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Nimotop® Capsules for Subarachnoid Hemorrhage
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Nimotop® is a calcium channel blocker used after aneurysmal subarachnoid hemorrhage. It helps reduce delayed cerebral ischemia and supports neurologic recovery. This page explains safe use, key risks, and how to access US delivery from Canada without insurance.
What Nimotop Is and How It Works
This medicine contains nimodipine, a dihydropyridine calcium channel blocker. It preferentially relaxes cerebral arteries, which may limit vasospasm after a bleed. It also improves blood flow to vulnerable brain tissue. The treatment is taken by mouth only. Never give it intravenously, as severe and sometimes fatal reactions have occurred.
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Most patients receive this therapy during or after hospital care for a ruptured aneurysm. It is intended to improve neurologic outcomes rather than treat high blood pressure. Use follows the official label and your prescriber’s orders.
Who It’s For
This therapy is indicated for adults with aneurysmal subarachnoid hemorrhage to reduce the impact of delayed cerebral ischemia. It is not a treatment for essential hypertension or other types of stroke prevention. People with significant liver impairment may require closer monitoring. Those with very low baseline blood pressure or unstable heart rhythms may not be suitable. Avoid use with strong CYP3A4 inhibitors or inducers unless your prescriber directs otherwise. If you are pregnant, planning pregnancy, or breastfeeding, discuss potential risks and benefits first.
For background on the condition, see our overview of Subarachnoid Hemorrhage and how vasospasm can develop after the bleed in Cerebral Vasospasm.
Dosage and Usage
Follow the official label and your clinician’s directions. Standard adult schedules often involve regular dosing around the clock for several weeks after the bleed. Swallow capsules whole with water. If swallowing is not possible, your care team may provide an approved oral solution or extract the capsule contents for feeding-tube administration per label instructions. Do not crush for injection or give through a vein.
Take doses consistently and avoid grapefruit or grapefruit juice during therapy. Stand up slowly to minimize dizziness. If you feel faint or notice a rapid pulse, contact your care team. Do not change your dosing schedule without medical advice.
Strengths and Forms
Nimotop 30 mg online is typically supplied as oral capsules. Some regions also have an oral solution intended for nasogastric administration when patients cannot swallow. Availability can vary by jurisdiction and supplier.
Missed Dose and Timing
If a dose is missed, take it when remembered unless it is close to the next scheduled dose. If it is nearly time for the next dose, skip the missed one and resume the regular schedule. Do not double up to compensate. If you vomit shortly after taking a dose, contact your care team for guidance.
Storage and Travel Basics
Store capsules at room temperature in their original container, protected from light. Keep them dry and away from excess heat or humidity. Do not freeze. Keep out of reach of children and pets. When traveling, pack your prescription label with the medicine in carry-on baggage. A simple medication list can help with security or emergency care. Our fulfillment uses temperature-controlled handling when required.
Benefits
As a cerebral-selective calcium channel blocker, this therapy can help limit the effects of vasospasm after aneurysmal bleeding. It supports brain perfusion during a high-risk period in recovery. Oral administration is straightforward for ongoing inpatient or step-down care. Consistent dosing helps maintain therapeutic exposure.
Side Effects and Safety
- Headache
- Flushing or warmth
- Dizziness or lightheadedness
- Nausea
- Peripheral edema
- Fast or slow heart rate
Serious effects can include marked hypotension, fainting, and rare cardiac events. Never administer intravenously. Use caution if you have liver impairment. Seek urgent help for severe dizziness, chest pain, confusion, or signs of an allergic reaction such as swelling or difficulty breathing. If you experience worsening neurologic symptoms, contact urgent care immediately.
Drug Interactions and Cautions
Avoid strong CYP3A4 inhibitors, which can raise exposure: certain macrolide antibiotics, azole antifungals, protease inhibitors, and some antidepressants. Strong inducers such as rifampin, carbamazepine, phenytoin, and phenobarbital can lower levels. Do not consume grapefruit or grapefruit juice. Combining with other blood pressure–lowering agents may increase the risk of hypotension; your prescriber will monitor you. Discuss all medicines and supplements you use, including over-the-counter products for cholesterol like Pravastatin Sodium.
What to Expect Over Time
This treatment is typically started soon after the bleed and continued through a defined recovery window. You may notice flushing or dizziness early on, especially when standing quickly. Many people tolerate therapy with careful monitoring. Keep doses on schedule, and report concerning symptoms. Your care team will track blood pressure, heart rate, and neurologic status to guide ongoing care.
Compare With Alternatives
Generic nimodipine capsules are a common alternative when available and appropriate. Some centers use nimodipine oral solution for feeding tubes when swallowing is not possible. Other calcium channel blockers are not routinely used for this indication under labeling. Your prescriber will select the formulation that fits your clinical setting and access needs. Browse the broader Neurology category for related therapies and educational resources.
