Nimodipine: profile and news






FDA Alerts Healthcare Professionals About Nimodipine (Nimotop) ...  Feb 16, 2006
MD -- February 16, 2006 -- The US Food and Drug Administration (FDA) has requested that Bayer add a boxed warning to the nimodipine (Nimotop) labeling to warn ... - DG News

FDA Announces Nimotop (nimodipine) Boxed Warning to Notify ...  Feb 16, 2006
15, 2006--Bayer and FDA notified healthcare professionals of changes to the prescribing information for nimodipine (Nimotop), including a boxed warning to ... - PharmaLive.com (press release),

FDA Requests Nimodipine (Nimotop) Label Change  Jan 31, 2006
BETHESDA, MD -- January 31, 2006 -- The FDA has requested that Bayer add a boxed warning to the nimodipine (Nimotop) labeling to warn about medication ... - DG News

Alert for Healthcare Professionals Nimodipine (marketed as Nimotop ...  Jan 31, 2006
30, 2006-FDA ALERT [1/2006): The FDA has requested that Bayer add a boxed warning to the nimodipine (Nimotop) labeling to warn about medication administration ... - PharmaLive.com (press release),

Perioperative Nimodipine and Postoperative Analgesia  Jan 29, 2006
There is experimental evidence that nimodipine, an L-type dihydropiridine calcium channel blocker with relatively high blood-brain barrier penetration ... - Anesthesia & Analgesia (subscription), <**results**>

Selective Intraarterial Nimodipine Treatment in an Experimental ...  Jun 14, 2005
The aim of the present study is to evaluate the efficacy of selective intraarterial (IA) nimodipine treatment in a rabbit model of chronic cerebral vasospasm. ... - Am J Neuroradiology (subscription)

Selective Intraarterial Nimodipine Treatment in an Experimental ...  Jun 14, 2005
The aim of the present study is to evaluate the efficacy of selective intraarterial (IA) nimodipine treatment in a rabbit model of chronic cerebral vasospasm. ... - Am J Neuroradiology (subscription)

The Treatment of Bipolar Disorder – Medications for Mania  Jun 8, 2005
This class of drugs (of which Verapamil, Diltiazem, Nifedipine and Nimodipine are examples) is only used to a very minor degree in managing the symptoms of ... - bipolar.about.com

Index of Online Supplemental Material for  Jun 6, 2005
Video 1 (5.8 MB) Montage of typical untreated sperm (above) and 30 µM nimodipine-treated sperm (below) before and after UV flash. ... - Journal of Cell Biology

Molecular mechanisms in successful peripheral regeneration  May 27, 2005
...activity [133,134]. Inhibition of calcium influx in vivo with nimodipine clearly improves axonal regeneration [135,136]. Microtubule ... - European Journal of Biochemistry

The Treatment of Bipolar Disorder – Medications for Mania  Apr 14, 2005
This class of drugs (of which Verapamil, Diltiazem, Nifedipine and Nimodipine are examples) is only used to a very minor degree in managing the symptoms of ... - bipolar.about.com

the AAP Division of Health Care Finance and Practice  Apr 1, 2005
United States. Review of relevant studies revealed that pizotifen, nimodipine and clonidine are not effective in treating children. - AAP News (subscription)

Practice Guidelines for Management of Migraine in Children and ...  Apr 1, 2005
...sodium, topiramate, and levetiracetam; data concerning propranolol and trazodone are conflicting; and in trials of pizotifen, nimodipine, and clonidine, no ... - AAP Grand Rounds (subscription)

Brain Attack A Look at Stroke Prevention and Treatment  Mar 14, 2005
...pressure. One drug, Nimotop (nimodipine), is approved by the Food and Drug Administration for subarachnoid hemorrhage due to aneurysm. ... - FDA.gov

Brain Attack A Look at Stroke Prevention and Treatment  14 Mar 2005
...pressure. One drug, Nimotop (nimodipine), is approved by the Food and Drug Administration for subarachnoid hemorrhage due to aneurysm. ... - FDA.gov


Other information


Indication
Subarachnoid bleeding

Pharmacology
Nimodipine belongs to the class of pharmacological agents known as calcium channel blockers. Nimodipine is indicated for the improvement of neurological outcome by reducing the incidence and severity of ischemic deficits in patients with subarachnoid hemorrhage from ruptured congenital aneurysms who are in good neurological condition post-ictus (e.g., Hunt and Hess Grades I-III). The contractile processes of smooth muscle cells are dependent upon calcium ions, which enter these cells during depolarization as slow ionic transmembrane currents. Nimodipine inhibits calcium ion transfer into these cells and thus inhibits contractions of vascular smooth muscle. In animal experiments, Nimodipine had a greater effect on cerebral arteries than on arteries elsewhere in the body perhaps because it is highly lipophilic, allowing it to cross the blood brain barrier.

Mechanism Of Action
Although the precise mechanism of action is not known, Nimodipine blocks intracellular influx of calcium that is thought to be a central to ischaemic neuronal damage.

Drug Category
Vasodilator Agents; Antihypertensive Agents; Vasodilator Agents; ATC:C08CA06

Brand Names/Synonyms
Nimodipine; Nimodipine [Usan:Ban:Inn]; Nimodipino [Inn-Spanish]; Nimodipinum [Inn-Latin]; Nimotop; Periplum

Dosage Forms
CAPSULE

Absorption
Not Available

Interactions
-->Interactions for Nimodipine:

It is possible that the cardiovascular action of other calcium channel blockers could be enhanced by the addition of NimotopÒ.

In Europe, NimotopÒ was observed to occasionally intensify the effect of antihypertensive compounds taken concomitantly by patients suffering from hypertension; this phenomenon was not observed in North American clinical trials.

A study in eight healthy volunteers has shown a 50% increase in mean peak nimodipine plasma concentrations and a 90% increase in mean area under the curve, after a one week course of cimetidine at 1,000 mg/day and nimodipine at 90 mg/day. This effect may be mediated by the known inhibition of hepatic cytochrome P- 450 by cimetidine, which could decrease first pass metabolism of nimodipine.



Chemical IUPAC Name
2-methoxyethyl1-methylethyl2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate

Chemical Formula
C21H26N2O7

Half Life
8-9 hours

Drug Type
Approved Drug

# Accession No
APRD00612

CAS Registry Number
66085-59-4

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