Nimodip 30mg Tablet (nimodipine): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- Very low blood pressure with blurred vision
- Slow or irregular heartbeat
- Swelling of the face, lips, or throat
- Difficulty breathing
- Chest pain
- Yellowing of the skin or eyes
- Unusual bruising or bleeding
If experiencing severe symptoms, call emergency services immediately.
What is nimodip tablet used for?
This medicine contains Nimodipine 30 mg, a calcium channel blocker used to prevent cerebral vasospasm and delayed neurological deficits after a subarachnoid haemorrhage. It works by relaxing blood vessels in the brain and improving blood flow. It must be taken exactly as prescribed by a specialist.
- Generic Name: Nimodipine (30mg)
- Manufacturer: USV Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nimodip tablet के बारे में (Hindi Summary)
उपयोग: यह दवा निमोडिपिन 30 मिलीग्राम की गोली है, जिसका उपयोग मस्तिष्क में रक्तस्राव (सबअराक्नॉइड हैमरेज) के बाद होने वाली नसों की ऐंठन (वेसोस्पाज्म) को रोकने के लिए किया जाता है। यह मस्तिष्क की रक्त वाहिकाओं को आराम देकर रक्त का प्रवाह बेहतर बनाती है। यह दवा केवल न्यूरोलॉजिस्ट या न्यूरोसर्जन की सलाह पर ही लेनी चाहिए। इसे अपने आप शुरू या बंद न करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, चेहरे पर गर्मी लगना, और रक्तचाप कम होना शामिल हैं। कुछ लोगों को जी मिचलाना या दिल की धड़कन तेज होना भी महसूस हो सकता है। अगर आपको बहुत ज्यादा चक्कर आए, बेहोशी महसूस हो, या सांस लेने में तकलीफ हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। गोली को चबाएं या तोड़ें नहीं, पूरा निगल लें। अचानक उठने से बचें क्योंकि इससे चक्कर आ सकते हैं। शराब न पिएं। ग्रेपफ्रूट जूस न पिएं। अपनी अन्य दवाओं के बारे में डॉक्टर को जरूर बताएं। नियमित रूप से ब्लड प्रेशर और दिल की धड़कन की जांच कराते रहें।
💊 nimodip tablet Uses & Benefits
[{"condition":"Prevention of delayed neurological deficits after subarachnoid haemorrhage","description":"This medicine is used to reduce the risk of cerebral vasospasm and ischaemic neurological damage in patients who have suffered a subarachnoid haemorrhage.","evidence":"Well-established"},{"condition":"Cerebral vasospasm prophylaxis","description":"Nimodipine helps relax cerebral arteries and improves blood flow to the brain after a bleed around the brain.","evidence":"Well-established"},{"condition":"Adjunctive management of selected cerebrovascular disorders","description":"In some clinical settings, oral nimodipine is used as part of the management of certain cerebrovascular conditions under specialist supervision.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Nimodipine has been studied in some patients for preventing migraines, but it is not a standard first-line treatment.","evidence":"Limited"},{"condition":"Bipolar disorder and mood stabilisation","description":"Small studies have explored nimodipine in mood disorders, but evidence is not strong enough for routine use.","evidence":"Limited"},{"condition":"Age-related cognitive decline","description":"Some older research examined nimodipine for cognitive symptoms, but results were inconsistent.","evidence":"Limited"}]
Primary treatment for: Subarachnoid haemorrhage
Also treats: Cerebral vasospasm, Cerebrovascular disorders
📋 Drug Information
| Generic Name(s) | Nimodipine (30mg) |
| Brand Name | nimodip tablet |
| Manufacturer | USV Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Calcium channel blockers- Dihydropyridines (DHP) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C, in a dry place, away from direct sunlight and moisture. Keep the tablets in their original container. |
| Shelf Life | Refer to the expiry date printed on the pack. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by blocking L-type voltage-gated calcium channels in the smooth muscle cells of blood vessels. By preventing calcium from entering these cells, it reduces the contraction of vascular smooth muscle and causes the vessels to relax. This effect is particularly important in the cerebral arteries, where nimodipine helps counteract vasospasm after a subarachnoid haemorrhage. The resulting improvement in cerebral blood flow helps protect brain tissue from ischaemic injury. Nimodipine has a greater effect on cerebral blood vessels than on peripheral vessels, which is why it is used specifically for neurological indications.