Pricing and Access
We aim to make brand and generic options accessible for cash-pay patients. If you are comparing Nimotop 30 mg price across pharmacies, review your prescriber’s directions and quantity first. Those comparing Nimodipine 30 mg price should also confirm the formulation required for care. This product Ships from Canada to US with prescription validation and encrypted checkout. See current availability and add it to your cart to view options. For occasional promotions, visit our Promotions page.
Availability and Substitutions
Supply can vary. If the brand is temporarily unavailable, your prescriber may consider a suitable generic nimodipine product. Buy nimodipine 30 mg capsules only with guidance from your healthcare professional to ensure the correct dosage form. Do not substitute or split doses without medical advice. If a change is needed, your prescriber will provide new directions.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults recovering from aneurysmal subarachnoid hemorrhage who can be monitored for blood pressure and heart rate changes. It may not suit people with severe hepatic impairment, very low blood pressure, or significant drug interactions. For budget planning, check your prescriber’s intended duration and total quantity. Some patients track dosing with phone reminders. If you compare Nimotop 30 mg cash price, consider whether brand or generic fits your prescription and availability. For migraine education, see Zolmitriptan, and for mental health learning, read Trifluoperazine Uses. Additional health articles include Genvoya Medication and Exemestane Side Effects.
Questions to Ask Your Clinician
- Indication fit: Is this therapy appropriate for my specific SAH scenario?
- Formulation choice: Capsules versus oral solution for my situation?
- Monitoring: What vital signs and symptoms should be tracked during therapy?
- Interactions: Which current medicines or supplements raise the most concern?
- Diet and drinks: How strictly must I avoid grapefruit products and alcohol?
- Duration: How long will treatment continue and when will reassessment occur?
- Care setting: Can part of the course be managed at home safely?
Authoritative Sources
FDA Prescribing Information (Nimodipine)
Health Canada Drug Product Database
Order nimodipine 30 mg online today with prompt US shipping from Canada. This content is educational and not a substitute for professional medical advice.
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What does nimodipine do after a subarachnoid hemorrhage?
Nimodipine is a calcium channel blocker that preferentially relaxes small cerebral arteries. After an aneurysmal subarachnoid hemorrhage, blood vessel narrowing can reduce blood flow and lead to delayed ischemia. By improving cerebral perfusion, the medicine may lower the impact of vasospasm on recovery. It is taken by mouth only, following a defined schedule set by your healthcare professional. Never administer it intravenously.
How is this therapy usually taken and for how long?
Adults commonly receive regular oral dosing around the clock for several weeks after the bleed. The exact schedule is specified on the official label and by your prescriber. Capsules are swallowed whole with water. If swallowing is not possible, clinicians may use an approved oral solution or extract the capsule contents for tube administration per label instructions. Do not change your regimen without medical guidance.
Which medicines or foods should I avoid with nimodipine?
Avoid grapefruit products. Strong CYP3A4 inhibitors, including certain macrolide antibiotics, azole antifungals, and protease inhibitors, can raise levels. Strong inducers such as rifampin, carbamazepine, phenytoin, and phenobarbital can reduce exposure. Combining with other blood pressure–lowering drugs can increase hypotension risk. Share an up-to-date medication list with your clinician so they can review interactions.
What side effects should I watch for?
Common effects include headache, flushing, dizziness, nausea, and swelling in the lower legs. Some people notice a fast or slow heartbeat. More serious reactions include marked low blood pressure or fainting. Seek urgent care if you develop chest pain, severe dizziness, breathing difficulty, or signs of an allergic reaction. Report new or worsening neurologic symptoms promptly to your care team.
Can I drive while taking this medicine?
This medicine can cause dizziness or lightheadedness, especially when you start therapy or when your dose changes. Until you know how you respond, avoid driving or operating machinery. Stand up slowly from sitting or lying positions. If symptoms persist or worsen, speak with your healthcare professional about safety measures and whether activity restrictions are needed.
What if I miss a dose of nimodipine?
If you miss a dose, take it when you remember unless it’s almost time for the next one. If it’s close to the next scheduled dose, skip the missed dose and resume your regular timing. Do not take two doses at once to make up for a missed dose. If you vomit soon after a dose or miss multiple doses, contact your clinician for advice.
Is nimodipine safe in pregnancy or while breastfeeding?
Data in pregnancy and lactation are limited. Your prescriber will weigh potential benefits for treating subarachnoid hemorrhage against possible risks to the fetus or infant. Discuss your situation as early as possible. If treatment is necessary, you will be monitored closely. Do not start, stop, or switch any medicine in pregnancy or while breastfeeding without professional guidance.
