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Nimodipine

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Molecule Description

Nimodipine is a calcium channel blocking agent which is used to decrease problems caused due to a specific type of bleeding in the brain.

Uses

To prevent damage caused due to lack of blood flow to the brain.

Contraindications

When should one not use Nimodipine

  • If you are getting Nimodipine solution through a drip
  • If you are taking Rifampicin (an antibiotic), Phenobarbital, Phenytoin or Carbamazepine
  • Allergic to this medicine
  • History of recent heart attack

Side effects

Common side effects of this drug are:

  • Low blood pressure
  • Chest pain or discomfort
  • Difficulty in breathing
  • Irregular heartbeat or pulse
  • Lightheadedness
  • Sweating
  • Swelling
  • Rashes
  • Stomach problems
  • Vision problems

Precautions and Warnings

Pregnancy

Pregnancy

This medicine is considered unsafe during pregnancy. Inform your doctor about your pregnancy if this medicine has been prescribed or if you are planning to conceive.

Breast Feeding

Breast Feeding

It is better to avoid this medicine while breastfeeding.

Driving

Driving

If you experience problems with your body balance and orientation after taking this medicine, then avoid driving.

Alcohol

Alcohol

Avoid consumption of alcohol while on this medicine as it may lower your blood pressure.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have suffered any head injury
  • You are taking any antibiotics
  • You have liver disease or low blood pressure

Mode of Action

How Does It Work?

Our body naturally responds to bleeding by narrowing the blood vessels to slow blood flow. However, when the bleeding is in the brain, reduction in blood flow causes more damage to the brain. Nimodipine is said to work by relaxing narrowed blood vessels in the brain near the area of bleeding so that blood can flow more easily. This mechanism reduces brain damage.

Interactions

Interactions with other medicines

  • Medicine for high blood pressure such as Propranolol and Metoprolol, Benazepril and Enalapril, Diltiazem, Verapamil, etc.
  • Antibiotics (e.g. Clarithromycin, Telithromycin), Rifampicin
  • Some HIV medications (e.g. Delavirdine, Indinavir, Nelfinavir, Ritonavir, Saquinavir)
  • Some antifungal medicine (e.g. Ketoconazole, Itraconazole, Voriconazole)
  • Some antidepressants (e.g. Nefazodone)
  • Some antiepileptic medicines (Sodium Valproate)

Interactions with food items

Never consume Nimodipine with grapefruit juice as it can increase the chances of side effects with this medicine.

Dietary Restrictions

Do not consume grapefruit or it’s juice when you are on this medication.

Dosage

Overdose

Symptoms of overdose may include disturbed orientation and balance of body, low blood pressure, chest pain, an unusually fast or slow heartbeat, slurred speech, coma. Seek emergency medical help if you think you have taken exceeded dose of this medicine.

Missed a Dose

Take the missed dose of medicine as soon as you remember. If it is nearly the time for your next dose, skip the missed dose and take the medicine at the next scheduled hour. Do not take an extra dose of medicine to compensate for the missed dose.

Frequently Asked Questions (FAQs)

Some medical conditions may interfere with NimodipineTell your doctor if you are taking any prescription or nonprescription medicine, herbal preparation or dietary supplementIf you have any allergies to medicines, food or other substancesIf you have any liver problems, heart problems (e.g. slow heartbeat), low blood pressure or fluid in your lungs, or if you have a recent history of a heart attack

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