Nimodipine tablets
Nimotop
נבדק על ידי Sid Dajaniעודכן לאחרונה על ידי Michael Stewart, MRPharmSLast updated 4 Jul 2023
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Take two 30 mg nimodipine tablets every four hours unless your doctor has told you otherwise.
The course of treatment will last for 21 days in total. This includes the time you have had nimodipine by injection.
Do not drink grapefruit juice while you are on nimodipine.
At a glance
Nimodipine is a medicine that helps prevent problems after bleeding around the brain.
It works by relaxing blood vessels in the head.
You will usually take two 30 mg tablets every four hours for 21 days.
Do not drink grapefruit juice while taking nimodipine, as it can increase side-effects.
Inform your doctor if you have heart or kidney problems, low blood pressure, or are pregnant.
If you have unusual bleeding or bruising, speak to your doctor immediately.
במאמר זה:
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המשך לקרוא למטה
About nimodipine
סוג התרופה | A calcium-channel blocker |
שימוש עבור | Prevention of problems after a subarachnoid haemorrhage |
נקרא גם | Nimotop® |
זמין כ | טבליות |
דימום תת-עכבישי is bleeding around the brain. It is usually the result of bleeding from an aneurysm, which is an area of weakness in a blood vessel wall. The weakness allows the blood vessel to bulge, and this can then rupture and bleed.
Nimodipine works by causing blood vessels in your head to relax. This helps to prevent spasm in the blood vessels and reduces the risk of damage caused by insufficient blood flow to the brain after the bleeding.
Before taking nimodipine
חזרה לתוכןSome medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking nimodipine it is important that your doctor knows:
If you have any heart problems such as angina, or if you have had a heart attack recently.
If you have problems with the way your liver works or the way your kidneys work.
If you have low blood pressure.
אם את בהריון או מניקה.
If you have a rare blood disorder called porphyria.
אם אתה נוטל או משתמש בתרופות אחרות כלשהן. זה כולל כל תרופה שאתה נוטל שניתן לרכוש ללא מרשם, כמו גם תרופות צמחיות ומשלימות.
אם אי פעם הייתה לך תגובה אלרגית לתרופה.
המשך לקרוא למטה
How to take nimodipine
חזרה לתוכןBefore you start this treatment, read the manufacturer's printed information leaflet from inside your pack. It will give you more information about nimodipine and will also provide you with a full list of the side-effects which you may experience from taking it.
Take nimodipine exactly as your doctor tells you to. It is usual to be prescribed two 30 mg tablets to take every four hours. The dose will be printed on the label of the pack to remind you of what your doctor said.
Swallow the tablet with a drink of water. You can take nimodipine either before or after food.
If you forget to take a dose, take it as soon as you remember and then continue to take two tablets every four hours as before. It is important that you leave four hours between each dose.
A course of treatment lasts for 21 days in total. This includes the time you have been given nimodipine as an injection while in hospital.
להפיק את המרב מהטיפול שלך
חזרה לתוכןRemember to keep your regular appointments with your doctor. This is so your doctor can check on your progress.
Do not drink grapefruit juice while you are on nimodipine. This is because a chemical in grapefruit juice can increase the amount of nimodipine in your bloodstream and this increases the risk of side-effects. This effect can last for at least four days.
If you drink alcohol, ask your doctor for advice. Your doctor may recommend that you do not drink alcohol while you are on this medicine, as it may increase the chance that you experience side-effects, such as feeling dizzy or light-headed.
אם אתה קונה תרופות כלשהן, בדוק עם רוקח שהן מתאימות לשימוש עם התרופות האחרות שלך.
If you need to have an operation or any medical treatment, remember to tell the person carrying out the treatment which medicines you are taking. Nimodipine and some anaesthetics can interact, meaning that unwanted effects are more likely.
המשך לקרוא למטה
Can nimodipine cause problems?
חזרה לתוכןAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with nimodipine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Nimodipine side-effects (these affect fewer than 1 in 100 people) | מה אני יכול לעשות אם אני חווה את זה? |
Headache, feeling hot and flushed | If the headache continues or is severe, speak with your doctor |
Feeling dizzy or light-headed | Do not drive and do not use tools or machines until you feel better |
תחושת בחילה (נוזאה) | היצמד למאכלים פשוטים - הימנע ממאכלים עשירים או חריפים |
Skin rash, allergic reactions, slow or fast heartbeat | אם יש בעיה, דבר עם הרופא שלך |
