reptides / phenylpiracetam

phenylpiracetam

Phenylpiracetam has Russian placebo-controlled patient studies, large uncontrolled clinical cohorts and sparsely reported athlete or occupational experiments. Some attention and fatigue measures improved, while mood, sleep, fatigue scales and other endpoints were null. Healthy performance effect sizes and long-term stimulant safety remain uncertain.

Small-molecule racetam

  • Phenotropil, fonturacetam, carphedon, Actitropil and Nanotropil Novo refer to racemic phenylpiracetam.
  • R- and S-phenylpiracetam show different animal effects and cannot stand in for the clinical racemate.
  • A 75-person cerebrovascular trial found selected MMSE, attention and fatigue results; FAB, depression, sleep and several fatigue subscales were null.
  • Early athlete and healthy-men reports exist, but lack arm-level results, uncertainty and independent replication.
  • The 400-person stroke and 1,170-person cerebral-ischemia reports were not randomized placebo trials.
  • Russian labeling gives PK and safety statements without exposing the underlying modern human concentration-time study.
Names and isomers Patient cognition and fatigue Mechanism and enantiomers Safety and PK Alcohol, epilepsy and performance Regulatory status

Which phenylpiracetam was studied?

Phenylpiracetam, fonturacetam, carphedon and the Russian brand names Phenotropil, Actitropil and Nanotropil Novo refer to racemic 4-phenylpiracetam. R-phenylpiracetam and S-phenylpiracetam are resolved enantiomers with different animal effects. Methylphenylpiracetam, hydrazides and succinate derivatives are separate compounds.

PubChem: phenylpiracetam chemical identity

Government chemical identity database

National Library of Medicine. PubChem CID 132441.

C12H14N2O2; molecular weight 218.25 g/mol.

Participants / model
Chemical record
Follow-up
Living database
Study design
Curated structure record

Formula and molecular weight establish the recorded structure, not the contents of a retail product or an effective dose.

Read the original source
Investigation into stereoselective pharmacological activity of phenotropil.

Preclinical primary animal study

Zvejniece L et al. Basic & clinical pharmacology & toxicology. 2011. PMID 21689376. DOI 10.1111/j.1742-7843.2011.00742.x.

The study examined whether the racemate and its enantiomers differed in behavioral pharmacology.

Participants / model
Animal behavioral experiments
Follow-up
Experimental assay periods
Study design
Stereoselective preclinical study

Animal effects and isolated enantiomers cannot establish clinical benefit or equivalence for a marketed racemate.

Read the original source
R-enantiomer DAT study · rats

Preclinical animal pharmacology

Sommer et al. 2014. PMID 24964269.

R-phenylpiracetam inhibited DAT and shifted effort-related responding; S was less potent in this paradigm.

Participants / model
Rats
Follow-up
Experimental
Study design
Controlled behavioral pharmacology

Resolved-enantiomer rat data do not establish human focus, productivity, ADHD treatment or abuse liability.

Read the original source
S-enantiomer metabolic study · animals

Preclinical animal study

PMID 28743458. 2017.

S-phenylpiracetam reduced weight and fat gain, glucose and leptin and improved glucose tolerance.

Participants / model
Western-diet mice and obese Zucker rats
Follow-up
Eight to twelve weeks
Study design
Controlled animal experiments

The S enantiomer and animal disease models do not establish racemic human fat loss or metabolic safety.

Read the original source

What did the controlled cerebrovascular studies find?

Two small Russian placebo-controlled studies reported selected attention, MMSE or fatigue changes over 30 days. Both tested many outcomes, and one relied on within-arm significance rather than a direct randomized contrast. The much larger stroke and cerebral-ischemia reports lacked a clear randomized placebo design.

