### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi doc its regarding my mom and before asking any question i would like to let u know that my mom is 65 years and she is a kidney donor.she had donated her kidney to one of my elder sister its been 11 years now.she is even suffering from from severe osteoporosis for which she is taking jointace dn tablet once a day for over 3years,recently for over 2years i noticed that my mom has become very absent minded like when i gave her some stuffs to be taken care of.she misplaces it she doesnt even remember where she has kept ,and for this we have consulted a neurologist from max hospital in gurgaon and he had prescribed some medicines for that he had prescribed some medicines for that and medicines are strocit 500 citicoline tablet , nootropil 800 piracetam tablet ,mentat gabapin 100 twice a day now my question to you is are these medicines totally safe for her considering the fact that she is a kidney donor patient is there any side effects of these medicine because for the past few days she was complaining of her severe shoulder ache she could neither sit nor lie down for long , insomnia etc please do advise .thanks some

### output:

Hi, I understand your concern towards your mother. Strict 500 (Capitoline) is safe to your mother, so also are Gawain and Joint ace DN. These will not cause her any harm. Paracetamol or Nootropic 800 is not to be used in renal impairment or decreased renal function as in your mothers case. Please discuss this with her treating doctor. Mental is a herbal product, I cannot comment on this since I am an allocate. However, clinical studies have not shown any adverse effects in normal patients. The shoulder pain your mother is suffering from, most probably seems like an acute exacerbation of Osteoporosis. I am sorry that she is suffering these ailments. In case of severe pain please give her paracetamol 500 mg tablet which is available over the counter. As age progress, the cognitive functions of brain decrease. Please accept that and take good care of your mother. Hope I have answered your query. All the best. 