Piracetam

Evidence-based neurology checklist on piracetam: Mechanism of action Piracetam is a derivative of GABA It influences neuronal membrane fluidity It acts by increasing the number of post-synaptic receptors It influences acetylcholine, glutamate, serotonin and noradrenaline It enhances the…

Mechanism of action

  • Piracetam is a derivative of GABA
  • It influences neuronal membrane fluidity
  • It acts by increasing the number of post-synaptic receptors
  • It influences acetylcholine, glutamate, serotonin and noradrenaline
  • It enhances the anticonvulsant effect of Valproate

Indications

Dosing

Contraindications

Neuropsychiatric effects

Systemic effects

References

  1. Winblad B. Piracetam: a review of pharmacological properties and clinical uses. CNS Drug Rev 2005; 11:169-182. 
  2. Genton P, Guerrini R, Remy C. Piracetam in the treatment of cortical myoclonus. Pharmacopsychiatry 1999; 32(Suppl 1):49-53. 
  3. Fedi M, Reutens D, Dubeau F, Andermann E, D'Agostino D, Andermann F. Long-term efficacy and safety of piracetam in the treatment of progressive myoclonus epilepsy. Arch Neurol 2001; 58:781-786.
  4. Hoshino A, Kumada S, Yokochi F, et al. Effects of piracetam therapy in a case of Lance-Adams syndrome. No To Hattatsu 2009; 41:357-360. 
  5. Obeso JA, Artieda J, Rothwell JC, Day B, Thompson P, Marsden CD. The treatment of severe action myoclonus. Brain 1989; 112:765-777.
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