Balancia 500mg Tablet 1 Strip

✔️ Balancia may be used as an adjunct in the management of:

• Ischemic stroke: To support neurological recovery and address certain stroke-related functional impairments.
• Cerebral insufficiency: Cognitive symptoms such as impaired memory, poor concentration, dizziness, or disorientation associated with certain brain conditions or injuries.
• Head injury: Cognitive impairment following traumatic brain injury, when prescribed by a specialist.
• Alzheimer's disease: Cognitive dysfunction in selected patients, depending on the treating clinician's assessment.
• Parkinson's disease: As an adjunct to prescribed treatment in selected cases.

The effectiveness of citicoline varies by condition, and evidence supporting routine use for these indications is not equally strong. A suspected stroke requires immediate emergency medical care.

✔️ Side Effects:

Balancia is generally reported to be well tolerated, but possible adverse effects include:

• Dizziness or drowsiness
• A temporary decrease in blood pressure
• Occasional stimulation of the parasympathetic nervous system

✔️ Dosage & Administration

The dose depends on the condition being treated, the formulation, the route of administration and the patient's clinical response. The following are general reference doses, not a substitute for an individualized prescription.

Oral administration:

• Acute ischemic stroke: Reference regimens range from 500–2,000 mg daily in some sources. Treatment must be directed by the stroke-care team.
• Cognitive impairment following stroke: Reference doses may range from 1,000–2,000 mg daily.
• Chronic cerebrovascular disorders: A commonly referenced regimen is 1,000 mg daily, sometimes divided into multiple doses.

✔️ Drug Interaction

• Levodopa, carbidopa and entacapone: Citicoline may enhance the effects of levodopa-containing treatment. Patients with Parkinson's disease should be monitored by their doctor.
• Meclofenoxate: Concurrent administration with products containing meclofenoxate is not recommended in the supplied product information.

✔️ Pregnancy & Lactation

Adequate controlled studies of citicoline use during pregnancy and breastfeeding are lacking. Balancia should be used during these periods only when the treating physician determines that the expected benefits outweigh the potential risks.

✔️ Precautions & Warnings

• Dizziness and drowsiness: Avoid driving or operating machinery if affected.
• Blood pressure: Citicoline may occasionally cause a temporary decrease in blood pressure. Patients experiencing faintness or significant dizziness should seek medical advice.
• Intracranial hemorrhage: Patients with ongoing intracranial bleeding require specialist supervision. The dose and rate of intravenous administration must be determined by the treating team.
• Alcohol: Avoid alcohol during treatment, particularly if dizziness or drowsiness occurs.
• Stroke symptoms: Sudden weakness, facial drooping, difficulty speaking, loss of balance or sudden visual disturbance require immediate emergency assessment. Do not delay established stroke treatment to take citicoline.

✔️ Storage:

Store below 30°C, protected from light and moisture. Keep out of the reach of children.