doctor. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. For creatinine clearance 50-79 mL/min, 2/3 of the normal dose is recommended. For 30-49 mL/min, 1/3 of the normal dose. For 20-29 mL/min, 1/6 of the normal dose. For <20 mL/min, Piracetam is contraindicated. |
| Hepatic Impairment | No dose adjustment is required for hepatic impairment as Piracetam is not metabolized by the liver. |
| Maximum Daily Dose | The maximum recommended daily dose is 4800 mg for cognitive indications, but higher doses up to 24 g have been used in myoclonus under medical supervision. Dose must be individualized by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of stem 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 | |
| Thyroid hormones | Moderate | |
| CNS stimulants | Moderate | |
| Alcohol | Minor |
🚨 Major Interactions
- Anticoagulants (e.g., warfarin)
- Antiplatelet agents (e.g., aspirin, clopidogrel)
⚡ Moderate Interactions
- Thyroid hormones
- CNS stimulants
🍷 Alcohol Interaction
Alcohol may increase the sedative effects of Piracetam, leading to increased drowsiness and dizziness. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to Piracetam or any component of the formulation","Severe renal impairment (creatinine clearance < 20 mL/min)","Cerebral hemorrhage","Huntington's disease","Pregnancy and lactation (unless clearly needed)"]
⚠️ Warnings & Precautions
["Use with caution in patients with renal impairment; dose adjustment may be required.","May increase the risk of bleeding; monitor closely if on anticoagulants or antiplatelet drugs.","Avoid abrupt withdrawal as it may cause worsening of symptoms.","May impair ability to drive or operate machinery; avoid until you know how it affects you.","Not recommended for children under 16 years unless prescribed by a specialist.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]
🤱 Lactation Safety
Piracetam is excreted in breast milk. Breastfeeding is not recommended while taking this medicine unless advised by your doctor.
💊 Overdose Management
Overdose of Piracetam may cause severe agitation, hallucinations, or gastrointestinal symptoms. There is no specific antidote. Treatment is supportive and symptomatic. In case of overdose, seek immediate medical attention. Hemodialysis may be considered in severe cases.
⏰ Missed Dose
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 the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without consulting your doctor. Avoid driving or operating heavy machinery until you know how this medicine affects you. Inform your doctor if you have kidney disease, bleeding disorders, or are pregnant or planning to become pregnant. Avoid alcohol while taking this medicine as it may increase drowsiness and dizziness. Keep all follow-up appointments and undergo regular monitoring as advised.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to have reduced kidney function and may require lower doses. Regular monitoring of renal function is advised. They may also be more susceptible to side effects like drowsiness and confusion.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Piracetam should be used during pregnancy only if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine, as it may increase the risk of bleeding during surgery. It may need to be stopped before surgery as advised by your doctor.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, especially if you are undergoing any dental surgery, as it may increase bleeding risk.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or dizziness in some people. Avoid strenuous exercise or activities requiring balance until you know how it affects you.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is advisable to inform your employer if your job involves such tasks.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Abrupt withdrawal may cause worsening of symptoms. Your doctor will advise you on when and how to stop based on your condition and response to treatment.
📅 Long-Term Use Effects
Long-term use of Piracetam may require periodic monitoring of kidney function, especially in elderly patients or those with renal impairment. It is generally well-tolerated, but prolonged use should be reviewed regularly by your doctor to assess continued benefit and potential risks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Mental exercises and cognitive rehabilitation can complement medicine for cognitive impairment.
Evidence: ModerateFor vertigo, vestibular rehabilitation exercises can help improve balance.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. However, consult your doctor before receiving any vaccine while on this medicine.
📦 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
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If crossing time zones, adjust your dosing schedule gradually to avoid missing doses. Check local customs regulations regarding prescription medicines before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: It may take several weeks of continuous use to notice improvement in cognitive symptoms. For vertigo, improvement may be seen within days to weeks.
A: Inform your doctor about all other medicines you are taking, especially blood thinners, as interactions may occur.
A: Piracetam should be used during pregnancy only if clearly needed. Consult your doctor.
A: Take the missed dose as soon as you remember, unless it is almost time for your next dose. Do not double the dose.
🤔 Common Patient Concerns
🔄 Substitutes for stem 400mg tablet
View AllAlternative brands with exact same active ingredient:
-
Nervopil 400mg TabletInd Swift Laboratories Ltd ₹15.58 67.2% CHEAPER
-
stayhappi piracetam 400mg capsuleSarvagunaushdhi Pvt Ltd ₹21.87 54% CHEAPER
-
davaindia piracetam 400mg tabletDavaindia Generic Pharmacy ₹28.00 41.1% CHEAPER
-
intracet 400mg tabletIntra Labs India Pvt Ltd ₹28.13 40.8% CHEAPER
-
brentor 400mg tabletZee Laboratories ₹35.63 25% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Piracetam is a miracle drug that makes you smarter.
Fact: Piracetam may help in certain cognitive disorders, but it is not proven to enhance intelligence in healthy individuals. - Myth: Piracetam is safe for everyone.
Fact: Piracetam is not safe for people with severe kidney disease, bleeding disorders, or during pregnancy. - Myth: You can stop Piracetam abruptly without any issues.
Fact: Abrupt withdrawal may cause worsening of symptoms; always consult your doctor before stopping.
🔄 Alternative Options
Generic Alternatives
- Piracetam 400 mg capsule
- Piracetam 800 mg tablet
- Piracetam oral solution
Brand Alternatives
- Neurocetam 400 mg capsule
- Nootropil 400 mg capsule
- Pirament 400 mg capsule
- Cerecetam 400 mg capsule