Cerebrovascular and fatigue evidence
StudyPositive resultNulls and limits
Fedin 2010: 75 randomized, 69 completersMMSE, attention and MFI-20 favored 100 or 200 mg/dayFAB, depression and sleep null; mental-fatigue and motivation subscales null; tables conflict on MMSE and MFI values
Mokina 2010: 60 randomized, 27 active and 33 placeboMFI-20 60.19 to 55.04 vs 60.85 to 61.18; fatigue score 12.89 to 10.37 vs 14.76 to 15.00Marks compare each arm with baseline; Fatigue Severity Scale and reduced-work-capacity reports null; baseline symptoms often worse on placebo
Stroke rehabilitation: 400, 200 exposedNeurologic and daily-living scales favored exposed rehabilitation groupAbstract omits allocation, masking and absolute treatment effect; recovery and rehabilitation confound
TRIUMPH: 1,170Asthenia scores reportedly more than halvedNoninterventional; no randomized control
75-person blinded trial · selected positives and conflicting tables

Randomized double-blind placebo-controlled trial

Fedin et al. 2010. Russian primary clinical report.

MMSE, attention and total fatigue measures favored active treatment; FAB, depression, sleep, mental-fatigue and motivation outcomes were null.

Participants / model
75 adults aged 60-90; 25 per 100 mg, 200 mg and placebo arm; 69 completers
Follow-up
Thirty days
Study design
Randomized by envelopes, double-blind, placebo-controlled

Six withdrawals, many outcomes and inconsistent MMSE/MFI tables prevent one clean effect estimate. Funding and conflict were not stated.

Read the original source
60-person blinded fatigue trial · one scale positive, others null

Randomized double-blind placebo-controlled trial

Mokina, Antipenko and Gustov. 2010.

MFI-20 and one fatigue score improved in the active arm; Fatigue Severity Scale and reduced work capacity were null.

Participants / model
60 cerebrovascular patients; 27 active and 33 placebo
Follow-up
Thirty days
Study design
Reported randomized double-blind placebo-controlled

Significance marks are within-arm, not randomized between-arm tests. Baseline symptoms were often worse on placebo; concealment, attrition and funding are unclear.

Read the original source
[Efficacy of phenotropil in the rehabilitation of stroke patients].

Primary human study

Koval'chuk VV et al. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2010. PMID 21626817.

The phenotropil rehabilitation group had better neurological and daily-living scale recovery than controls.

Participants / model
400 people after ischemic stroke; 200 received phenotropil alongside rehabilitation
Follow-up
1 year
Study design
Comparative rehabilitation report; randomization and blinding not described in the abstract

The abstract reports p<0.0001 but omits effect sizes, confidence intervals, allocation methods, and complete safety results.

Read the original source
1,170-person program · no randomized control

Noninterventional clinical program

Fedin et al. 2015. PMID 25726789.

Asthenia scores reportedly fell by more than half with improvement across symptom domains.

Participants / model
1,170 adults aged 45-65 with chronic cerebral ischemia
Follow-up
Two to three months
Study design
Open noninterventional program

Expectation, co-care, regression to the mean and selective reporting cannot be separated from drug effect.

Read the original source

What do dopamine and animal findings show?

R-phenylpiracetam inhibited dopamine transporters and changed effort-related behavior in rats. R and S enantiomers produced different locomotor, forced-swim and memory effects. S-phenylpiracetam reduced weight and improved glucose measures in obese animals. These experiments do not measure healthy human cognition, motivation, fat loss or dependence risk.

Preclinical distinctions
MaterialFindingHuman limit
Racemic, R and S formsDifferent locomotor, forced-swim and passive-avoidance effectsOne enantiomer cannot define a retail racemate
R-phenylpiracetam / MRZ-9547DAT inhibition and altered effort choice in ratsNo ADHD, productivity or abuse-liability result in people
S-phenylpiracetamLess weight/fat gain and better glucose measures in rodentsNo controlled racemic human metabolic trial
Investigation into stereoselective pharmacological activity of phenotropil.

Preclinical primary animal study

Zvejniece L et al. Basic & clinical pharmacology & toxicology. 2011. PMID 21689376. DOI 10.1111/j.1742-7843.2011.00742.x.

