Nimotop® for Subarachnoid Hemorrhage (SAH)

Nimotop® (nimodipine) is a calcium channel blocker used after an aneurysmal subarachnoid hemorrhage to help protect brain tissue. This page helps you compare Nimotop 30 mg price, learn safe use, and buy Nimotop 30 mg online from Canada with US delivery from Canada. You can also review options for savings without insurance.

CanadianInsulin connects patients with licensed Canadian pharmacies. Prescriptions are verified with your clinic before dispensing.

What Nimotop® Is and How It Works

Nimotop® contains nimodipine, a dihydropyridine calcium channel blocker. It is indicated to improve neurological outcome by reducing the incidence and severity of ischemic deficits in adults after aneurysmal subarachnoid hemorrhage (SAH). Clinicians use it as part of a broader SAH care plan in the hospital or soon after discharge.

Nimodipine concentrates in cerebral vessels. By blocking L-type calcium channels in vascular smooth muscle, it helps limit delayed cerebral vasospasm after bleeding. This supports blood flow to vulnerable brain areas. It is not a treatment for high blood pressure and is not used to treat other stroke types.

Important safety note: Nimodipine is for oral use only. Never inject Nimotop. Intravenous administration of nimodipine can cause severe, life-threatening cardiovascular events.

Who Nimotop® Is For

Nimotop is for adults who have experienced aneurysmal SAH, as directed by their care team. It is started within a defined time window after the bleed according to the label and clinical protocols. It is not intended for routine hypertension management or other neurologic conditions.

• Avoid if you have a known hypersensitivity to nimodipine or formulation components.
• Use caution if you have low baseline blood pressure, heart failure, or are frail; monitoring is essential.
• Severe hepatic impairment may require lower dosing and close observation.
• Pregnancy and breastfeeding: use only if the potential benefit outweighs risk. Discuss with your clinician.
• Not established for pediatric patients.

You can explore related treatments in our Subarachnoid Hemorrhage SAH category.

Dosage and Usage

The typical Nimotop 30 mg dosage follows the approved regimen: 60 mg by mouth every 4 hours for 21 days. Treatment usually starts within 96 hours of the hemorrhage. Follow the exact schedule your clinical team sets for you.

• Swallow tablets whole with a small amount of water, unless your care team instructs otherwise.
• If swallowing is not possible, clinicians may administer nimodipine through a nasogastric or gastric tube using label directions.
• Do not inject nimodipine in any form.
• If your liver function is significantly impaired, clinicians may consider 30 mg every 4 hours with careful monitoring.

Never adjust dose on your own. Refer to the official label for full guidance on initiation, titration, and maximum daily dose. When in doubt, your hospital or clinic team’s protocol takes priority.

Strengths and Forms

Nimotop is commonly supplied as nimodipine 30 mg oral tablets or soft capsules. The presentation and packaging can vary by manufacturer and pharmacy. Availability may vary.

• Nimotop 30 mg tablets
• nimodipine 30 mg tablet

Missed Dose and Timing

If you miss a dose, take it as soon as you remember. If it is close to the next scheduled dose, skip the missed dose and resume the regular schedule. Do not double doses. If you vomit a dose or miss more than one dose, contact your care team for instructions.

Storage and Travel Basics

Store Nimotop at room temperature, typically 20–25°C (68–77°F). Protect from light. Keep tablets in their original container until use. Do not freeze. Keep out of reach of children.

When traveling, carry your medication and prescription in your hand luggage. Keep it in original labeled packaging. If you will continue treatment while away from your hospital, plan ahead so your schedule remains uninterrupted. We ship from Canada to the US with a secure process, and your package arrives via US delivery from Canada.

Benefits

Nimotop supports better neurological outcomes after aneurysmal SAH. It reduces the risk of delayed ischemic deficits linked to cerebral vasospasm. The dosing is oral and standardized, which helps care teams coordinate treatment across settings. For patients and caregivers, a consistent regimen simplifies day-to-day administration during recovery.

Side Effects and Safety

• Headache
• Flushing or warmth
• Dizziness or lightheadedness
• Nausea
• Edema (swelling in ankles or feet)
• Fast heartbeat or palpitations
• Fatigue

Serious or rare effects can include very low blood pressure, fainting, chest discomfort, or allergic reactions such as rash, itching, or swelling of the face, lips, or throat. Seek urgent care for severe symptoms. Remember, nimodipine must not be injected; intravenous exposure has caused severe cardiovascular events, including death.

