Nimotop® Capsules for Subarachnoid Hemorrhage

What Nimotop Is and How It Works

Nimotop® helps prevent delayed brain injury after a subarachnoid hemorrhage. It belongs to the dihydropyridine calcium channel blocker class and acts mainly on cerebral arteries to improve blood flow. We offer US shipping from Canada so you can arrange access from home, and you can review Nimotop cost without insurance before you order.

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This medicine reduces the risk of vasospasm-related ischemia following bleeding around the brain. It does not treat high blood pressure in routine care and should not be given by intravenous routes. The treatment works by inhibiting L-type calcium influx in vascular smooth muscle, with a relative preference for intracranial vessels. Clinical use focuses on improving neurological outcome after aneurysmal bleeding when taken on a consistent schedule.

Who It’s For

This treatment is indicated to improve neurological outcomes by lowering the incidence and severity of ischemic deficits after aneurysmal subarachnoid hemorrhage. Care teams commonly initiate therapy in the hospital and may continue it after discharge when appropriate.

People with a known hypersensitivity to nimodipine should not take it. Use caution in significant hepatic impairment, as exposure may rise. Blood pressure can drop; those on other antihypertensives or who have unstable hemodynamics need close monitoring. Avoid grapefruit and grapefruit juice due to a clinically significant interaction. If you are pregnant, planning pregnancy, or breastfeeding, discuss risks and benefits with your clinician.

If you manage other neurological conditions, you can explore our broader category for context in Neurology. For condition background, see our Subarachnoid Hemorrhage page.

Dosage and Usage

Standard regimens are established on approved labeling. Therapy is typically started as soon as feasible after a confirmed subarachnoid hemorrhage and then continued on an around-the-clock schedule for a defined course. Capsules are swallowed whole with liquid. Do not break or chew them.

For patients unable to swallow, hospital teams may administer the liquid contents of a capsule through a nasogastric tube following label directions. This practice should be handled by trained staff. Your care team will advise on timing relative to procedures and blood pressure status.

Avoid grapefruit products. Tell your clinician about all medicines you take, including over-the-counter items and supplements. If you experience dizziness or lightheadedness, use care when standing and report symptoms to your team.

Strengths and Forms

The brand is supplied as soft gelatin oral capsules. Each capsule contains 30 milligrams of nimodipine in a liquid-filled shell. Hospital-prepared oral suspensions may be used for feeding tubes; availability can vary by site of care.

Product availability, packaging, and manufacturers may differ by pharmacy and region.

Missed Dose and Timing

Try not to miss doses, as consistent exposure during the defined course is important. If a dose is missed, take it when remembered unless it is close to the next scheduled dose. Do not double up to compensate. In hospital settings, nursing teams usually manage timing; follow their guidance if therapy continues at home.

Storage and Travel Basics

Store capsules at room temperature in the original packaging to protect from light and moisture. Keep out of reach of children and pets. Do not freeze, crush, or decapsulate at home.

When traveling, carry the labeled container and a copy of your prescription. Pack the medication in your carry-on to avoid extreme temperatures. If your clinician provides an administration letter, keep it with your travel documents. Do not leave capsules in a hot car or direct sun. Use a reminder system to maintain the regular schedule.

Benefits

This therapy can reduce the risk of vasospasm-related neurological deficits after an aneurysmal bleed. The oral form allows use outside of intensive care once you are medically stable and able to take capsules. It can be administered via a feeding tube by trained providers if needed.

Side Effects and Safety

• Headache: often mild to moderate
• Dizziness or lightheadedness: related to blood pressure changes
• Nausea or stomach discomfort: usually transient
• Flushing or warmth: may occur shortly after a dose
• Peripheral edema: ankle or leg swelling
• Bradycardia or tachycardia: heart rate changes may be noted

Serious risks can include significant hypotension, syncope, and, rarely, worsening cerebral ischemia if dosing is interrupted without medical oversight. Intravenous administration of this product is contraindicated due to life-threatening reactions; it is for oral use only. Contact your clinician or seek medical help if you experience severe dizziness, fainting, chest pain, or neurological changes.