The study examined whether the racemate and its enantiomers differed in behavioral pharmacology.

Participants / model
Animal behavioral experiments
Follow-up
Experimental assay periods
Study design
Stereoselective preclinical study

Animal effects and isolated enantiomers cannot establish clinical benefit or equivalence for a marketed racemate.

Read the original source
R-enantiomer DAT study · rats

Preclinical animal pharmacology

Sommer et al. 2014. PMID 24964269.

R-phenylpiracetam inhibited DAT and shifted effort-related responding; S was less potent in this paradigm.

Participants / model
Rats
Follow-up
Experimental
Study design
Controlled behavioral pharmacology

Resolved-enantiomer rat data do not establish human focus, productivity, ADHD treatment or abuse liability.

Read the original source
S-enantiomer metabolic study · animals

Preclinical animal study

PMID 28743458. 2017.

S-phenylpiracetam reduced weight and fat gain, glucose and leptin and improved glucose tolerance.

Participants / model
Western-diet mice and obese Zucker rats
Follow-up
Eight to twelve weeks
Study design
Controlled animal experiments

The S enantiomer and animal disease models do not establish racemic human fat loss or metabolic safety.

Read the original source

What does the Russian label say, and what remains unknown?

The Russian product label lists insomnia, early psychomotor activation, flushing or heat and increased blood pressure, with cautions for severe hypertension, liver or kidney disease and previous panic or psychosis. It states a one-hour Tmax and three-to-five-hour half-life, but does not identify the study supporting those pharmacokinetic values. Animal PK values must not be relabeled as human measurements.

Safety record
SourceWhat it reportsLimit
Russian product labelActivation, insomnia, blood-pressure increase, flushing; stimulant interactions and driving cautionsRegulated product information; the label does not identify the underlying pharmacokinetic study
Fedin trialFive active and one placebo withdrawals; irritability, insomnia or nightmares in three low-dose patientsOne month and small groups
Alcohol trialTwo active adverse events; no serious events; no dependence diagnosis over one monthCannot settle long-term tolerance, dependence or healthy use
2025 market surveillancePhenylpiracetam detected among seized or intercepted productsProduct identity evidence, not a clinical harm rate
Russian label · PK claims, activation and BP warnings

Official product information

Russian Ministry-format product information, LP-004616.

Label states Tmax one hour, half-life three to five hours and lists activation, insomnia, flushing/heat and increased blood pressure.

Participants / model
Users of the specified Russian 50 mg and 100 mg tablets
Follow-up
Current approved labeling
Study design
Regulatory product label

The underlying modern human PK study is not exposed. Label assertions do not settle long-term healthy tolerance, dependence or retail-product identity.

Read the original source
75-person blinded trial · selected positives and conflicting tables

Randomized double-blind placebo-controlled trial

Fedin et al. 2010. Russian primary clinical report.

MMSE, attention and total fatigue measures favored active treatment; FAB, depression, sleep, mental-fatigue and motivation outcomes were null.

Participants / model
75 adults aged 60-90; 25 per 100 mg, 200 mg and placebo arm; 69 completers
Follow-up
Thirty days
Study design
Randomized by envelopes, double-blind, placebo-controlled

Six withdrawals, many outcomes and inconsistent MMSE/MFI tables prevent one clean effect estimate. Funding and conflict were not stated.

Read the original source
Терапевтическая эффективность и безопасность использования фенотропила у больных с зависимостью от алкоголя / Phenotropil in alcohol dependence

Primary human randomized study

Иванец Н.Н., Винникова М.А., Мохначев С.О., Козырева А.В., Усманова Н.Н., Сивач Т.В. Вопросы наркологии. 2008;(4):16 to 32.

Selected symptom and cognitive measures favored adjunct phenotropil; several mood/asthenia measures improved similarly with placebo.

