When a drug has over thirty years in the marketplace, the burden of proof for such claims is not only easier to determine, but making statements that have no evidence to back them up, especially obvious and easily-validated ones, is not such a grand plan.
If there were such obvious problems, don't you think evidence would have emerged during the thirty years of dosing millions of sick and not-sick individuals, including those with renal impairment?
Piracetam is not metabolized, period. So far as renal function goes, like any salt you take it with water, to maintain osmotic balance. Keeping close to the osmotic pressure of blood or a bit more diluted, will guarantee the kidneys an easy time, if you are so concerned.
Not like those dumb fucks at raves drinking bottle after bottle of pure water without salt. And I don't know anyone who could eat that bitter powder without several good mouthfuls of water. Pills is another story, but anyone into big doses would be using powder.
A bit off-topic but some simple rules at raves:
1. people can only bring one bottle (1L max) of pure water
2. unlimited amounts of osmotically-correct salty water / juices are available
Just these two would allow folks to drink as much as they please, without risking the terrible consequences of hyponatremia.
Edited by Isochroma, 21 July 2008 - 05:31 AM.