I did try 400mg this morning with black coffee and it was shit. Brain-fog, dysphoria and severe numbness and uncomfortable brain/heart feelings back again.
Please explain better the "cholinergic crisis" as it's pertained to piracetam use. Seems to me a red alert and I'll research al I can about it immediatelly.
I've been waking up with the feeling of having skipped breathing. Also, it's happening while I'm awake. If I'm not paying attention, I don't breathe that properly.
All I'm taking: Panax ginseng; Hypericum perforatum; huge doses of complex B (Beneroc from Beyer and lots of Brewer's yeast); Guarana extract + too much coffeee (as usual); Equisetum arvense; lots of golden linseed and chia seeds;
I drink about 2L of milk a day and eat loads of oats and bananas. Also, I don't ingest callories from 2am to 19pm (intermittent fasting).
Any info will be truly appreciated. I'm a rightfully alarmed from these physical responses. I'll go research, now.
There's no cholinergic crisis with piracetam by itself.
Actually, you know the studies where they megadosed subjects with piracetam, looking for toxicity?
I believe the fact that none of them died from respiratory failure means piracetam is not nearly as potent or involved with acetylcholine as it is believed to be. If the studies were legit.
There have also been some nutjobs who have taken seriously ill-advised huge doses of piracetam without reporting breathing difficulty or needing to go to the hospital. Unless they were trolling. But people do sometimes complain of chest heaviness or breathing weirdness when taking some cholinergic with a racetam (but they blame the racetam first).
Multiple papers report on relationships between piracetam and acetylcholine always report on the muscarinic than nicotinic (even though I've seen one that says piracetam does not interact with muscarinic receptors directly), so that only drives the nail further home.
You certainly don't need a "choline source" with it to make it work "better" (that would really just be the cholinergic having its own effects on someone, since Alpha GPC and Citicoline can be nootropic all by themselves).
Caffeine is cholinergic though. Brewer's yeast contains quite a bit of choline.
Chia seed's choline content is no match for flaxseed's, there's not much to worry about there.
Linseed is often on lists of foods high in choline though.
A few studies found that several of the ginseng varieties are acetylcholinesterase inhibitors. Actually quite a few of the noot herbs are.
Panax ginseng specifically was found to trigger ACh release and indirectly stimulate muscarinic receptors.
Guarana doubtlessly also messes with ACh just because it contains caffeine, but I don't know how strongly or weakly or anything else about that.
Horsetail is beyond my ken, you'll have to google around for stuff on horsetail and ACh.
St John's both inhibits choline reuptake and triggers ACh release depending on dose.
You don't have to be scared. Just stop taking the herbs for now, reduce linseed and yeast (you don't have to stop them altogether because they are just foods with choline which is not a big deal), I'm sure that will help. After a week or two, you could reintroduce your favorite herb and see how you do with just the one.
It's not the piracetam.
In the meantime it's important that you stay calm because getting all anxious just makes it worse. Don't try taking stimulants because that won't help either, or sedatives. There was several times when I woke in the night that I found lying partly on my stomach with some pillows propped under my left side and leg (so you're kind of tilting more toward the right side) let me breathe easier and go back to sleep (although it surely wasn't quality sleep).
That might actually have more to do with easing the load on your heart (thereby increasing oxygenation all around) than your breathing muscles, putting more weight on the right side to sleep.
But stay calm - if you were going to be in serious trouble it would have happened already, okay? It will all wear off when you stop the supps that are doing this.
Edited by Duchykins, 16 July 2015 - 09:10 PM.