Participants / model
120 men in inpatient alcohol-dependence treatment; four groups of 30
Study design
Reported randomized double-blind placebo-controlled adjunct study; 30 days

Concomitant treatment, baseline imbalances and many endpoints limit inference.

Read the original source
2025 lab survey · product identity, not harm rate

Official-laboratory market surveillance

PMID 40558871. 2025.

Phenylpiracetam was among Russian prescription compounds identified in samples collected in 2020-2024.

Participants / model
159 samples with 166 identifications across many substances
Follow-up
2020-2024 samples
Study design
Multi-laboratory analytical surveillance

The totals cover many compounds and do not equal phenylpiracetam exposures or adverse events.

Read the original source

What do the Russian alcohol, epilepsy and healthy-performance reports show?

The 120-man alcohol trial found faster attention and fewer errors at some doses, while word recall was only a tendency and craving reached zero in every group during supervised withdrawal treatment. Epilepsy reports suggest adjunctive patient effects but omit arm-level estimates. Early athlete and healthy-men abstracts claim performance gains without enough arm data for a reliable effect size.

Other human evidence
StudyFindingLimit
Alcohol dependence: 120 men, 30 per armAttention time improved about five seconds; error reduction strongest at 300 mgAll groups received extensive co-treatment; depression, asthenia and many withdrawal measures improved similarly to placebo; baseline imbalance
Epilepsy: 90 randomizedAbstract reports fewer seizures and improved cognitionThe abstract does not report arm sizes, duration, absolute effects, uncertainty, or complete safety data
Epilepsy: 61 comparedSeizure, EEG and psychological outcomes reportedly improvedThe abstract does not report allocation, masking, or effect sizes
Athlete conference: 80Claims 4% to 6% performance gain vs placeboNo adequate arm sizes, allocation, masking or uncertainty
Healthy men conference: 23Qualitative cognition and PWC-170 improvementNo arm-level results or independent replication
Aviation hypoxia: 52 patientsFewer adaptation sessions; oxygen-tolerance time 2.8 to 3.3 minutesHypertension/bronchitis cohort, not healthy pilots; masking and arm dispersion absent

Cohort accounting

The 2004 developer-linked conference abstracts may overlap. The athlete, occupational and aviation records are not counted as separate well-powered replications.

Терапевтическая эффективность и безопасность использования фенотропила у больных с зависимостью от алкоголя / Phenotropil in alcohol dependence

Primary human randomized study

Иванец Н.Н., Винникова М.А., Мохначев С.О., Козырева А.В., Усманова Н.Н., Сивач Т.В. Вопросы наркологии. 2008;(4):16 to 32.

Selected symptom and cognitive measures favored adjunct phenotropil; several mood/asthenia measures improved similarly with placebo.

Participants / model
120 men in inpatient alcohol-dependence treatment; four groups of 30
Study design
Reported randomized double-blind placebo-controlled adjunct study; 30 days

Concomitant treatment, baseline imbalances and many endpoints limit inference.

Read the original source
90-person blinded epilepsy trial · published abstract

Randomized double-blind adjunctive trial

Grebeniuk et al. PMID 25591651.

The abstract reports fewer seizures and improved cognition.

Participants / model
90 adults receiving standard antiepileptic therapy
Follow-up
Not reported in the abstract
Study design
Reported randomized double-blind placebo-controlled adjunctive trial

The abstract does not report arm sizes, duration, absolute effects, uncertainty, multiplicity, or complete safety data. Forty percent did not have negative standard-therapy effects reduced.

Read the original source
61-person epilepsy comparison · incomplete methods

Comparative adjunctive clinical study

Bel'skaia GN. [Complex treatment of epilepsy with phenotropil]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2007. PMID 18379471.

The abstract reports improved seizure, EEG and psychological outcomes.

Participants / model
61 patients; 31 adjunctive phenotropil and 30 conventional treatment
Follow-up
Two months
Study design
Comparative clinical study

The abstract does not report allocation, masking, numerical effects, or detailed safety data.

