Nimocer 30mg

Description

Nimocer 30mg contains Nimodipine (30mg) as its active ingredient. This medication belongs to a class of drugs called calcium channel blockers, but it’s specifically used for its effects on the blood vessels in the brain.

What it’s used for:

Nimocer 30mg is primarily used to prevent and treat neurological deficits (problems with brain function) that can occur after a type of bleeding in the brain called subarachnoid hemorrhage (SAH). SAH is bleeding into the space surrounding the brain, often caused by a ruptured aneurysm.

After an SAH, there’s a risk of cerebral vasospasm, where blood vessels in the brain narrow, reducing blood flow and potentially causing further brain damage. Nimodipine helps to:

• Relax and widen the narrowed blood vessels in the brain: This improves blood flow and oxygen supply to the brain tissue.
• Prevent or reduce the severity of vasospasm: By counteracting the constriction of blood vessels.
• Minimize brain damage: By ensuring adequate blood supply to areas affected by the bleeding.

How it works:

Nimodipine works by selectively blocking the influx of calcium ions into the smooth muscle cells of the blood vessels, particularly those in the brain. This inhibition of calcium leads to the relaxation and widening of these blood vessels, which in turn improves blood flow. Nimodipine has a more pronounced effect on cerebral blood vessels compared to blood vessels in other parts of the body.

Dosage and Administration:

Nimocer 30mg is typically administered orally. The dosage and duration of treatment are determined by the doctor, usually starting as soon as possible after SAH is confirmed. It’s often taken regularly for a specific period (e.g., 21 consecutive days). It can be taken with or without food, but some sources suggest taking it on an empty stomach (1 hour before or 2 hours after meals) to optimize absorption. It’s crucial to follow your doctor’s exact instructions and not to stop the medication abruptly.

Common Side Effects:

• Decreased blood pressure (hypotension)
• Headache
• Increased heart rate (tachycardia) or irregular heartbeat
• Nausea, stomach discomfort
• Rash
• Edema (swelling, particularly of ankles or feet)
• Muscle cramps
• Lightheadedness

Serious Side Effects (Seek immediate medical attention if you experience):

• Severe hypotension: Marked dizziness, lightheadedness, or fainting.
• Severe allergic reactions (including angioedema): Swelling of the face, lips, tongue, or throat, which can cause difficulty breathing or swallowing.
• New or worsening chest pain (angina).
• Signs of liver problems: Yellowing of the skin or eyes (jaundice), dark urine, persistent nausea, vomiting, or unusual tiredness.
• Signs of bleeding or bruising easily (due to decreased platelet count, though less common).

Important Precautions and Warnings:

• Pregnancy: Nimocer 30mg is generally not recommended during pregnancy as animal studies have shown harmful effects on the fetus, and human data is limited. Your doctor will weigh the benefits against the potential risks if use is considered essential.
• Breastfeeding: It is generally not recommended to breastfeed while taking this medication, as nimodipine can pass into breast milk and may harm the baby.
• Liver Disease: Use with caution in patients with severe liver disease, as dose adjustments may be necessary.
• Heart Conditions: Use with caution in patients with certain heart conditions, such as recent heart attack (within the last month) or unstable angina.
• Low Blood Pressure: May cause or worsen low blood pressure.
• Grapefruit Juice: Avoid consuming grapefruit or grapefruit juice while taking Nimocer 30mg, as it can significantly increase the levels of nimodipine in your body, leading to increased side effects. This effect can last for several days.
• Alcohol: Avoid alcohol consumption as it can increase dizziness and drowsiness.
• Driving/Operating Machinery: May cause dizziness or decreased alertness. Avoid driving or operating machinery until you know how the medication affects you.
• Antacids: Do not take antacids for 2 hours before or after taking Nimocer 30mg, as they can interfere with its absorption.
• Drug Interactions: Inform your doctor about all other medications, supplements, and herbal products you are taking, especially other blood pressure medications, anti-seizure medications (e.g., phenobarbital, phenytoin, carbamazepine), antifungals (e.g., ketoconazole), certain antibiotics (e.g., clarithromycin), and HIV medications (e.g., ritonavir), as significant interactions can occur.

This information is for general understanding and does not substitute for professional medical advice. Always consult your doctor or a healthcare professional for diagnosis and treatment specific to your condition.