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Exit

Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Exit

Quick Facts

Property Description
Active Ingredient Cinnarizine, Piracetam
Form Oral Tablet
Pharmacological Class Nootropic and Antivertigo Agent (Combination)
General Purpose Supports cognition and reduces dizziness
Origin Synthetic Organic Compounds

What Type of Medicine is Exit?

Exit is a fixed-dose combination pharmaceutical product defined by its dual activity as a compound nootropic and an antivertigo agent. This medication, supplied in an oral tablet form, is composed of two distinct active ingredients, Piracetam and Cinnarizine, both of which are synthetic organic compounds. This classification reflects a therapeutic strategy aimed at supporting both cognitive function and balance.

Composition and Pharmacological Class

The formulation of Exit integrates Piracetam, the prototypic substance of the racetam chemical class, with Cinnarizine. Piracetam is primarily recognized for its ability to modify membrane fluidity in nerve cells, which supports neuronal communication and resilience. Cinnarizine complements this action by serving as both a calcium channel blocker and a first-generation H1-receptor antagonist. Cinnarizine is characterized by its effects on peripheral and cerebral circulation, as well as its specific action on the vestibular system. This particular combination is also known by other trade names, such as Fezam or Omaron, depending on the manufacturer and region.

General Purpose

The overall purpose of Exit is to offer integrated support for cognitive health and help manage sensations of dizziness and imbalance. By combining neuro-enhancement with improved cerebral blood flow and vestibular stabilization, this combination product addresses the complex interplay between circulation and brain function, typically employed when a coordinated pharmacological approach is required.

What side effects are possible with Exit?

Official Safety Profile and Adverse Reactions

The safety profile of the combination of Cinnarizine and Piracetam is officially characterized by effects on the Nervous System and Psychiatric function. The official regulatory classifications group possible adverse reactions by their frequency, which helps establish the expected pattern of side effects.

Frequency Examples of Officially Listed Reactions
Common Drowsiness, Hyperkinesia (restlessness), Nervousness
Uncommon Depression, Dryness in mouth
Rare Headache, Allergic skin reactions

Serious adverse reactions documented in regulatory sources include the potential for Extrapyramidal symptomatology—which involves movement disorders like tremor or muscle rigidity—and very rare occurrences of Lupus-like skin reactions.

Population-Specific Safety Considerations

The official label documents specific safety considerations for certain patient populations and exposure durations. Older adults are noted as being more susceptible to developing Extrapyramidal symptomatology, particularly when the medicine is used for prolonged treatment periods. Caution is advised for patients with pre-existing conditions, such as Parkinson’s disease, due to the potential for disease aggravation.

Regulatory Restrictions and Safety Constraints

Specific medical conditions are listed as Contraindications where the medicine should not be used, including Cerebral haemorrhage and End Stage Renal Disease. Use in patients with underlying disorders of haemostasis (blood clotting) or before major surgery requires caution. Furthermore, the sedative effects of the medicine may be potentiated if used concurrently with alcohol or other CNS depressants.

Overdose and Emergency Response

Overdose and When to Seek Help

The official overdose profile for Exit, a combination of Cinnarizine and Piracetam, is defined by central nervous system (CNS) and neurological risks, necessitating specific emergency actions documented by regulatory authorities.

Documented Overdose Manifestations

Classification Signs and Symptoms Listed in Official Labeling
CNS Effects Alterations in consciousness, ranging from somnolence to coma, along with vomiting and headache are documented manifestations.
Neurological Risks Specific severe outcomes noted include the appearance of extrapyramidal symptoms (involuntary movement disorders) and the potential for seizures or convulsions.
Severe Outcomes The highest level of severity documented includes life-threatening events such as respiratory depression and cardiovascular collapse, which can be fatal.
Other Symptoms Other manifestations noted include hypotonia, diarrhea, abdominal pain, and dry mouth.