Read the original source
Athlete and healthy-men abstracts · sparse arm data

Primary conference abstracts

Russian XI Human and Medicine Congress abstracts. 2004.

An 80-athlete report claimed 4% to 6% performance improvement versus placebo; a 23-man report claimed cognition and PWC-170 improvement.

Participants / model
Athletes, practically healthy men and occupational cohorts
Follow-up
Acute to several days
Study design
Multiple early conference reports

Arm sizes, allocation, masking, dispersion, uncertainty and independent replication are missing; developer-linked reports may overlap.

Read the original source
52-patient program · fewer sessions, incomplete controls

Clinical adaptation program

Razsolov and Potievsky aviation hypoxia program.

Training reportedly required 10-11 versus 18-20 sessions in pilots and 14-15 versus 25-28 in ground workers; oxygen tolerance rose 2.8 to 3.3 minutes acutely.

Participants / model
52 patients, including 28 pilots and 24 ground staff with hypertension, bronchitis or related disease
Follow-up
Training course
Study design
Placebo-associated methodological report

Allocation, masking, arm dispersion and functional flight outcomes are not reported. The cohort is not described as healthy athletes.

Read the original source

Where is phenylpiracetam recognized or unapproved?

A Russian Ministry-format label covers licensed oral tablets and describes named uses, PK and safety. FDA identifies phenylpiracetam in a US unapproved-drug distribution case. Russian recognition does not create US approval or verify the identity of an online product.

Jurisdiction matters
RecordMeaning
Russian approved product informationA regulated local tablet product and label
FDA enforcement casePhenylpiracetam was sold in the US as an unapproved drug
Retail or bulk interceptionChemical-market presence, not authenticity, purity or clinical safety
Russian label · PK claims, activation and BP warnings

Official product information

Russian Ministry-format product information, LP-004616.

Label states Tmax one hour, half-life three to five hours and lists activation, insomnia, flushing/heat and increased blood pressure.

Participants / model
Users of the specified Russian 50 mg and 100 mg tablets
Follow-up
Current approved labeling
Study design
Regulatory product label

The underlying modern human PK study is not exposed. Label assertions do not settle long-term healthy tolerance, dependence or retail-product identity.

Read the original source
FDA: unapproved racetam distribution case

Official enforcement record

US FDA / US Department of Justice. Arizona company and CEO plead guilty to distribution of drugs not approved by FDA. 2023.

The case identifies piracetam, aniracetam, coluracetam, and phenylpiracetam among unapproved drugs marketed online.

Participants / model
United States distribution
Follow-up
2023
Study design
Official case record

This establishes the named US enforcement history, not every country’s status or a quantified rate of injury.

Read the original source
2025 lab survey · product identity, not harm rate

Official-laboratory market surveillance

PMID 40558871. 2025.

Phenylpiracetam was among Russian prescription compounds identified in samples collected in 2020-2024.

Participants / model
159 samples with 166 identifications across many substances
Follow-up
2020-2024 samples
Study design
Multi-laboratory analytical surveillance

The totals cover many compounds and do not equal phenylpiracetam exposures or adverse events.

Read the original source

Studies and sources

[Efficacy of phenotropil in the rehabilitation of stroke patients].

Primary human study

Koval'chuk VV et al. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2010. PMID 21626817.

The phenotropil rehabilitation group had better neurological and daily-living scale recovery than controls.

Participants / model
400 people after ischemic stroke; 200 received phenotropil alongside rehabilitation
Follow-up
1 year
Study design
Comparative rehabilitation report; randomization and blinding not described in the abstract

The abstract reports p<0.0001 but omits effect sizes, confidence intervals, allocation methods, and complete safety results.

Read the original source
Investigation into stereoselective pharmacological activity of phenotropil.

Preclinical primary animal study

Zvejniece L et al. Basic & clinical pharmacology & toxicology. 2011. PMID 21689376. DOI 10.1111/j.1742-7843.2011.00742.x.

