Intravenous or intramuscular.
With symptomatic treatment of chronic psychoorganic syndrome, depending on the severity of symptoms, 2-4 g are prescribed, gradually increasing the dose to 4-6 g per day, the course of treatment is 10-15 days
When treating the consequences of a stroke (chronic stage), 4.8 g / day is prescribed.
The course of treatment is 10-15 days, if necessary, repeated courses in 6-8 weeks.
In the treatment of coma, as well as difficulties in perception in people with brain injuries, the initial dose is 9-12 g / day, supporting - 2 g / day. Treatment lasts no less than 3 weeks.
With alcohol withdrawal syndrome - 12 g / day. Maintenance dose of 2.4 g / day.
Treatment of dizziness and related disorders of equilibrium 2.4-4.8 g per day, the course 10-15 days.
With sickle cell anemia, the daily prophylactic dose is 160 mg / kg body weight divided into four equal doses. During the crisis - 300 mg / kg intravenously. This dosage can be given to children from 1 year of age.
Dosing to patients with impaired renal function
Because the Pyracetam is excreted from the body by the kidneys, care should be taken when treating patients with renal insufficiency in accordance with this dosing regimen
Renal insufficiency | Creatinine clearance (ml / min) | Dosing |
Norm | >80 | Usual Dose |
Lightweight | 50-79 | 2/3 of the usual dose in 2-3 doses |
Average | 30-49 | 1/3 of the usual dose in 2 divided doses |
Heavy | <30 | 1/6 of the usual dose, once |
The final stage | - | contraindicated |
Elderly, the dose is corrected in the presence of renal failure and with prolonged therapy requires monitoring of the functional state of the kidneys.
Dosing to patients with impaired liver function
Patients with a dysfunction of the liver do not need a dose adjustment. Patients with impaired functions and kidneys and liver, dosing is carried out according to the scheme (see Section "Dosing to patients with impaired renal function").