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 intravenous solution for intravenous use. It selectively dilates cerebral arteries and is employed to prevent cerebral vasospasm following subarachnoid hemorrhage in adult patients at risk of neurological complications.

GNH India supplies Nimotop as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and specialty clinics worldwide, with regulatory approvals across the European Union and other major markets. The company adheres to WHO‑GMP standards and provides temperature‑controlled logistics where required.

Manufacturer / TM Owner

Bayer Hellas Sa

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Indications & Clinical Uses

Nimodipine is used to address cerebral vasospasm, a vascular complication that can follow subarachnoid hemorrhage.

  • Subarachnoid hemorrhage (SAH) prophylaxis: prevents delayed cerebral vasospasm after aneurysmal bleed.
  • Aneurysmal SAH management: supports maintenance of cerebral perfusion during the vasospasm risk period.
  • Neurosurgical postoperative care: reduces incidence of vasospasm‑related ischemia in patients undergoing clipping or coiling.

How It Works

  • Nimodipine antagonizes L‑type calcium channels on vascular smooth‑muscle cells, especially within cerebral arteries. By inhibiting calcium influx, it causes selective vasodilation of intracranial vessels, improving cerebral blood flow and lowering the likelihood of vasospasm after subarachnoid hemorrhage.

Side Effects

Nimotop may cause adverse reactions that vary in frequency and severity.

Common Side Effects

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

Serious or Rare Side Effects

  • Severe hypotension: may require medical intervention.
  • Myocardial infarction: rare cardiac event.
  • Hepatic dysfunction: abnormal liver enzymes.
  • Anaphylactic reaction: signs of severe allergy.
  • Thrombocytopenia: low platelet count.
  • Seizures: uncommon neurologic event.

Precautions & Warnings

When using Nimotop, clinicians should consider several safety measures.

  • Renal impairment: monitor fluid balance and renal function.
  • Hepatic impairment: use with caution and observe liver enzymes.
  • Concomitant antihypertensives: may potentiate hypotensive effect.
  • Pregnancy: safety not established; weigh benefits against potential risks.
  • Elderly patients: increased sensitivity to blood‑pressure changes.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Nimodipine can interact with other medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Concurrent use with other potent vasodilators: risk of severe hypotension.
  • Combination with beta‑blockers: may cause bradycardia and profound hypotension.
  • Use with strong CYP3A4 inhibitors (e.g., ketoconazole): increased plasma concentrations.
  • Use with CYP3A4 inducers (e.g., rifampicin): reduced therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Co‑administration with diuretics: may affect electrolyte balance.
  • Concurrent use with other calcium channel blockers: additive cardiovascular effects.

Frequently Asked Questions

Nimotop contains the active ingredient nimodipine and is indicated for the prevention of cerebral vasospasm following subarachnoid hemorrhage. By reducing the risk of delayed ischemic neurological deficits, it helps improve outcomes in patients who have experienced an aneurysmal bleed.

Nimodipine blocks L‑type calcium channels on the smooth muscle of cerebral arteries. This inhibition reduces calcium entry, leading to selective dilation of intracranial vessels, enhanced cerebral blood flow, and a lower likelihood of vasospasm after a subarachnoid hemorrhage.

The dosage of Nimotop is determined by the prescribing clinician based on the patient’s clinical condition, weight, and renal or hepatic function. Healthcare professionals follow local guidelines and product labeling to set the appropriate infusion rate and duration.

Safety data for nimodipine in pregnancy and lactation are limited. The drug should only be used when the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To order Nimotop, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling if needed) and any required import documentation.

Nimodipine is distinguished by its high lipophilicity and preferential action on cerebral vessels, whereas many other calcium channel blockers primarily affect systemic vasculature. This selectivity makes nimodipine especially useful for preventing vasospasm after subarachnoid hemorrhage, a benefit not shared by all agents in the class.

Nimotop should be stored at 2‑8 °C in a refrigerator. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Once removed from controlled storage, use the product within the time frame specified in the label.

Nimotop is supplied as an intravenous solution and is administered by slow infusion through a dedicated IV line. The infusion rate and total daily dose are set by the treating physician, who monitors blood pressure and neurological status throughout the treatment period.

The most serious adverse events include severe hypotension, myocardial infarction, hepatic dysfunction, and rare allergic reactions such as anaphylaxis. Prompt recognition and management of these conditions are essential, and patients should be closely monitored during therapy.

Nimotop is contraindicated in patients with known hypersensitivity to nimodipine or any component of the formulation. Caution is also advised for individuals with uncontrolled severe hypotension, significant cardiac conduction abnormalities, or those receiving interacting medications that could precipitate dangerous blood‑pressure changes.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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