The study examined whether the racemate and its enantiomers differed in behavioral pharmacology.

Participants / model
Animal behavioral experiments
Follow-up
Experimental assay periods
Study design
Stereoselective preclinical study

Animal effects and isolated enantiomers cannot establish clinical benefit or equivalence for a marketed racemate.

Read the original source
FDA: unapproved racetam distribution case

Official enforcement record

US FDA / US Department of Justice. Arizona company and CEO plead guilty to distribution of drugs not approved by FDA. 2023.

The case identifies piracetam, aniracetam, coluracetam, and phenylpiracetam among unapproved drugs marketed online.

Participants / model
United States distribution
Follow-up
2023
Study design
Official case record

This establishes the named US enforcement history, not every country’s status or a quantified rate of injury.

Read the original source
PubChem: phenylpiracetam chemical identity

Government chemical identity database

National Library of Medicine. PubChem CID 132441.

C12H14N2O2; molecular weight 218.25 g/mol.

Participants / model
Chemical record
Follow-up
Living database
Study design
Curated structure record

Formula and molecular weight establish the recorded structure, not the contents of a retail product or an effective dose.

Read the original source
Терапевтическая эффективность и безопасность использования фенотропила у больных с зависимостью от алкоголя / Phenotropil in alcohol dependence

Primary human randomized study

Иванец Н.Н., Винникова М.А., Мохначев С.О., Козырева А.В., Усманова Н.Н., Сивач Т.В. Вопросы наркологии. 2008;(4):16 to 32.

Selected symptom and cognitive measures favored adjunct phenotropil; several mood/asthenia measures improved similarly with placebo.

Participants / model
120 men in inpatient alcohol-dependence treatment; four groups of 30
Study design
Reported randomized double-blind placebo-controlled adjunct study; 30 days

Concomitant treatment, baseline imbalances and many endpoints limit inference.

Read the original source
75-person blinded trial · selected positives and conflicting tables

Randomized double-blind placebo-controlled trial

Fedin et al. 2010. Russian primary clinical report.

MMSE, attention and total fatigue measures favored active treatment; FAB, depression, sleep, mental-fatigue and motivation outcomes were null.

Participants / model
75 adults aged 60-90; 25 per 100 mg, 200 mg and placebo arm; 69 completers
Follow-up
Thirty days
Study design
Randomized by envelopes, double-blind, placebo-controlled

Six withdrawals, many outcomes and inconsistent MMSE/MFI tables prevent one clean effect estimate. Funding and conflict were not stated.

Read the original source
60-person blinded fatigue trial · one scale positive, others null

Randomized double-blind placebo-controlled trial

Mokina, Antipenko and Gustov. 2010.

MFI-20 and one fatigue score improved in the active arm; Fatigue Severity Scale and reduced work capacity were null.

Participants / model
60 cerebrovascular patients; 27 active and 33 placebo
Follow-up
Thirty days
Study design
Reported randomized double-blind placebo-controlled

Significance marks are within-arm, not randomized between-arm tests. Baseline symptoms were often worse on placebo; concealment, attrition and funding are unclear.

Read the original source
1,170-person program · no randomized control

Noninterventional clinical program

Fedin et al. 2015. PMID 25726789.

Asthenia scores reportedly fell by more than half with improvement across symptom domains.

Participants / model
1,170 adults aged 45-65 with chronic cerebral ischemia
Follow-up
Two to three months
Study design
Open noninterventional program

Expectation, co-care, regression to the mean and selective reporting cannot be separated from drug effect.

Read the original source
R-enantiomer DAT study · rats

Preclinical animal pharmacology

Sommer et al. 2014. PMID 24964269.

R-phenylpiracetam inhibited DAT and shifted effort-related responding; S was less potent in this paradigm.

Participants / model
Rats
Follow-up
Experimental
Study design
Controlled behavioral pharmacology

Resolved-enantiomer rat data do not establish human focus, productivity, ADHD treatment or abuse liability.

