The FDA has determined that piracetam is not permitted to be sold as a dietary supplement, 3 but enforcement is limited, and piracetam supplements remain available for sale.Ĭonsumers of cognitive enhancement supplements may be exposed to high dosages of a prohibited drug. In the United States, piracetam has no FDA-approved use and the only drug in its class approved for use by the FDA is levetiracetam, an antiepileptic. A Cochrane review, 2 however, found that despite widespread use of piracetam for dementia and cognitive impairment, the evidence for its efficacy is poor in quality and quantity. In many European countries, piracetam is prescribed for cognitive impairment, dementia, and other disorders. In this study, we analyzed dietary supplements for the presence of the nootropic drug piracetam.
Despite their popularity, the risks of these products are poorly understood. The US Food and Drug Administration (FDA) recently warned that cognitive enhancement supplements “may be ineffective, unsafe, and could prevent a person from seeking an appropriate diagnosis and treatment.” 1 Brain enhancement supplements or “nootropics” have become increasingly popular, with US sales exceeding $640 million in 2015 alone. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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