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Indications ⬇

REMS


Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

CV: ARRHYTHMIAS, chest pain, HF, hypotension, palpitations, peripheral edema, syncope, tachycardia

Derm: ↑sweating, dermatitis, ERYTHEMA MULTIFORME, flushing, photosensitivity, pruritus/urticaria, rash, STEVENS-JOHNSON SYNDROME (SJS)

EENT: blurred vision, disturbed equilibrium, epistaxis, tinnitus

Endo: gynecomastia, hyperglycemia

GI: ↑liver enzymes, anorexia, constipation, diarrhea, dry mouth, dyspepsia, nausea, vomiting

GU: dysuria, nocturia, polyuria, sexual dysfunction, urinary frequency

Hemat: anemia, leukopenia, thrombocytopenia

Metab: ↑weight

MS: joint stiffness, muscle cramps

Neuro: abnormal dreams, anxiety, confusion, dizziness, drowsiness, dysgeusia, headache, nervousness, paresthesia, psychiatric disturbances, tremor, weakness

Resp: cough, dyspnea

Misc: gingival hyperplasia

Interactions ⬆ ⬇

Drug-drug:

Drug-Natural Products:

Drug-Food:

Availability ⬆ ⬇

(Generic available)

Route/Dosage ⬆ ⬇

Hepatic Impairment

US Brand Names ⬆ ⬇

Nymalize

Action ⬆ ⬇

  • Inhibits the transport of calcium into vascular smooth muscle cells, resulting in inhibition of excitation-contraction coupling and subsequent contraction.
  • Potent peripheral vasodilator.
Therapeutic effects:
  • Prevention of vascular spasm after subarachnoid hemorrhage, resulting in decreased neurologic impairment.

Classifications ⬆ ⬇

Therapeutic Classification: subarachnoid hemorrhage therapy agents

Pharmacologic Classification: calcium channel blockers

Pharmacokinetics ⬆ ⬇

Absorption: Well absorbed following oral administration but undergoes first-pass metabolism, resulting in ↓ bioavailability.

Distribution: Crosses the blood-brain barrier; remainder of distribution unknown.

Protein Binding: >95%.

Metabolism/Excretion: Mostly metabolized by the liver; ≤10% excreted unchanged by kidneys.

Half-Life: 1–2 hr.

Canadian Brand Names ⬆ ⬇

Nimotop

Time/Action Profile ⬆ ⬇

(vasodilation)

ROUTEONSETPEAKDURATION
POunknown1 hr4 hr

Patient/Family Teaching ⬆ ⬇

Pronunciation ⬆ ⬇

nye-MOE-di-peen

Code ⬆

NDC Code