Nimocer Tablet (Nimodipine)

• Administration: Nimodipine should only be taken orally or via a feeding tube; it must never be administered intravenously, as this can lead to serious or life-threatening complications. 
• Grapefruit interaction: Avoid consuming grapefruit or grapefruit juice during treatment, as it can interfere with the medication's effectiveness and increase the risk of side effects.
• Medical history: Inform your healthcare provider if you have a history of liver problems, low blood pressure, or heart conditions before starting nimodipine.

• Nimodipine is specifically indicated for the management of neurological deficits resulting from vasospasm following a subarachnoid hemorrhage.
• By relaxing narrowed blood vessels near the brain, it enhances blood flow and reduces the risk of further brain damage.

Common side effects of nimodipine include:

• Low blood pressure (hypotension): May cause dizziness or lightheadedness.
• Nausea and upset stomach: Gastrointestinal discomfort is possible.
• Slow heart rate (bradycardia): Monitor for unusually slow pulse.
• Flushing and sweating: Sensations of warmth or increased perspiration may occur.
• Edema: Swelling of the extremities due to fluid retention.

Serious side effects are rare but can include severe hypotension and heart complications. Seek immediate medical attention if you experience fainting, severe dizziness, or irregular heartbeat.

Can I take nimodipine if I'm pregnant or breastfeeding?
Consult your doctor, as the safety of nimodipine during pregnancy or breastfeeding has not been fully established.

What should I do if I miss a dose?
Take the missed dose as soon as you remember, unless it's almost time for your next dose. Do not double up to make up for a missed dose.

How should I store nimodipine?
Store at room temperature, away from light and moisture. Keep out of reach of children.

Nimodipine can interact with various medications, potentially altering its effectiveness or increasing side effects. Notable interactions include:

• Antifungal medications (e.g., ketoconazole): May increase nimodipine levels in the blood.
• Antibiotics (e.g., erythromycin): Can affect how nimodipine is metabolized.
• Antiseizure drugs (e.g., phenytoin, carbamazepine): May decrease nimodipine's effectiveness.