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Nootropics (racetams in particular)

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So, I started trying out nootropics to get some of my cognitive spark back. My stack *was* as follows


  • 750mg oxiracetam
  • 750mg aniracetam
  • 400mg alpha-GPC (in 50% form, so 800mg of powder)
  • 200mg l-theanine in split doses

But I'm altering it. I believe the aniracetam is making my HPPD worse, my ghosting/double-images in particular. The reason I think this is that aniracetam has an affect on serotonin and dopamine. I can't remember if it's an agonist or antagonist. Since HPPD is apparently linked to serotonin and dopamine to some extent, I would think messing with either would be bad. Then again, it could be anything in my stack. Anyways, I'm dropping aniracetam and seeing where that gets me. I will be adding the following

  • 1g Lion's Mane extract
  • 15mg Noopept (maybe)
  • 300mg pramiracetam (maybe)

So, I'll see where that gets me. In addition to this I'm also tapering off clonazepam from 2mg/day (I'm down to 1.21mg/day as of today), I'm working my way up to 16mg/day of tiagabine, and I'm holding at 100mg/day lamotrigine. 


So, I don't know, what's your guys' experience with nootropics? I'm mainly interested in if any made HPPD symptoms worse.

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That is a LOT of racetams to start throwing at your brain.

Use of oxiracetam gave me problems with speech after about a month. Abrupt cessation of it afterwards caused a plethora of negative cognitive effects I'm still struggling with up to a year later. While it was working though it gave me great benefit.

Coluracetam was incredibly harmful

Some people react very badly to racetams. It seems to be a small percentage but I unfortunately seemed to fall into that category. I was incredibly suicidal for a long time afterwards and still struggle with this today. I have permanent sexual dysfunction from their use, can longer tolerate any amount of alcohol without downstream effects lasting for weeks. I have problems with sleep and hunger responses. (For 4 months after racetam use I had no hunger or thirst response and complete inability to achieve erection. Hunger and thirst returned with about 70 percent of my erection quality and 70 percent of normal lust. Reliant on erectile dysfunction medication now.

Aniracetam is a 5ht2a agonist like hallucinogens. I would avoid it.

Noopept has been shown to make HPPD worse anecdotally.

Honestly, if I can the advice it would be to not take these. Whatever mechanism causes HPPD is sensitized to how these meds work. You could find yourself in HPPD x2000 like I did. Or maybe not. Let us know how it goes

Whatever you do DO NOT STOP ABRUPTLY any racetam you have been taking for a while. All the horror stories I've read that seems to have done the most damage. Ween off. I wish I had.

Remember, scientific research on racetams is pretty scarce. Lots of rodent studies though. I think they have the potential to really help with our disorder but as of now there needs to be more human studies.

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Thanks for the concern. Anyways, I dropped all nootropics sans Lion's Mane and l-theanine. Don't worry, I had only been using them off and on for a few days. With that said, visuals seem to have mostly returned to baseline. So one or more of the racetams were causing a worsening in symptoms. 


Regarding the clonazepam, I've been doing a daily micro-taper for the past two and a half months, so I can't really just stop. I mean, I can, but then I would have to taper again and daily micro-tapering is a tedious and arduous thing (I have to get up 2 hours before I normally do just to prepare solutions). Also, since I've stopped using racetams there shouldn't be any problems in continuing with a micro-taper. 

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