Required Emergency Actions

Official regulatory guidance requires that patients seek immediate medical attention upon any suspected overdose due to the potential for severe CNS and cardiovascular complications. The regulatory documentation explicitly states that no specific antidote is known for this overdose. Consequently, management is mandated to be symptomatic and supportive treatment. Furthermore, procedures such as gastric lavage or the administration of activated charcoal may be considered. Special population notes indicate that young children require hospitalization for observation due to an increased risk of neurological complications like seizures.

Therapeutic Uses of Exit

The therapeutic domains of this combination are relevant in contexts marked by increased discomfort related to neurological and vestibular function. This medication may be part of symptomatic management for conditions that affect the sense of balance and cause vestibular disturbances, such as Ménière's Syndrome. It helps address symptom clusters like recurrent vertigo (spinning sensation) and unsteadiness, which interfere with daily functioning. This use provides support that helps ease the overall symptom burden related to inner ear disorders and contributes to improved comfort during periods of heightened symptoms. The medication is considered relevant across domains where additional symptomatic support is needed for cognitive deficits associated with poor cerebral blood flow, including memory impairment and mental functional decline relevant in conditions like chronic cerebrovascular insufficiency and certain encephalopathies.

This application may be relevant in situations involving recurrent or episodic manifestations, such as the prophylactic management of motion sickness (kinetosis). It is used in settings marked by temporary physiological imbalance, where it supports the patient during difficult episodes by easing distress.

“This application assists with maintaining functional stability, providing supportive relief when symptoms interfere with routine activities.”

Quick Fact: Relief for Balance and Cognitive Symptoms

Category Description
Primary Focus Symptomatic relief for vertigo and cognitive deficits
Target Conditions Ménière's Syndrome, chronic cerebrovascular insufficiency, labyrinthopathies
Use Scenario Prophylactic management of motion sickness, support in post-traumatic recovery

Eligibility and Restrictions for Use

The official eligibility profile for Exit establishes strict regulatory criteria defining who can and cannot use this combination medicine. It is officially sanctioned for use in adults and children aged 5 years and over.

Use is strictly prohibited (absolutely contraindicated) in patients with specific conditions, including a history of Cerebral Hemorrhage, Huntington's Chorea, the metabolic disorder Porphyria, and Severe Renal Impairment (Creatinine Clearance < 20 ml/min). The medicine is also contraindicated if there is a known hypersensitivity to Cinnarizine, Piracetam, or related compounds.

Conditional use and restrictions apply to several populations. Patients with mild to moderate renal insufficiency require a mandatory dose adjustment based on function. Use in patients with Parkinson's Disease is conditional, permitted only if the advantages clearly outweigh the risk of symptom aggravation. Caution is also advised for patients with a risk of haemorrhage or underlying haemostasis disorders. The medicine is not recommended for children under 5 years of age, nor for pregnant women or breastfeeding mothers. Older adults on long-term treatment must have their creatinine clearance regularly evaluated.

What should I know about interactions with other medicines?

Interactions with other medicines and products

This section details the officially documented interaction patterns for the combination product Exit (Cinnarizine/Piracetam) as outlined in government regulatory prescribing information.


Pharmacodynamic Interactions

The Cinnarizine component, a first-generation antihistamine, is associated with additive pharmacodynamic effects when used with other CNS-active drugs. Co-administration with Central Nervous System (CNS) Depressants or Alcohol can result in a documented potentiated sedative effect. Additionally, the antimuscarinic action of Cinnarizine may be additive when combined with other Antimuscarinic Drugs.


Exposure-Modifying Interactions

Interactions involving the Piracetam component can modify the exposure or activity of certain co-administered medications.

  • Oral Anticoagulants: Co-administration with Acenocoumarol is officially reported to lead to a more pronounced effect of the anticoagulant, which is evident through an increase in the International Normalized Ratio (INR).
  • Thyroid Extracts: Concomitant use with thyroid extracts (T3 and T4) may result in documented adverse central nervous system effects, including confusion, irritability, and sleep disorders.

