Doctors Lounge - Neurology Answers
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Forum Name: Neurology Topics
Question: Piracetam induced spasms
|shifftee - Mon Mar 23, 2009 3:14 am||
I've been taking piracetam daily in doses of 2.4-3.4g divided in 2-3 doses (usually 1.6+0.8+0.8) and lecithin (7-8g (27% PC)) once a day for about 3-4 weeks and the other day I stopped. I got a withdraw with anxiety that nearly developed into a panic attack and I've been having random spasms in my muscules for 3 days now.. Taking more piracetam (I'm now back on 2.4g a day and I'll be lowering my dosage with 400mg every 2 days) did lower their intensity, but it certainly didn't stop them. Also, I would like to note that I found only 2 anecdotal reports of such problems and neither of them reported recovery.. one was 2 weeks after the spasms began, and the other was 2 months. What might be the cause of this ? Will these effects go away by themselves ? What should I do ?
BTW: My stomach also growls when I go to bed at night.
|John Kenyon, CNA - Mon Apr 20, 2009 11:22 pm||
Could you tell us why you decided to discontinue the medication to start with? You seem to be planning to wean off it , which is the correct way to stop taking it, but am curious if there was some noxious side effect that made you want to stop it, or if you just felt it wasn't needed.
If you are going to wean yourself from it successfully you should first: contact your prescribing doctor and consult with him about doing this. Second, taper, as you're doing now, but first resume the full recommended dose to get things back to level. Then once the spasms and anxiety have stopped and you've discussed this with your doctor, a slow tapering process should get you off it without the usual rebound effects you've already experienced. Some people suffer seizures, and what you've described (anxiety/panic attacks and muscle spasms) would be considered mild focal seizures. It could have been worse!
So please help clarify why you want to stop the drug, and mainly discuss the discontiuance with the prescribing doctor. Otherwise, first get back to where you were, then begin a very slow weaning process. It is tedious but I think you'd agree better than what you've been going through.
Good luck to you and please follow up with us here as needed.
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