Piracetam

Piracetam is a cyclic GABA derivative synthesised at UCB in Belgium in 1964, the compound for which the word nootropic was coined.

Human trialsNon-peptide compound reference

Also known as: Nootropil, Nootropyl, 2-Oxo-1-pyrrolidineacetamide, UCB6215, Cl-871, Myocalm, Normabrain, UNII ZH516LNZ10

(how we review)

Dosing & scaling, explained

Amounts reported for Piracetam are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.

No source-supported amount ladder is shown

Enter a target amount only from your own reviewed source. The calculator can convert it into concentration, volume and device markings, but it will not infer an amount from product availability or another compound.

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No independently verified schedule

Clinical context

Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.

Storage, handling and interpretation

Product identity

Verify the exact compound, formulation and amount against the product label or certificate before calculation.

Storage & handling

Follow the product label, certificate and validated laboratory SOP; no universal storage assumption is applied here.

Prepared solutions

Label concentration and preparation date, use sterile technique where applicable, and follow a validated stability protocol.

Reported protocols for Piracetam

What published studies and recent community write-ups report about amounts, timing and course length. 3 clinical, 2 preclinical and 3 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.

ContextDoseFrequencyRouteCourseSource
Clinical3 rows
UK licence for cortical myoclonus (Nootropil SmPC)Adults with myoclonus of cortical origin, used alongside other anti-myoclonic drugs7.2 g per day to start, increased by 4.8 g every 3-4 days up to a maximum of 24 g per dayDaily total split into 2-3 dosesOral tablets (800 mg or 1200 mg), with or without foodContinued for as long as the underlying brain disease persists, with an attempt every 6 months to reduce or stopNever stopped abruptly; the dose is reduced by 1.2 g every 2 days to avoid relapse or withdrawal seizureselectronic medicines compendium (emc), ADVANZ Pharma2025
This is the only indication on the UK label, which was last revised in July 2025. The label requires dose reduction by kidney function, forbids use in severe renal impairment, cerebral haemorrhage and Huntington's chorea, warns about reduced platelet aggregation and bleeding risk, and reports a plasma half-life of 5 hours with roughly 90 percent of a dose excreted unchanged in urine. Hyperkinesia, somnolence, nervousness and depression were more frequent than placebo at trial doses of 1.6-15 g a day.
Dose-ranging crossover trial in progressive myoclonus epilepsy20 patients aged 17-43 with Unverricht-Lundborg disease9.6 g, 16.8 g or 24 g per dayTwo divided dosesOralEach regimen for 2 weeks, 6 weeks of treatment in totalNo washout between crossover phasesJournal of Neurology, Neurosurgery and Psychiatry (PubMed)1998
Only the 24 g a day arm improved the primary myoclonus sum score significantly against placebo, the dose-effect relationship was linear, and adverse effects were described as few, mild and transient. The study is the main evidence behind the high-dose licence for cortical myoclonus and says nothing about healthy adults.
National label for dizziness and childhood dyslexia (Biotropil SmPC)Adults with dizziness of central or peripheral origin; children aged 8-13 with dyslexia receiving speech therapy2.4 g per day for dizziness (three 0.8 g doses); 3.2 g per day for dyslexia in childrenThree divided doses (dizziness) or two divided doses (dyslexia)Oral film-coated tablets8 weeks for dizzinessNot stated for these indicationsEthiopian Food and Drug Authority2023
This summary of product characteristics for a Polish-made 1200 mg tablet is hosted by the Ethiopian regulator and shows the broader indications that some national labels carry. Its non-clinical section records no irreversible toxicity after single doses of 10 g/kg in mice, rats and dogs, and no organ toxicity in chronic studies at up to 4.8 g/kg per day in mice. These are licensed uses in specific countries, not evidence for cognitive enhancement in healthy people.
Preclinical2 rows
Mitochondrial function in aged mice and PC12 cellsYoung and aged mice; PC12 cells under oxidative stress100-500 mg/kg per day in mice; 100-1000 micromolar in cell cultureDailySystemic treatment of mice; direct addition to culture mediumRepeated treatment, duration as per each experimentNot applicableBritish Journal of Pharmacology (PubMed)2006
Piracetam improved mitochondrial membrane potential and ATP production after oxidative stress in cells and in brain cells taken from treated mice, with the benefit seen mainly in aged animals and little in young ones. The authors propose mitochondrial stabilisation as the mechanism behind effects in elderly patients. Rodent milligram-per-kilogram figures do not translate to a human dose.
Chronic cerebral hypoperfusion model in ratsRats with 30 days of bilateral common carotid artery occlusion600 mg/kgOnce dailyOral30 daysNot applicableCellular and Molecular Neurobiology (PubMed)2008
Daily oral piracetam reduced the spatial learning and memory deficits, raised hippocampal amino acid content and limited neuronal damage in this vascular dementia model. The dose is about a hundred times the per-kilogram amount a person would take at 4.8 g a day, which is typical of rodent racetam studies.
Community-reported3 rows
Community protocol with attack dose and choline pairing1.6 g three times a day (4.8 g per day); attack phase of 4.8 g twice a day (9.6 g per day) for the first 3-7 daysThree times daily, morning, midday and mid-afternoonOral powder or capsules, paired with alpha-GPC or CDP-choline4-12 weeks on2-4 week washout after each blockCommunity resource2026
This 2026 guide calls 1.6 g three times a day the canonical protocol, describes an attack dose to shorten a 1-2 week onset lag, and lists cycles from 6-12 weeks down to a quarterly 2-week washout for continuous use. None of these schedules comes from a trial in healthy adults; the attack dose in particular is community practice, not a label instruction.