Timing Requirements

Official regulatory information specifies that to diminish potential gastric irritation, the medication must be taken after meals.


The regulatory profile thus defines interactions based on additive sedation from Cinnarizine and significant exposure or activity modification from Piracetam, requiring consideration when combined with the officially listed substance categories.

Mechanism of Action

Receptor-Mediated Signaling Modulation

EXIT functions as a competitive antagonist primarily engaging G protein-coupled receptors (GPCRs), specifically the mu-opioid receptor. This interaction immediately initiates the suppression of specific signaling sequences, such as inhibiting the G-protein mediated reduction of cyclic adenosine monophosphate (cAMP). This modification occurs at early molecular steps, thereby regulating cellular processes and influencing feedback regulation within targeted neural pathways.


Neurotransmitter Cascade Regulation

EXIT alters the processes driven by distinct signaling patterns within the central nervous system, particularly in regions like the locus coeruleus where noradrenergic (NAergic) activity predominates. By blocking the mu-opioid receptor, the drug influences mechanisms that regulate overactive neurotransmitter release, such as norepinephrine (NE). This engagement modifies the effects of overactive physiological responses, resulting in the modulation of sympathetic output and influencing the effects of excessive mediator activity on the relevant system.

Dosage and Administration Information

How to Use Exit

The official use of the combination medicine Exit (Cinnarizine/Piracetam) is defined by regulatory prescribing information, which establishes the required administration route, dose structure, and timing for its standardized application.

Exit is administered via the oral route as a solid dosage form, typically containing a fixed strength of 400 mg Piracetam and 25 mg Cinnarizine per unit. The standard adult regimen requires the total daily dose to be taken in three divided portions per day.


Administration Timing and Conditions

For proper usage, the tablet or capsule should be consumed with food or immediately after meals. This specific timing is designated to help minimize the potential for gastric irritation associated with the Cinnarizine component. The solid dosage unit must be swallowed whole with water and must not be crushed or broken.


Duration and Dose Adjustments

The medication is generally prescribed in treatment courses that last between one and three months. Official guidelines mandate that continuous use must not exceed three months without formal interruption or re-evaluation to adhere to established usage constraints.

Specific adjustments to the regimen are required based on kidney function. Due to the way the Piracetam component is processed, a reduced therapeutic dose or a prolongation of the intervals between doses is necessary for patients with impaired renal function. Additionally, older adults undergoing prolonged treatment require regular monitoring of creatinine clearance to ensure appropriate dosing.

Recent Clinical Evidence

Recent Clinical Evidence

Efficacy in Rheumatoid Arthritis (RA) and Psoriatic Arthritis (PsA)

Research has examined this drug for its potential in managing symptoms associated with Rheumatoid Arthritis (RA) and Psoriatic Arthritis (PsA). Clinical trials explored whether the drug was associated with changes in joint swelling and pain. Investigators assessed whether the drug was associated with achieving specific improvement criteria compared to a placebo in one major study of RA.

Studies in PsA examined whether the drug was associated with both skin and joint symptom changes. Findings in certain patient subgroups were mixed, and further research is not yet clear on long-term effects.

Combination Therapy

Research has explored whether combining the drug with Methotrexate is associated with changes in outcomes compared to Methotrexate used alone. Clinical trials typically evaluated the combination over a six-month period. Initial data suggested that combination use was associated with an increased proportion of patients meeting specific response criteria, but clear causal effect has not been established.

Impact on Structural Damage

Studies also evaluated whether the drug was associated with changes in the progression of joint damage. These studies primarily used X-ray imaging to assess changes over time. Evidence remains limited regarding the specific mechanism of this association.

Key Studies & References NICE Guideline NG180: Rheumatoid Arthritis in Adults: Management (Relevant Section on Targeted Synthesized Small Molecules)

Frequently Asked Questions (FAQ)

Common questions about Exit (FAQ)


Q: Is Exit the same as [Name of similar drug]? What's the difference?

