Nimotop

Nimotop

nimodipine

Manufacturer:

Bayer

Distributor:

Zuellig
Concise Prescribing Info
Contents
Nimodipine
Indications/Uses
Prophylaxis & treatment of ischemic neurological deficits due to cerebral vasospasms after subarachnoid hemorrhage of aneurysmal origin.
Dosage/Direction for Use
Tab 2 tab 6 times daily following infusion therapy. IV infusion Initially 1 mg/hr for 2 hr, if well tolerated, increase after 2 hr to 2 mg/hr for 5-14 days, then for about 7 days, 2 tab 6 times daily. Dose interval: not <4 hr. Patient <70 kg or has labile BP Initially, 0.5 mg/hr. Severe renal or hepatic disturbances reduce dose according to BP.
Administration
May be taken with or without food: Swallow whole w/ a little liqd.
Contraindications
Hypersensitivity. Tab: Concomitant use w/ rifampicin, antiepileptics eg, phenobarb, phenytoin or carbamazepine.
Special Precautions
Generalized cerebral edema or severely raised intracranial pressure; hypotension, unstable angina. Renal or liver impairment. Pregnancy & lactation.
Adverse Reactions
Thrombocytopenia; allergic reaction, rash; headache; tachycardia; hypotension, vasodilatation; nausea.
Drug Interactions
Decreased exposure w/ nortryptiline. Decreased fluoxetine exposure. Increased BP effect w/ diuretics, β-blockers, ACE inhibitors, A1-antagonists, other Ca antagonists, α-adrenergic blocking agents PDE5 inhibitors, α-methyldopa. Higher AUC of zidovudine. Elevated plasma conc & prolonged action w/ grapefruit juice. Tab: Accelerated metabolism leading to reduced efficacy w/ rifampicin. Reduced bioavailability w/ antiepileptics eg, phenobarb, phenytoin or carbamazepine. Increased plasma conc w/ macrolides (eg, erythromycin), anti-HIV PI (eg, ritonavir), nefazodone, quinupristin/dalfopristin, cimetidine, valproic acid. Increased systemic bioavailability w/ azole anti-mycotics eg, ketoconazole. Soln for infusion: Alcohol-incompatible drugs.
MIMS Class
Nootropics & Neurotonics/Neurotrophics / Peripheral Vasodilators & Cerebral Activators
ATC Classification
C08CA06 - nimodipine ; Belongs to the class of dihydropyridine derivative selective calcium-channel blockers with mainly vascular effects. Used in the treatment of cardiovascular diseases.
Presentation/Packing
Form
Nimotop soln for IV infusion 10 mg/50 mL
Packing/Price
1's
Form
Nimotop tab 30 mg
Packing/Price
50's
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