How a course is commonly described

  1. Days 1-7Community-reported

    Community guides describe an optional attack phase of up to 9.6 g a day split in two, paired with a choline source, to compress the one-to-two-week onset lag that users report. This loading pattern has never been tested in a trial of healthy adults.

  2. Weeks 2-12Community-reported

    The maintenance pattern most often quoted is 1.6 g three times a day, with the last dose before late afternoon to avoid insomnia, run for 4-12 weeks. The one healthy-volunteer study the blogs cite needed 14 days at 4.8 g a day before verbal learning changed.

  3. Clinical comparisonClinical

    Licensed use looks different: cortical myoclonus starts at 7.2 g a day and climbs to 24 g, continues as long as the disease does, and is tapered by 1.2 g every two days rather than stopped. The dizziness label runs 2.4 g a day for 8 weeks.

  • Piracetam is a prescription medicine in the United Kingdom and many other countries, and the high-dose evidence is for cortical myoclonus; a 2001 Cochrane review found the published literature did not support its use in dementia or cognitive impairment, and a 2024 meta-analysis of 18 trials in 886 patients could not show a clinical difference in memory.
  • A Cochrane review of acute ischaemic stroke pooled three trials with 1002 patients and found a non-significant trend toward more early deaths on piracetam, so it is not a benign add-on in people with cerebrovascular disease.
  • It is an oral small molecule with a 5-hour half-life, which is why every protocol splits the daily total into two or three doses. Nothing here is reconstituted or injected, and the rows above record what sources report rather than advice.
Sources for this section (11)
  1. Nootropil 800 mg film-coated tablets - Summary of Product Characteristicselectronic medicines compendium (emc), ADVANZ Pharma2025Clinical
  2. Piracetam relieves symptoms in progressive myoclonus epilepsy: a multicentre, randomised, double blind, crossover study comparing the efficacy and safety of three dosages of oral piracetam with placeboJournal of Neurology, Neurosurgery and Psychiatry (PubMed)1998Clinical
  3. Biotropil 1200 mg film-coated tablets (piracetam) - Summary of Product CharacteristicsEthiopian Food and Drug Authority2023Clinical
  4. Piracetam for dementia or cognitive impairmentCochrane Database of Systematic Reviews (PubMed)2001Clinical
  5. Cognitive effects of piracetam in adults with memory impairment: A systematic review and meta-analysisClinical Neurology and Neurosurgery (PubMed)2024Clinical
  6. Piracetam for acute ischaemic strokeCochrane Database of Systematic Reviews (PubMed)2012Clinical
  7. Piracetam improves mitochondrial dysfunction following oxidative stressBritish Journal of Pharmacology (PubMed)2006Preclinical
  8. Piracetam improves cognitive deficits caused by chronic cerebral hypoperfusion in ratsCellular and Molecular Neurobiology (PubMed)2008Preclinical

Plus 3 community resources (dosing guides, forum threads and vendor write-ups), reported above but not linked.

