Product image of Niton (Nimodipine) supplied by GNH India

Niton

Active Ingredient:
Nimodipine
Origin:
EU

Niton (Nimodipine)

Nimodipine, the active ingredient in Niton, is a calcium channel blocker presented as a sterile intravenous injection. It is specifically indicated to prevent cerebral vasospasm after aneurysmal subarachnoid hemorrhage, thereby helping maintain adequate cerebral perfusion and reducing the risk of secondary ischemic injury in neurosurgical patients.

GNH India supplies Niton as a licensed, GDP‑compliant international pharmaceutical product sourced from the European Union, meeting stringent quality standards, and serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide through reliable cold‑chain logistics.

Manufacturer / TM Owner

Labesfal Laboratorios Almiro, S.A.

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Indications & Clinical Uses

  • Nimodipine is a cerebral vasodilator used in the management of vascular complications after subarachnoid hemorrhage.
  • Subarachnoid hemorrhage (post‑aneurysmal): Prevents cerebral vasospasm and supports cerebral blood flow.
  • Aneurysmal SAH: Reduces incidence of delayed ischemic neurological deficits.
  • Delayed cerebral ischemia: Lowers risk of secondary ischemic injury.

How It Works

  • Nimodipine selectively blocks L‑type voltage‑gated calcium channels in vascular smooth muscle of cerebral arteries. By inhibiting calcium influx, it induces relaxation of these vessels, producing vasodilation and increasing cerebral blood flow without significantly affecting systemic blood pressure. The drug’s lipophilic nature allows rapid penetration across the blood‑brain barrier, ensuring effective concentrations at the site of vasospasm.

Side Effects

Nimodipine may be associated with a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Hypotension: Mild decrease in blood pressure.
  • Headache: Transient headache.
  • Nausea: Mild gastrointestinal upset.
  • Flushing: Warm sensation and reddening of skin.

Serious or Rare Side Effects

  • Severe hypotension: Marked drop in blood pressure requiring intervention.
  • Cardiac arrhythmia: Irregular heart rhythm.
  • Allergic reaction: Anaphylaxis or severe skin rash.

Precautions & Warnings

  • When using Nimodipine, clinicians should observe several precautions to ensure patient safety and product integrity.
  • Dose adjustment: Required in patients with hepatic impairment.
  • Blood pressure monitoring: Regular checks due to risk of hypotension.
  • Concurrent vasodilators: Use with caution to avoid additive effects.
  • Renal dysfunction: Monitor renal function as drug is partially excreted.
  • Pregnancy and lactation: Use only if benefit outweighs risk.
  • Store at 2-8°C: Keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Nimodipine can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Combined use with other potent vasodilators (e.g., nitroglycerin): May cause severe hypotension.
  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): Increase plasma levels, risk of toxicity.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): Decrease effectiveness.
  • Beta‑blockers: May enhance bradycardia.
  • Diuretics: May augment hypotensive effect.

Frequently Asked Questions

Niton contains nimodipine and is used to prevent cerebral vasospasm following aneurysmal subarachnoid hemorrhage. By maintaining cerebral blood flow, it helps reduce the risk of delayed ischemic neurological deficits in patients who have experienced this type of brain bleed.

Nimodipine blocks L‑type calcium channels in the smooth muscle of cerebral arteries. This inhibition reduces calcium‑driven contraction, causing the vessels to relax and dilate, which increases cerebral perfusion without markedly lowering systemic blood pressure.

The dosage of Niton is determined by the prescribing clinician based on the patient’s condition, weight, and clinical response. Specific dosing regimens are individualized and should follow the prescribing information provided by the healthcare professional.

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

To order Niton, 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 where required) and necessary import documentation.

Nimodipine is distinguished by its high lipophilicity, which enables rapid penetration of the blood‑brain barrier and selective cerebral vasodilation. Other calcium channel blockers, such as nicardipine, are less brain‑specific and are often used for systemic blood pressure control rather than targeted prevention of cerebral vasospasm.

Niton must 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. Once removed from refrigeration, use the product within the time frame specified in the labeling.

Niton is supplied as a sterile injection for intravenous use. It is administered by a healthcare professional under aseptic conditions, typically as an infusion over a prescribed period, with continuous monitoring of vital signs during and after administration.

The most serious adverse events include severe hypotension, which can lead to syncope or shock, cardiac arrhythmias such as bradycardia, and hypersensitivity reactions ranging from rash to anaphylaxis. Prompt recognition and management of these events are essential.

Niton is contraindicated in patients with known hypersensitivity to nimodipine or any component of the formulation, and in those with severe uncontrolled hypotension. Caution is also advised for individuals with significant hepatic impairment or those taking interacting medications that could exacerbate hypotension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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