Drug Interactions and Cautions

Nimodipine is metabolized by CYP3A4. Many medicines and foods can raise or lower its levels.

• Avoid grapefruit or grapefruit juice.
• Strong CYP3A4 inhibitors can increase nimodipine levels (for example, ketoconazole, itraconazole, clarithromycin, erythromycin, ritonavir, and certain other antivirals).
• Strong CYP3A4 inducers can lower levels (for example, rifampin, carbamazepine, phenytoin, phenobarbital, and St. John’s wort).
• Other blood pressure medicines may add to the blood pressure lowering effect.
• Cimetidine may increase nimodipine exposure.

Always share a complete medication list with your care team, including topical and inhaled therapies, vitamins, and herbal products. For example, if you use transplant or dermatology therapies such as Tacrolimus Hgc, your clinician will consider potential interactions and overall regimen complexity.

What to Expect Over Time

Most patients take scheduled doses every 4 hours for 21 days. You may not feel a noticeable effect after each dose. The goal is prevention of delayed ischemia tied to vasospasm. Your team monitors neurological status and blood pressure and may adjust other parts of your care plan while nimodipine continues.

Hospitals often add supportive therapies per protocol. Some patients receive gastric protection during recovery; a sucralfate suspension such as Sulcrate® Suspension Plus may be considered by your clinician. If you also manage chronic lung disease, your team may continue inhaled therapies. Let them know if you use medicines like Pulmicort® Nebuamp. Likewise, if you treat glaucoma, inform your team about drops such as Vyzulta® Ophthalmic Solution. Sharing a complete list helps avoid interactions and ensures coordinated care.

The nimodipine half-life is several hours, which supports a steady every-4-hour schedule. If you are curious about Nimotop 30 mg half life, consult the official label or ask your clinician.

Compare With Alternatives

Nimodipine is the only oral calcium channel blocker with an indication to improve neurological outcome after aneurysmal SAH by reducing ischemic deficits. Other dihydropyridines can lower blood pressure but are not indicated for this use. If Nimotop is not suitable or not available, your clinician may use institutional protocols to determine next steps. Any substitution should be guided by your prescriber and the treating hospital team.

Pricing and Access

Compare Nimotop 30 mg price with Canadian pricing and convenient US shipping. You can buy Nimotop 30 mg online through CanadianInsulin after we verify your prescription. We offer transparent pricing, and you can review potential savings before checkout.

For value seekers, many patients explore Nimotop 30 mg without insurance and assess the total cost. See current offers on our Promotions page when available. Our encrypted checkout protects your information. We provide prompt US delivery from Canada once your order is confirmed.

Availability and Substitutions

Stock levels can vary. If Nimotop 30 mg is unavailable, your prescriber may recommend a clinically appropriate alternative or an adjusted plan based on your hospital’s protocol. We will notify you if an item is out of stock so you can discuss options with your care team.

Patient Suitability and Cost Saving Tips

• Best suited for adults with aneurysmal SAH under a clinician’s direction.
• Not established for pediatric use.
• Use caution with significant hypotension, severe liver impairment, or complex polypharmacy.
• Avoid grapefruit products and review all medicines and supplements with your team.

• Order the complete 21-day course to avoid gaps.
• Set phone reminders for every-4-hour dosing.
• Bring your medication list to all visits and during travel.
• Review Canadian pricing and your Nimotop 30 mg online options to estimate total cost, including if you are paying without insurance.

Questions to Ask Your Clinician

• When should my first dose start relative to my SAH event?
• What is my exact schedule and total duration?
• How will you monitor blood pressure and neurological status during therapy?
• Which medicines, foods, or supplements should I avoid?
• What should I do if I miss a dose or vomit a dose?
• Do I need a dose change due to liver function or other conditions?
• Is nimodipine safe with my current prescriptions and over-the-counter products?
• Are there signs or symptoms that require urgent medical attention?

Authoritative Sources

• FDA Label: Nimodipine (Nimotop)
• DailyMed: Nimodipine
• Health Canada DPD: Nimodipine

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