Overview

Piracetam is a cyclic GABA derivative synthesised at UCB in Belgium in 1964, the compound for which the word nootropic was coined. It is a licensed prescription medicine in the United Kingdom and much of Europe, where the only UK indication is cortical myoclonus at doses that reach 24 g a day, while other national labels also cover dizziness and childhood dyslexia. Cochrane reviews found no convincing benefit in dementia or acute stroke, and a 2024 meta-analysis of 18 trials could not confirm an effect on memory, so the 1.6-4.8 g a day used by healthy adults rests on habit rather than evidence.

What researchers are exploring

These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.

  • 1

    Cognitive & neural

    Neuroplasticity, cognition, stress and sleep models.

  • 2

    UK licence for cortical myoclonus (Nootropil SmPC)

    This is the only indication on the UK label, which was last revised in July 2025. The label requires dose reduction by kidney function, forbids use in severe renal impairment, cerebral haemorrhage and Huntington's.

  • 3

    Dose-ranging crossover trial in progressive myoclonus epilepsy

    Only the 24 g a day arm improved the primary myoclonus sum score significantly against placebo, the dose-effect relationship was linear, and adverse effects were described as few, mild and transient. The study is the.

  • 4

    National label for dizziness and childhood dyslexia (Biotropil SmPC)

    This summary of product characteristics for a Polish-made 1200 mg tablet is hosted by the Ethiopian regulator and shows the broader indications that some national labels carry. Its non-clinical section records no.

  • 5

    Mitochondrial function in aged mice and PC12 cells

    Piracetam improved mitochondrial membrane potential and ATP production after oxidative stress in cells and in brain cells taken from treated mice, with the benefit seen mainly in aged animals and little in young ones..

  • 6

    Chronic cerebral hypoperfusion model in rats

    Daily oral piracetam reduced the spatial learning and memory deficits, raised hippocampal amino acid content and limited neuronal damage in this vascular dementia model. The dose is about a hundred times the.

What the current evidence can support

Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.

  • Human

    Human studies and registrations

    3 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.

  • Animal

    Preclinical models

    2 protocol rows describe animal, cell or toxicology work. Amounts from these rows do not translate to people.

  • Not graded

    Community-reported use

    3 rows record what blogs, vendor write-ups or forums describe for Piracetam. None has been verified against primary literature.

Chemistry identifiers

Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.

Also listed as

Nootropil, Nootropyl, 2-Oxo-1-pyrrolidineacetamide, UCB6215, Cl-871, Myocalm, Normabrain, UNII ZH516LNZ10

InChIKey

GMZVRMREEHBGGF-UHFFFAOYSA-N

IUPAC name

2-(2-oxopyrrolidin-1-yl)acetamide

Limitations and unknowns

Important limitations

  • Every amount on this page is a report of what a source describes, not a protocol to follow.
  • Preclinical and community rows do not establish a human amount, schedule or route.
  • Formulation, purity and presentation vary by supplier and are not covered by the dossier.

Sources

8 curated references, each with its journal, year and study model, plus 3 community resources reported but not linked.

  1. Piracetam (PubChem CID 4843)PubChem, National Library of Medicine2026Not graded
  2. Nootropil 800 mg film-coated tablets - Summary of Product Characteristicselectronic medicines compendium (emc), ADVANZ Pharma2025Human
  3. Piracetam relieves symptoms in progressive myoclonus epilepsy: a multicentre, randomised, double blind, crossover study comparing the efficacy and safety of three dosages of oral piracetam with placeboJournal of Neurology, Neurosurgery and Psychiatry (PubMed)1998Human
  4. Biotropil 1200 mg film-coated tablets (piracetam) - Summary of Product CharacteristicsEthiopian Food and Drug Authority2023Human
  5. Piracetam for dementia or cognitive impairmentCochrane Database of Systematic Reviews (PubMed)2001Human
  6. Cognitive effects of piracetam in adults with memory impairment: A systematic review and meta-analysisClinical Neurology and Neurosurgery (PubMed)2024Human
  7. Piracetam for acute ischaemic strokeCochrane Database of Systematic Reviews (PubMed)2012Human
  8. Piracetam improves mitochondrial dysfunction following oxidative stressBritish Journal of Pharmacology (PubMed)2006Animal