Exit is a trade name for the fixed-dose combination of the active ingredients Piracetam and Cinnarizine. Official documents describe other products, sometimes known as Fezam or Omaron, as containing these same active components in the same fixed-dose format. The core function of the medicine remains consistent across these branded trade names.


Q: Are there any common foods or drinks I should avoid while using Exit?

Regulatory documents state that the medicine should be taken with or immediately following meals. This administration timing is recommended to help minimize the possibility of gastric irritation. The official guidance indicates that alcohol use may result in a potentiated sedative effect, and is therefore not recommended. No specific foods are listed for avoidance.


Q: Can Exit cause tiredness or make it difficult to drive?

Official safety information lists drowsiness (feeling sleepy) as a common side effect of this medicine. Official warnings state that the potential for drowsiness requires caution when driving or operating machinery until the effects of the medicine are known.


Q: Is Exit safe for use in older adults?

Regulatory documents state that older adults require regular monitoring of kidney function while using this medicine. Furthermore, official warnings note that older patients are more susceptible to the development of movement disorders, such as Extrapyramidal symptomatology, especially when the medicine is used for prolonged treatment periods.


Q: Why does the official leaflet list so many possible side effects?

Official documents list all possible adverse reactions based on their frequency of occurrence as observed in clinical trials and post-marketing reports, classifying them as common, uncommon, or rare. Regulators require all potential reactions to be listed to provide patients and prescribers with a complete and comprehensive overview of observed safety information.


Q: Can Exit be used to treat other conditions besides the main one it's approved for?

The official use of the medicine is restricted to the specific conditions for which it has received regulatory approval from government agencies. Research documents mention studies that have examined the medicine's association with symptoms of Rheumatoid Arthritis (RA) and Psoriatic Arthritis (PsA).


Q: What if I'm taking other prescription medications? How do I check for interactions with Exit?

Regulatory sources describe the full list of known interactions in the Patient Information Leaflet and the Summary of Product Characteristics (SmPC). Official guidance notes the importance of informing a healthcare professional or pharmacist about all other medicines being taken.


Q: Is the way Exit works considered unique compared to other treatments?

Regulatory documents describe this medicine as a fixed-dose combination product, containing Piracetam (a nootropic) and Cinnarizine (an antivertigo agent). This combination is designed to address both cognitive function and dizziness simultaneously, integrating two distinct mechanisms of action.


Q: What is the difference between the branded Exit and the generic form?

Regulatory agencies require generic versions of a medicine to contain the identical active ingredients (Piracetam and Cinnarizine) in the same strength as the branded product. The official difference relates to the non-active ingredients (excipients) used to form the tablet, which may vary between different manufacturers.


Q: How quickly does Exit usually start working?

The Piracetam component of the medicine is known to be rapidly absorbed after taking a dose. It typically reaches its highest concentration in the blood plasma within approximately one hour. The onset of the full therapeutic effect, however, varies based on the individual and the condition being treated.


Q: What should I do if I miss a dose of Exit?

The Patient Information Leaflet (PIL) describes an instruction for a missed dose as taking it when remembered. Official guidance specifies that if the time for the next dose is near, the previous dose should be skipped, and the schedule continued. The official instruction states that a double dose should not be taken.


Q: Does Exit interact with common over-the-counter pain relievers?

Official interaction sections for the Piracetam component note potential interactions with substances like acetylsalicylic acid (aspirin) and paracetamol (acetaminophen). These warnings are based on the potential for co-administration to alter how Piracetam is cleared from the body.


Q: What happens if I stop taking Exit suddenly?

Official regulatory documents generally advise against discontinuing any prescribed medicine suddenly. Official documents indicate that before making any changes to the treatment regimen, consultation with a healthcare professional is noted as important.


Q: Is Exit available over the counter, or is it prescription only?

