Product image of Nimotop (Nimodipine) supplied by GNH India

Nimotop

Active Ingredient:
Nimodipine
Origin:
EU

Nimotop (Nimodipine)

Nimodipine, the active ingredient in Nimotop, is a calcium channel blocker presented as an injectable formulation for intracisternal or intravenous use. It is used for prevention and treatment of cerebral vasospasm following subarachnoid hemorrhage in adults.
GNH India supplies Nimotop as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Laboratoire Xo

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Indications & Clinical Uses

Nimotop acts on the cerebral vasculature to prevent and treat vasospasm after subarachnoid hemorrhage.

  • Subarachnoid hemorrhage (aneurysmal): reduces incidence and severity of cerebral vasospasm, improving neurological outcome.
  • Delayed cerebral ischemia: helps maintain cerebral perfusion and lowers risk of ischemic deficits.
  • Neuroprotection after brain injury: supports neuronal survival by enhancing blood flow to vulnerable brain regions.

How It Works

  • Nimodipine selectively antagonizes L‑type calcium channels on vascular smooth‑muscle cells, especially in cerebral arteries. By inhibiting calcium influx, it induces vasodilation, reduces arterial spasm, and improves cerebral blood flow, while also providing neuroprotective effects through enhanced oxygen delivery to brain tissue.

Side Effects

Adverse reactions may occur with Nimotop use.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Hypotension: transient blood‑pressure drop.
  • Nausea: occasional gastrointestinal upset.
  • Flushing: warmth and redness of skin.
  • Dizziness: sensation of light‑headedness.
  • Bradycardia: slower than normal heart rate.

Serious or Rare Side Effects

  • Severe hypotension: may require medical intervention.
  • Myocardial infarction: rare cardiac event.
  • Allergic reactions: rash, itching, or anaphylaxis.
  • Liver enzyme elevation: abnormal hepatic function tests.
  • Seizures: infrequent neurologic episodes.

Precautions & Warnings

Before initiating therapy, consider the following precautions.

  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic impairment: use with caution; liver function should be assessed.
  • Hypotension: observe blood pressure closely during administration.
  • Concomitant vasodilators: risk of additive blood‑pressure lowering effects.
  • Pregnancy: safety not established; avoid unless benefit outweighs risk.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

Nimotop may interact with several medications.

Major Interactions (Avoid)

  • Other calcium channel blockers: risk of profound hypotension.
  • Potent CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase plasma nimodipine levels.
  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): reduce therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: additive bradycardia.
  • Nitrates: enhanced vasodilatory response.
  • Diuretics: may potentiate hypotensive episodes.

Frequently Asked Questions

Nimotop contains the active ingredient nimodipine and is indicated for the prevention and treatment of cerebral vasospasm that can occur after an aneurysmal subarachnoid hemorrhage. By reducing arterial spasm, it helps maintain adequate cerebral blood flow and lowers the risk of delayed ischemic neurological deficits in affected patients.

Nimodipine selectively blocks L‑type calcium channels on the smooth‑muscle cells of cerebral arteries. This inhibition reduces calcium entry, causing vasodilation of the cerebral vessels, which lessens vasospasm and improves oxygen delivery to brain tissue, providing both vascular and neuroprotective benefits.

The exact dose of Nimotop is determined by the prescribing physician based on clinical guidelines, patient weight, and the severity of the hemorrhage. Typical regimens involve an initial loading dose followed by a maintenance schedule administered intravenously or intracisternally, but the prescriber sets the final dosing plan.

Safety data for nimodipine during pregnancy and lactation are limited. The drug is generally avoided unless the potential therapeutic benefit justifies the possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss alternatives with their healthcare provider.

To request Nimotop, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including any cold‑chain requirements), and import documentation.

Nimodipine is a dihydropyridine calcium channel blocker with a higher affinity for cerebral vessels, making it especially effective for preventing vasospasm after subarachnoid hemorrhage. Other agents such as nicardipine or verapamil also cause vasodilation but have broader systemic effects and are less selective for the brain, which can result in more pronounced systemic hypotension.

Nimotop should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and avoid freezing. Follow any additional handling instructions provided by the supplier to maintain sterility and potency.

Nimotop is supplied as a sterile injectable solution and is administered either by intracisternal injection directly into the cerebrospinal fluid or by intravenous infusion. Administration is performed under strict medical supervision in a hospital or clinical setting, with dosing intervals guided by the treating physician.

The most serious adverse events to monitor include severe hypotension, myocardial infarction, allergic reactions such as anaphylaxis, significant liver enzyme elevations, and rare occurrences of seizures. Prompt medical evaluation is required if any of these symptoms develop during therapy.

Patients with a known hypersensitivity to nimodipine or other dihydropyridine calcium channel blockers, those with severe baseline hypotension, or individuals taking contraindicated interacting medications should avoid Nimotop. Clinical judgment is essential to determine suitability for each patient.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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