* Generic Name: nimodipine
* Brand Name: Nimotop
* What is nimodipine (Nimotop, Nymalize)?
* What are the possible side effects of nimodipine (Nimotop,
Nymalize)?
* What is the most important information I should know about
nimodipine (Nimotop, Nymalize)?
* What should I discuss with my healthcare provider before taking
nimodipine (Nimotop, Nymalize)?
* How should I take nimodipine (Nimotop, Nymalize)?
* What happens if I miss a dose (Nimotop, Nymalize)?
* What happens if I overdose (Nimotop, Nymalize)?
* What should I avoid while taking nimodipine (Nimotop,
Nymalize)?
* What other drugs will affect nimodipine (Nimotop, Nymalize)?
* Where can I get more information (Nimotop, Nymalize)?
What is nimodipine (Nimotop, Nymalize)?
Nimodipine is a calcium channel blocker. Nimodipine relaxes
(widens) blood vessels and improves blood flow.
Nimodipine is used to prevent brain damage caused by reduced blood flow
to the brain resulting from aneurysm (AN-yor-iz-m), a dilated
or ruptured blood vessel in the brain.
Nimodipine may also be used for purposes other than those listed here.
What are the possible side effects of nimodipine (Nimotop, Nymalize)?
Get emergency medical help if you have any of these signs of an
allergic reaction: hives; difficult breathing; swelling of your face,
lips, tongue, or throat.
Call your doctor at once if you have:
* a light-headed feeling, like you might pass out;
* easy bruising or bleeding;
* fast or slow heart rate; or
* swelling in your ankles or feet.
Common side effects may include:
* nausea, diarrhea, upset stomach;
* headache; or
* mild rash.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about nimodipine
(Nimotop, Nymalize)?
Some medicines can interact with nimodipine and should not be used at
the same time. Tell your doctor about all your medications and any you
start or stop using during treatment with nimodipine.
Nimodipine can lower your blood pressure. Call your doctor at once if
you feel like you might pass out.
The liquid from a nimodipine capsule should never be injected through a
needle into the body, or dangerously low blood pressure may result.
Nimodipine gel capsules are to be taken by mouth only.
Nimotop Patient Information including How Should I Take
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What should I discuss with my healthcare provider before taking nimodipine
(Nimotop, Nymalize)?
You should not use nimodipine if you are allergic to it.
Some medicines can interact with nimodipine and should not be used at
the same time. Your doctor may need to change your treatment plan if
you use any of the following drugs:
* conivaptan;
* imatinib;
* nefazodone;
* an antibiotic--clarithromycin, telithromycin;
* antifungal medication--itraconazole, ketoconazole,
posaconazole, voriconazole;
* heart medication--nicardipine, quinidine;
* hepatitis C medications--boceprevir, telaprevir; or
* HIV/AIDS medication--atazanavir, cobicistat, delavirdine,
fosamprenavir, indinavir, nelfinavir, ritonavir, saquinavir.
To make sure nimodipine is safe for you, tell your doctor if you have:
* cirrhosis or other liver disease;
* heart disease; or
* high or low blood pressure.
FDA pregnancy category C. It is not known whether nimodipine will harm
an unborn baby. Tell your doctor if you are pregnant or plan to become
pregnant while using this medication.
It is not known whether nimodipine passes into breast milk or if it
could harm a nursing baby. You should not breast-feed while using this
medicine.
How should I take nimodipine (Nimotop, Nymalize)?
Follow all directions on your prescription label. Do not take this
medicine in larger or smaller amounts or for longer than recommended.
Take nimodipine on an empty stomach, at least 1 hour before or 2 hours
after a meal.
Take this medicine with a full glass of water. Swallow the capsule
whole.
Measure liquid medicine with a special dose-measuring spoon or medicine
cup. If you do not have a dose-measuring device, ask your pharmacist
for one.
If the person taking nimodipine cannot swallow the capsule, the
medicine from inside the capsule can be given through an in-place
nasogastric tube (through the nose and into the stomach). Use a
needle to make a hole in each end of the capsule, and squeeze the
medicine out into an oral syringe or other syringe to which a needle
cannot be attached. Empty the syringe into the nasogastric tube and
wash it down with 30 milliliters of normal saline.
The medicine placed into a syringe should never be injected through a
needle into the body, or dangerously low blood pressure may result.
Nimodipine gel capsules are to be taken by mouth only.
Your blood pressure will need to be checked often. Your liver function
may also need to be tested.
You should not stop using nimodipine suddenly. Stopping suddenly may
make your condition worse.
Store at room temperature away from moisture, heat, and light. Do not
freeze. Keep each capsule in the original package until you are ready
to take one.
Nimotop Patient Information including If I Miss a Dose
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Digestive Disease Myths Slideshow Pictures
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What happens if I miss a dose (Nimotop, Nymalize)?
Take the missed dose as soon as you remember. Skip the missed dose if
it is almost time for your next scheduled dose. Do not take extra
medicine to make up the missed dose.
What happens if I overdose (Nimotop, Nymalize)?
Seek emergency medical attention or call the Poison Help line at
1-800-222-1222.
What should I avoid while taking nimodipine (Nimotop, Nymalize)?
Grapefruit and grapefruit juice may interact with nimodipine and
lead to potentially dangerous effects. Avoid the use of grapefruit
products while taking nimodipine.
Drinking alcohol can increase certain side effects of nimodipine.
What other drugs will affect nimodipine (Nimotop, Nymalize)?
Many drugs can interact with nimodipine. Not all possible interactions
are listed here. Tell your doctor about all your medications and any
you start or stop using during treatment with nimodipine, especially:
* St. John's wort;
* seizure medication--carbamazepine, fosphenytoin,
phenobarbital, phenytoin, and others;
* sildenafil (Viagra) and other erectile dysfunction
medicines; or
* tuberculosis medications.
This list is not complete and many other drugs can interact with
nimodipine. This includes prescription and over-the-counter medicines,
vitamins, and herbal products. Give a list of all your medicines to any
healthcare provider who treats you.
Where can I get more information (Nimotop, Nymalize)?
Your pharmacist has additional information about nimodipine written for
health professionals that you may read.
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