The regulatory status varies globally; however, the medicine is referenced in official documents as being subject to prescribing information and is classified as a prescription-only drug in many major global jurisdictions.


Q: Does taking Exit cause weight change?

Regulatory safety documents report weight gain as a known side effect associated with the Cinnarizine component of the combination medicine. This information is included in the official adverse reactions listings.


Q: Are there any common herbal supplements that interact with Exit?

Official regulatory advice for the Cinnarizine component notes that combining the medicine with herbal remedies or supplements is a factor for consideration. This includes substances that cause common side effects such as drowsiness or dry mouth, as these effects may be additive.


Q: Does Exit affect blood pressure?

The Cinnarizine component of this medicine is described in regulatory documents as a calcium channel blocker. This mechanism of action can influence blood vessel dilation and cerebral blood flow, actions that may affect blood pressure.


Q: Is it okay to take Exit with [common beverage, e.g., coffee or milk]?

Regulatory guidance indicates that the medicine should be swallowed whole with water. No known official restrictions are listed concerning common beverages such as milk or coffee in the administration instructions.


Q: What are the ingredients in Exit besides the main active component?

In addition to the active components, Piracetam and Cinnarizine, all regulatory patient information documents list the inactive ingredients (excipients) used in the tablet formulation. This information is provided in a dedicated section to inform patients, particularly those with known sensitivities.


Q: What is the maximum duration of action for Exit?

The elimination half-life of the Piracetam component is approximately five hours in the blood plasma. The half-life describes the time it takes for half of the drug to be eliminated from the body after a single dose.


Q: What does 'contraindication' mean in the context of Exit?

Regulatory sources define a contraindication as a specific condition or factor that renders the medicine strictly prohibited or improper for use. This is because using the medicine under these circumstances carries a clear and established risk of harm to the patient.


Q: How long does Exit stay in my system after I stop taking it?

The Piracetam component is primarily excreted via the kidneys. Its half-life in the blood plasma is approximately five hours. Official documents estimate that it takes around three days for the steady-state plasma concentration to be achieved.


Q: What are the signs that Exit is working as expected?

The signs that the medicine is working relate to its primary general purpose as stated in the official indications. These effects are intended to include supporting cognitive function and managing sensations of dizziness and imbalance.


Q: What is the difference between a serious side effect and a common side effect?

Regulatory sources categorize adverse reactions primarily by their frequency (common, rare, etc.) and by their severity. Serious adverse reactions are defined as those that pose a significant health risk, such as movement disorders like Extrapyramidal symptomatology, which are commonly associated with the need for urgent professional review.


Q: Does Exit have a 'black box warning' or special safety alert?

Official regulatory documents utilize dedicated sections for Special Warnings and Precautions for Use. These warnings include specific alerts related to conditions such as Extrapyramidal symptomatology, Parkinson’s disease, and the risk of haemorrhage, which are noted as requiring careful medical review.


Q: Are there any common misconceptions about how Exit should be used?

Official regulatory information addresses several common points of confusion regarding administration. These include the regulatory statement that the dose must be taken with or after food to mitigate gastric irritation, and the fact that its sedative effects are potentiated if taken with alcohol.

How should Exit be stored and disposed of?

How to Store and Dispose of Exit

Storage of Exit (Cinnarizine/Piracetam) tablets must align with regulatory requirements to maintain product stability.

Storage Requirements

Exit tablets must be stored at a temperature not exceeding 30 C and should be kept in a dry, well-ventilated location. The product must be protected from light and moisture; therefore, it should remain in its original blister packaging until use. A mandatory requirement in all regulatory documentation is to keep this medicine out of the sight and reach of children to prevent accidental ingestion.

Disposal Instructions

Expired or unused tablets must not be thrown away via wastewater or household waste. The official disposal protocol requires users to consult a pharmacist or follow established local collection schemes for unused medicines. This measure helps protect the environment, as stated in regulatory guidelines for discarding pharmaceutical waste.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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