[Therapeutic efficacy of nootropil different doses in attention deficit hyperactivity disorder]

Insights

Nootropil (piracetam) improved behavior, motor skills, and attention in children with Attention Deficit Hyperactivity Disorder (ADHD). Higher doses showed greater therapeutic effects in this open-label study.

Area of Science:

  • Pediatric Neurology
  • Child Psychology
  • Pharmacology

Background:

  • Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder in children.
  • ADHD significantly impacts learning, behavior, and social functioning.
  • Effective therapeutic interventions for pediatric ADHD are crucial.

Purpose of the Study:

  • To evaluate the therapeutic efficacy of nootropil (piracetam) in children diagnosed with ADHD.
  • To compare the effects of two different nootropil dosages on ADHD symptoms.
  • To assess the impact of nootropil on behavioral, motor, and attentional domains.

Main Methods:

  • An open-label, controlled study involving 80 children (aged 6-11) with ADHD.
  • Participants were divided into three groups: two receiving daily oral nootropil (70 mg/kg or 40 mg/kg) and one control group.
  • Assessments included parent questionnaires, neurological examinations, and psychological testing over one month.

Main Results:

  • Nootropil therapy demonstrated improvements in behavioral characteristics, motor coordination, and attention (continuous, selective, divided).
  • A 60% response rate was observed in the group receiving 70 mg/kg of nootropil.
  • The group treated with 40 mg/kg nootropil showed a 43% response rate.

Conclusions:

  • Nootropil (piracetam) shows positive therapeutic effects in managing ADHD symptoms in children.
  • Higher dosages of nootropil (70 mg/kg) appear to yield more significant improvements compared to lower dosages (40 mg/kg).
  • Further research into optimal nootropil dosing for pediatric ADHD is warranted.

Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists01:30

Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists

Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function. They...
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids01:24

CNS Stimulants: Cocaine, Amphetamines and Cannabinoids

CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its effects by...
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
Dose-Response Relationship: Potency and Efficacy01:22

Dose-Response Relationship: Potency and Efficacy

The potency of a drug is the measure of its ability to produce a biological response and can be compared by looking at the half-maximum effective concentration or EC50 values of different drugs. A lower EC50 value indicates higher potency of the drug. In the dose–response curve of two antihypertensive drugs, candesartan and irbesartan, a significant difference is observed in their EC50 values. A lower EC50 value for candesartan indicates that it is more potent than irbesartan, as it produces...
Drugs Affecting Neurotransmitter Release or Uptake01:21

Drugs Affecting Neurotransmitter Release or Uptake

Certain drugs can affect how neurotransmitters called catecholamines, are released or taken back up in the adrenergic neuron. They can have different effects on the body's sympathetic transmission. Reserpine, a natural compound found in the Rauwolfia shrub, blocks a transporter called vesicular monoamine transporter (VMAT), which leads to a buildup of catecholamines in the cell and reduces sympathetic transmission. Another drug called guanethidine works in multiple ways, including blocking...