חשוב: if you experience any unusual or unexplained bleeding or bruising, speak with your doctor straightaway. This could be caused by a reduced number of platelets in your blood, which is a rare side-effect of nimodipine.
אם אתה חווה תסמינים נוספים שלדעתך עשויים להיות כתוצאה מהטבליות, פנה לרופא או לרוקח שלך לקבלת ייעוץ נוסף.
How to store nimodipine
חזרה לתוכןשמור את כל התרופות מחוץ להישג ידם וראייתם של ילדים.
יש לאחסן במקום קריר ויבש, הרחק מחום ואור ישיר.
מידע חשוב על כל התרופות
חזרה לתוכןמידע חשוב על כל התרופות
לעולם אל תיקח יותר מהמינון שנקבע. אם אתה חושד שאתה או מישהו אחר אולי לקח מנת יתר של תרופה זו, פנה למחלקת תאונות וחירום בבית החולים המקומי שלך. קח את המיכל איתך, אפילו אם הוא ריק.
תרופה זו מיועדת עבורך. לעולם אל תיתן אותה לאנשים אחרים, גם אם מצבם נראה דומה לשלך.
אל תשמרו תרופות שפג תוקפן או שאינן רצויות. קחו אותן לבית המרקחת המקומי שלכם שיטפל בהן עבורכם.
אם יש לך שאלות לגבי התרופה הזו, שאל את הרוקח שלך.
דווח על תופעות לוואי לתרופה או חיסון
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שאלות נפוצות
What is a subarachnoid haemorrhage and how does nimodipine help?
A subarachnoid haemorrhage is bleeding that occurs around the brain. It typically happens when a weak spot in a blood vessel wall, called an aneurysm, bursts and bleeds. Nimodipine works by relaxing the blood vessels in your head. This action prevents spasms in these vessels, which in turn helps to reduce the risk of damage to the brain from not getting enough blood flow after the initial bleeding.
Are there any specific foods or drinks I should avoid while taking nimodipine?
Yes, you should not drink grapefruit juice during your nimodipine treatment. Grapefruit juice contains a chemical that can increase the amount of nimodipine in your bloodstream, which raises the chance of experiencing side-effects. This effect can last for at least four days. If you drink alcohol, it's best to ask your doctor for advice, as they may recommend avoiding it. Alcohol can increase the likelihood of side-effects such as dizziness or feeling light-headed.
What should I do if I forget to take a dose of nimodipine?
If you miss a dose of nimodipine, take it as soon as you remember. After that, continue with your regular schedule of taking two tablets every four hours. It is important to ensure there is a four-hour gap between each dose you take.
How long will I need to take nimodipine?
A full course of treatment with nimodipine lasts for a total of 21 days. This duration includes any time you might have received nimodipine as an injection while you were in the hospital.
Can I take nimodipine with other medicines?
It is important to inform your doctor about all other medicines you are taking, including those bought without a prescription, and any herbal or complementary medicines. This is because some medicines can interact with nimodipine. If you need to buy any new medicines, always check with a pharmacist to make sure they are suitable to take with nimodipine.
What should I tell my doctor or healthcare provider before taking nimodipine?
Before starting nimodipine, you should inform your doctor if you have any heart conditions like angina or if you've recently had a heart attack. Also, mention any liver or kidney problems, low blood pressure, if you are pregnant or breastfeeding, or if you have porphyria (a rare blood disorder). It's also crucial to mention any other medicines you are taking and if you've ever had an allergic reaction to any medicine.
What are some common side effects of nimodipine and what should I do if I experience them?
Common side effects, affecting fewer than 1 in 100 people, include headache, feeling hot and flushed, dizziness or light-headedness, and feeling sick (nausea). If you experience a headache that continues or is severe, speak with your doctor. If you feel dizzy or light-headed, you should not drive or operate machinery until you feel better. For nausea, try to eat simple foods and avoid rich or spicy meals. If any side effects become troublesome or continue, speak with your doctor or pharmacist. It is very important to contact your doctor straight away if you experience any unusual or unexplained bleeding or bruising, as this could be a rare but serious side effect.
קריאה נוספת והפניות
- Manufacturer's PIL, Nimotop® 30 mg Tablets; Bayer plc, The electronic Medicines Compendium. Dated August 2017.
- תרופות מלאות BNF מהדורה 89; האגודה הרפואית הבריטית והחברה המלכותית לפרמקולוגיה של בריטניה הגדולה, לונדון.
המשך לקרוא למטה
About the authorView full bio

מייקל סטיוארט, MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

סיד דג'אני
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
היסטוריית המאמר
המידע בעמוד זה נכתב ונבדק על ידי קלינאים מוסמכים.
Next review due: 3 Jul 2026
4 Jul 2023 | הגרסה האחרונה

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