Read the original source
S-enantiomer metabolic study · animals

Preclinical animal study

PMID 28743458. 2017.

S-phenylpiracetam reduced weight and fat gain, glucose and leptin and improved glucose tolerance.

Participants / model
Western-diet mice and obese Zucker rats
Follow-up
Eight to twelve weeks
Study design
Controlled animal experiments

The S enantiomer and animal disease models do not establish racemic human fat loss or metabolic safety.

Read the original source
Russian label · PK claims, activation and BP warnings

Official product information

Russian Ministry-format product information, LP-004616.

Label states Tmax one hour, half-life three to five hours and lists activation, insomnia, flushing/heat and increased blood pressure.

Participants / model
Users of the specified Russian 50 mg and 100 mg tablets
Follow-up
Current approved labeling
Study design
Regulatory product label

The underlying modern human PK study is not exposed. Label assertions do not settle long-term healthy tolerance, dependence or retail-product identity.

Read the original source
2025 lab survey · product identity, not harm rate

Official-laboratory market surveillance

PMID 40558871. 2025.

Phenylpiracetam was among Russian prescription compounds identified in samples collected in 2020-2024.

Participants / model
159 samples with 166 identifications across many substances
Follow-up
2020-2024 samples
Study design
Multi-laboratory analytical surveillance

The totals cover many compounds and do not equal phenylpiracetam exposures or adverse events.

Read the original source
90-person blinded epilepsy trial · published abstract

Randomized double-blind adjunctive trial

Grebeniuk et al. PMID 25591651.

The abstract reports fewer seizures and improved cognition.

Participants / model
90 adults receiving standard antiepileptic therapy
Follow-up
Not reported in the abstract
Study design
Reported randomized double-blind placebo-controlled adjunctive trial

The abstract does not report arm sizes, duration, absolute effects, uncertainty, multiplicity, or complete safety data. Forty percent did not have negative standard-therapy effects reduced.

Read the original source
61-person epilepsy comparison · incomplete methods

Comparative adjunctive clinical study

Bel'skaia GN. [Complex treatment of epilepsy with phenotropil]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2007. PMID 18379471.

The abstract reports improved seizure, EEG and psychological outcomes.

Participants / model
61 patients; 31 adjunctive phenotropil and 30 conventional treatment
Follow-up
Two months
Study design
Comparative clinical study

The abstract does not report allocation, masking, numerical effects, or detailed safety data.

Read the original source
Athlete and healthy-men abstracts · sparse arm data

Primary conference abstracts

Russian XI Human and Medicine Congress abstracts. 2004.

An 80-athlete report claimed 4% to 6% performance improvement versus placebo; a 23-man report claimed cognition and PWC-170 improvement.

Participants / model
Athletes, practically healthy men and occupational cohorts
Follow-up
Acute to several days
Study design
Multiple early conference reports

Arm sizes, allocation, masking, dispersion, uncertainty and independent replication are missing; developer-linked reports may overlap.

Read the original source
52-patient program · fewer sessions, incomplete controls

Clinical adaptation program

Razsolov and Potievsky aviation hypoxia program.

Training reportedly required 10-11 versus 18-20 sessions in pilots and 14-15 versus 25-28 in ground workers; oxygen tolerance rose 2.8 to 3.3 minutes acutely.

Participants / model
52 patients, including 28 pilots and 24 ground staff with hypertension, bronchitis or related disease
Follow-up
Training course
Study design
Placebo-associated methodological report

Allocation, masking, arm dispersion and functional flight outcomes are not reported. The cohort is not described as healthy athletes.

Read the original source

Why is phenylpiracetam in C tier?

Tier C: randomized patient studies report selected attention, cognition and fatigue results, while other scales are null and several large reports lack randomized controls. Healthy athlete and occupational experiments are too sparsely reported for a dependable effect size. Russian label use supplies safety and PK context, but long-term healthy stimulant use, dependence and cardiovascular or psychiatric risk remain uncertain.

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