Citioks P

Composition: Sodium citicoline, Piracetam

Form: Film-coated tablets

Indications: Acute and recovery phases of cerebrovascular accidents; cognitive disorders in degenerative (e.g., Alzheimer's disease) and cerebrovascular conditions; cerebral insufficiency (dizziness, memory loss, concentration issues, disorientation) after head trauma or TBI.

Contraindications: Citicoline: unconscious state, pre- and postoperative neurosurgery period, pregnancy and lactation, hypersensitivity. Piracetam: severe renal failure (CrCl < 20 ml/min), cerebral hemorrhages, Huntington's chorea, hypersensitivity to pyrrolidone derivatives.

Dosage: Take 1–3 times a day orally, with water, regardless of food intake. Dosage is individualized; adjust for elderly and renal impairment based on creatinine clearance. No adjustment required for liver impairment.

Side effects: Citicoline: rare — hypotension, agitation, insomnia. Piracetam: common — nervousness, hyperkinesia, weight gain; rare — depression, drowsiness, asthenia, dizziness; possible allergic reactions, gastrointestinal issues.

Interactions: Citicoline should not be combined with meclofenoxate. Piracetam: increases risk of bleeding with anticoagulants and antiplatelet agents, may interact with thyroid hormones, slightly affects blood alcohol levels.

Warnings: Use caution if risk of bleeding (piracetam affects platelet aggregation). Contraindicated during pregnancy and lactation. Effects on driving or machinery unknown.

Age restrictions: From 18 years

Pregnancy: Contraindicated during pregnancy and lactation.

Country of origin: India

Manufacturer: Synokem Pharmaceuticals

Storage conditions: Store at temperatures up to 30°C in a dry, dark place, out of reach of children.