Product image of Nimotop S (Nimodipine) supplied by GNH India

Nimotop S

Active Ingredient:
Nimodipine
Origin:
EU

Nimotop S (Nimodipine)

Nimodipine, the active ingredient in Nimotop S, is a calcium channel blocker (dihydropyridine) presented as an intravenous solution for intravenous use. It helps prevent cerebral vasospasm after subarachnoid hemorrhage in adult patients.
GNH India supplies Nimotop S as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Laboratoire Xo

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Indications & Clinical Uses

Nimodipine acts on cerebral vascular smooth muscle to reduce the risk of vasospasm after subarachnoid hemorrhage.

  • Subarachnoid hemorrhage: prevention of cerebral vasospasm, reducing delayed ischemic neurological deficits.
  • Aneurysmal SAH: lowers incidence of secondary cerebral ischemia.
  • Neurocritical care: adjunct to standard therapy for managing post‑hemorrhagic complications.

How It Works

  • Nimodipine selectively blocks L‑type calcium channels in cerebral arterial smooth muscle and neuronal membranes, leading to vasodilation of intracranial vessels and reduced calcium influx into neurons. This action improves cerebral blood flow and mitigates the cascade that triggers vasospasm after subarachnoid hemorrhage.

Side Effects

Nimotop S may cause a range of adverse reactions.

Common Side Effects

  • Hypotension: transient drop in blood pressure.
  • Headache: mild to moderate intensity.
  • Flushing: warmth and redness of skin.
  • Nausea: occasional upset stomach.
  • Dizziness: sensation of light‑headedness.
  • Peripheral edema: mild swelling of extremities.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure decline requiring intervention.
  • Myocardial infarction: rare cardiac ischemic events.
  • Arrhythmias: abnormal heart rhythms.
  • Anaphylactic reaction: severe allergic response.
  • Hepatic dysfunction: abnormal liver enzyme elevations.

Precautions & Warnings

Before using Nimotop S, clinicians should consider several safety measures.

  • Blood pressure monitoring: watch for hypotension during infusion.
  • Cardiac disease: use cautiously in patients with existing heart conditions.
  • Infusion rate: avoid rapid administration to reduce cardiovascular stress.
  • Hepatic function: assess liver status, especially in patients with known impairment.
  • Hypersensitivity: contraindicated in individuals with known allergy to nimodipine or excipients.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Nimotop S can interact with other medicines, altering its safety or effectiveness.

Major Interactions (Avoid)

  • Concurrent potent vasodilators (e.g., nitroglycerin): may cause severe hypotension.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase plasma nimodipine levels.
  • Other calcium‑channel blockers: additive vasodilatory effect leading to cardiovascular instability.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce therapeutic concentration.
  • Beta‑blockers: combined effect can enhance bradycardia.
  • Diuretics: may potentiate hypotensive response.

Frequently Asked Questions

Nimotop S contains nimodipine, an intravenous calcium‑channel blocker used to prevent cerebral vasospasm after subarachnoid hemorrhage. By dilating intracranial vessels, it helps reduce the risk of delayed ischemic neurological deficits in patients who have suffered a hemorrhagic stroke.

Nimodipine selectively blocks L‑type calcium channels in the smooth muscle of cerebral arteries and in neuronal cells. This inhibition reduces calcium entry, causing vasodilation of intracranial vessels and improving blood flow, which mitigates the cascade that leads to vasospasm after bleeding into the subarachnoid space.

The dosing regimen for Nimotop S is determined by the treating physician based on the patient’s clinical condition, weight, and response. Healthcare professionals prescribe the appropriate infusion rate and duration according to established guidelines for subarachnoid hemorrhage management.

The safety of Nimotop S in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To request Nimotop S, 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 if needed) and required import documentation.

Nimotop S (nimodipine) is a selective L‑type calcium‑channel antagonist, whereas other agents such as clazosentan target endothelin receptors. Nimodipine’s advantage lies in its proven efficacy for improving neurological outcomes after subarachnoid hemorrhage, while alternative drugs may have different safety profiles or mechanisms.

Nimotop S should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze the solution, and avoid shaking the vial. Once removed from refrigeration, use the product within the time frame specified in the label to maintain stability.

Nimotop S is given as an intravenous infusion. The medication is diluted according to the manufacturer’s instructions and administered over a controlled period, typically under continuous hemodynamic monitoring to detect any blood‑pressure changes during the infusion.

The most serious risks include severe hypotension, myocardial infarction, life‑threatening arrhythmias, and anaphylactic reactions. Prompt recognition of these events and immediate medical intervention are essential to mitigate potential complications.

Patients with known hypersensitivity to nimodipine or any formulation excipients should avoid Nimotop S. Caution is also advised for individuals with unstable cardiac disease, uncontrolled hypotension, or severe hepatic impairment, where the risk‑benefit ratio must be carefully evaluated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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