Nimodipine is employed to mitigate potential brain damage stemming from a subarachnoid hemorrhage—a condition characterized by bleeding in the space surrounding the brain due to the rupture of a weakened blood vessel within the brain. Classified as a calcium channel blocker, nimodipine operates by inducing relaxation in the brain’s blood vessels, facilitating increased blood circulation to regions that have sustained damage.
Uses and Dosage
This medication is initiated promptly following the onset of brain bleeding, typically within a 4-day timeframe. Nimodipine should be administered according to your physician’s instructions, usually every 4 hours, either 1 hour prior to or 2 hours post a meal.
If you are using the tablet form of this medication, ingest it with a full glass of water (8 ounces/240 milliliters), unless otherwise advised by your doctor. After taking the tablet, refrain from lying down for at least 10 minutes. Swallow the tablet whole; avoid crushing it.
In case you are using the capsule form, follow your doctor’s instructions for oral consumption. Consume the capsule in its entirety. If swallowing the whole capsule is problematic, you can puncture the capsule, extract the liquid with a syringe, and administer it orally or through a nasogastric tube using an oral syringe. Do not mix the capsule contents with other liquids, as this could compromise the medication’s efficacy. Injection of this medication is prohibited.
For the liquid form (oral solution), employ a specialized measuring device or spoon to measure the dose accurately. Do not employ a regular household spoon, as it might yield an incorrect dose. Some brands of this medication might provide a prefilled oral syringe with the precise dose. Alternatively, the liquid form can be administered through a nasogastric or gastric tube. If using this method, request comprehensive instructions from your healthcare professional.
While on this medication, avoid consuming grapefruit or grapefruit juice unless your doctor or pharmacist deems it safe. Grapefruit can heighten the risk of adverse effects when taken alongside this medication. Seek additional information from your healthcare provider.
Dosage is contingent upon your medical condition and how you respond to treatment. To derive the maximum benefit, adhere to a regular dosing schedule. Consistency in timing aids in remembering to take the medication. Continue taking it even if you feel well and see no immediate symptom improvement.
Abruptly discontinuing this medication without consulting your doctor is not recommended. Typically, the medication course spans 2 to 4 weeks. Adhere to your doctor’s guidance diligently. Halting the drug prematurely might exacerbate your condition.
Some side effects may occur that usually do not need medical attention:
- muscle pain
Inform your healthcare provider immediately if you experience any serious side effects:
- slow or fast heartbeat
- swelling of the arms, hands, feet, or legs
Before starting nimodipine, inform your pharmacist or doctor about any allergic reactions you might have, whether to nimodipine specifically, other dihydropyridine calcium channel blockers (like amlodipine, nifedipine), or any other allergens. Inactive components in this product could lead to allergic responses or other complications.
Prior to using this medication, communicate your medical history to your doctor or pharmacist, especially if you have a history of chest pain or a recent heart attack, low blood pressure, a recent head injury, or liver disease.
This medication can induce dizziness. The consumption of alcohol or marijuana might intensify this dizziness. Refrain from driving, operating machinery, or engaging in activities requiring alertness until you are confident in your ability to do so safely.
Older adults could be more prone to experiencing side effects from this medication, particularly dizziness or swelling of the ankles/feet. Dizziness increases the risk of falls.
During pregnancy, only use this medication if it’s deemed absolutely necessary. Deliberate the potential risks and benefits with your doctor.
This medication can pass into breast milk. Consult your doctor before breastfeeding.
Form and Strength
Nimotop is available in the following forms and strengths:
Does Nimotop lower blood pressure?
Yes, low blood pressure is one of the more common side effects of Nimotop. When you start this medication, your healthcare team will check your blood pressure regularly to make sure it doesn’t drop too low.
Does Nimotop affect heart rate?
When taken by mouth at recommended doses, it’s very unlikely for Nimotop to affect your heart rate.