For general brain health education, you can review our article on Brain Injury Awareness Month, which highlights prevention and recovery topics. Broader neurological awareness is discussed in World Brain Day, and urgent response readiness in CPR and AED Awareness.

Drug Interactions and Cautions

Strong CYP3A4 inhibitors can markedly increase nimodipine exposure. Examples include ketoconazole, itraconazole, clarithromycin, ritonavir, and certain other protease inhibitors. Strong CYP3A4 inducers can reduce exposure; examples include rifampin, carbamazepine, phenytoin, and phenobarbital. Concomitant use with other blood pressure–lowering agents may enhance hypotensive effects.

Avoid grapefruit or grapefruit juice. Alcohol may potentiate blood pressure lowering and dizziness. In hepatic impairment, prescribers may adjust the regimen. Always share a complete medication list with your care team.

What to Expect Over Time

The course is preventive and scheduled evenly throughout day and night. You may not feel a dramatic effect; the goal is to help protect brain tissue during a high-risk period. Adherence to the prescribed schedule and close monitoring support safer outcomes. Clinicians will monitor neurological status, blood pressure, and other parameters during therapy.

Use reminders and a dosing log to stay on track. If your care team changes timing around procedures or tests, resume the routine as directed.

Compare With Alternatives

The primary alternative in practice is the generic nimodipine capsule, when available and clinically appropriate. Some hospitals may use pharmacist-prepared oral suspensions for tube administration when swallowing is not possible. Choice depends on clinical status, access, and prescriber judgment. For more context on related neurology therapies we carry, see our Neurology category.

Pricing and Access

You can check current Nimotop price on our product page. We list cash-pay options so you can compare with local choices. We provide transparent checkout and encrypted payment processing. US orders typically ship via licensed Canadian pharmacies, and fulfillment Ships from Canada to US for eligible addresses.

If you are looking for offers, see our current promotions on Promotions. Savings vary by product and supply.

Availability and Substitutions

Stock may vary. If the brand is unavailable, your prescriber may recommend a therapeutically equivalent generic nimodipine, subject to their judgment and your pharmacy’s supply. Our team can coordinate with your clinician when a substitution is proposed.

If you prefer a consolidated source, our Nimotop online pharmacy page provides up-to-date product details, required documentation, and fulfillment options.

Patient Suitability and Cost-Saving Tips

This medicine may suit adults recovering from aneurysmal subarachnoid hemorrhage who can safely take oral therapy with clinician oversight. It may not suit those with severe hypotension, untreated shock, or a contraindication to nimodipine. Share your full medical history, medication list, and any liver concerns with your clinician.

To save on therapy, consider multi-month supplies when your prescriber agrees, and set refill reminders so you do not miss doses during the defined course. Compare brand and generic options if both are available through your pharmacy. Ask about a Nimotop coupon if you are exploring affordability options.

For additional neurology medications we carry, you can review Lamictal or its Lamictal Chewable formulation for seizure disorders; these are not substitutes for this indication but show our range in neurological care.

Questions to Ask Your Clinician

• Goal of therapy: how this treatment supports recovery after SAH
• Duration: how long you should continue the course
• Monitoring: what symptoms or numbers warrant a call
• Interactions: which medicines and foods to avoid
• Administration: what to do if swallowing is difficult
• Travel: how to manage doses and documentation away from home

Authoritative Sources

For detailed prescribing information, consult the FDA label on DailyMed: see the nimodipine capsule monograph on the FDA DailyMed website. Manufacturer resources may also provide updates; check the current Bayer information for Nimotop on the company’s site for company-level product links. Health Canada’s Drug Product Database lists authorized products; see the DPD entry for nimodipine on Health Canada’s DPD.

Ready to proceed? Buy Nimotop with prompt, express, temperature-controlled handling when required.

Medical disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice.