Drug lookup
Drug reference

Nimodipine

Calcium Channel Blocker · Cerebrovascular Agent

Calcium Channel BlockerCerebrovascular Agent
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • ApalutamideSevereDatabaseDDInter
  • AtazanavirSevereDatabaseDDInter
  • BoceprevirSevereDatabaseDDInter
  • CarbamazepineSevereDatabaseDDInter

Mechanism

Nimodipine is a dihydropyridine calcium-channel blocker.

Indications

Prevention of ischaemic neurological defects following aneurysmal subarachnoid haemorrhageTreatment of ischaemic neurological defects following aneurysmal subarachnoid haemorrhageTreatment of ischaemic neurological defects following aneurysmal subarachnoid haemorrhage in patients with unstable blood pressurePrevention and treatment of neurological deficit due to cerebral vasospasm following subarachnoid haemorrhagePrevention and treatment of neurological deficit due to ruptured congenital intracranial aneurysms

Dosing

Adult
Oral: 60 mg every 4 hours, to be started within 4 days of aneurysmal subarachnoid haemorrhage and continued for 21 days. Intravenous infusion (body-weight up to 70 kg): Initially up to 0.5 mg/hour, increased after 2 hours if no severe fall in blood pressure; increased to 2 mg/hour and continue for at least 5 days (max.…
Max dose
Oral: 360 mg/day (60 mg every 4 hours); IV: 2 mg/hour

Contraindications

  • Unstable angina
  • within 1 month of myocardial infarction

Side effects

Common
headacheflushingdizzinesspalpitationnausea
Serious
  • Thrombocytopenia
  • vasodilation
  • Bradycardia
  • ileus

Drug interactions

Apalutamide
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Atazanavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Boceprevir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Carbamazepine
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Ceritinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Clarithromycin
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Cobicistat
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Conivaptan
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Delavirdine
Severe
Database

Clinical effect not specified

Source: DDInter

Dolasetron
Severe
Database

Clinical effect not specified

Source: DDInter

Enzalutamide
Severe
Database

Clinical effect not specified

Source: DDInter

Fosphenytoin
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Calcium Channel Blocker drugs

Ask House about Nimodipine

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: KD Tripathi 7e, Katzung, BNF, Harriet Lane·Verified: 2026-05-13 · House clinical team