Mechanism Steps
💡 How to Take nimodip tablet
Strength: Nimodipine 30 mg immediate-release tablet
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the indication, age, weight, blood pressure, and liver function. In adults, oral nimodipine is typically prescribed in divided doses throughout the day, but the exact regimen depends on the clinical situation. Do not adjust the dose on your own. Follow your doctor's instructions exactly and attend all follow-up appointments for monitoring. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the blood pressure-lowering effects of this medicine. The dose should be individualized by a clinician, and blood pressure should be monitored closely. |
| Renal Impairment | No specific dose adjustment is established for patients with kidney impairment, but caution is advised. Consult your doctor for individualized dosing. |
| Hepatic Impairment | In patients with liver impairment, the dose of this medicine may need to be reduced because nimodipine is extensively metabolised by the liver. Close monitoring is required. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician based on the individual patient's condition and response. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nimodip tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Clarithromycin | Major | |
| Rifampicin | Major | |
| Carbamazepine | Major | |
| Phenytoin | Major | |
| Amlodipine | Moderate | |
| Metoprolol | Moderate | |
| Cimetidine | Moderate | |
| Grapefruit juice | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, clarithromycin, ritonavir)
- Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine, phenytoin, St John's wort)
- Other antihypertensive medicines
⚡ Moderate Interactions
- Grapefruit juice
- Beta-blockers
- Cimetidine
🍷 Alcohol Interaction
Alcohol can add to the blood pressure-lowering effect of this medicine and may increase dizziness, drowsiness, and the risk of fainting. It is best to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to nimodipine or any component of the tablet","Severe hypotension","Unstable cardiac conditions such as recent myocardial infarction or unstable angina","Concurrent use with strong CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin, or ritonavir","Severe liver impairment"]
⚠️ Warnings & Precautions
["This medicine can cause a significant drop in blood pressure. Monitor your blood pressure regularly.","Avoid driving or operating heavy machinery until you know how this medicine affects you.","Do not drink grapefruit juice while taking this medicine.","Tell your doctor about all other medicines you are taking, especially those for blood pressure, fungal infections, or antibiotics.","Use with caution in elderly patients and those with liver or kidney problems.","Do not stop this medicine suddenly without consulting your doctor."]
🤱 Lactation Safety
It is not known whether nimodipine passes into breast milk in significant amounts. Because of the lack of data, breastfeeding is not recommended while taking this medicine unless your doctor advises otherwise.
💊 Overdose Management
Overdose of this medicine can cause severe low blood pressure, slow heart rate, and fainting. If you suspect an overdose, seek emergency medical care immediately. Treatment is supportive and may include intravenous fluids and medicines to raise blood pressure. Do not try to treat yourself at home.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
This medicine must be taken exactly as prescribed by your doctor. Do not crush, chew, or break the tablet unless your doctor specifically instructs you to do so. Swallow it whole with a glass of water. Because nimodipine can lower blood pressure, stand up slowly from a sitting or lying position to avoid dizziness. Avoid alcohol, as it can add to the blood pressure-lowering effect. Tell your doctor about all other medicines you take, especially blood pressure medicines, antidepressants, antifungals, and antibiotics, because many of them interact with nimodipine. Keep all follow-up appointments so your blood pressure, heart rate, and liver function can be monitored. Do not drive or operate heavy machinery until you know how this medicine affects you. Store the tablets in their original container, away from moisture and direct sunlight, and keep them out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering effects of this medicine. Close monitoring of blood pressure and heart rate is recommended, and the dose should be individualized.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss this medicine with your doctor before conception. Nimodipine is not recommended during pregnancy unless clearly needed.
🏥 Post-Surgery Considerations
If you have recently had surgery, especially neurosurgery, your doctor will decide if this medicine is appropriate for you. It is often used after subarachnoid haemorrhage, which may be related to a surgical or procedural event.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, especially if you are having a procedure that may affect your blood pressure. Your dentist may need to coordinate with your doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or sudden changes in posture until you know how this medicine affects your blood pressure. Light activity is usually fine, but consult your doctor before starting any new exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause dizziness and low blood pressure, which may affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Discuss with your doctor if your work involves heavy machinery or driving.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Your doctor will decide when it is safe to stop based on your condition and recovery.
📅 Long-Term Use Effects
Long-term use of this medicine is usually limited to the period of risk after a subarachnoid haemorrhage. Prolonged use may require monitoring of blood pressure, heart rate, and liver function. Your doctor will decide how long you need to take it based on your condition.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
In some settings, nimodipine may be given intravenously, but this requires close medical supervision.
Evidence: Well-establishedMedicines like nicardipine may be used in some cases, but they are not identical to nimodipine.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions known with this medicine. However, always inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss or temperature extremes. If you are travelling across time zones, ask your doctor how to adjust your dosing schedule. Store it at room temperature and away from direct sunlight. Check customs regulations for carrying prescription medicines before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The blood pressure-lowering effect can begin within 30 to 60 minutes, but the full protective effect against vasospasm develops over days of continuous treatment.
A: Yes, but you should take it consistently in relation to meals as advised by your doctor, because food can affect absorption.
A: Avoid grapefruit juice, alcohol, and driving until you know how the medicine affects you.
🤔 Common Patient Concerns
🔄 Substitutes for nimodip tablet
View AllAlternative brands with exact same active ingredient:
-
nimotide 30mg tabletTorrent Pharmaceuticals Ltd ₹28.03 89.4% CHEAPER
-
vasotop 30mg tabletCipla Ltd ₹56.25 78.7% CHEAPER
-
nimpod 30mg tabletIntas Pharmaceuticals Ltd ₹85.23 67.8% CHEAPER
-
vasotop 30mg infusionCipla Ltd ₹98.44 62.8% CHEAPER
-
nimodec 30mg tabletUnited Biotech Pvt Ltd ₹145.31 45.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Nimodipine is a general blood pressure medicine.
Fact: Nimodipine is primarily used for cerebral vasospasm after subarachnoid haemorrhage, not for routine blood pressure control. - Myth: You can stop Nimodipine once you feel better.
Fact: You must complete the full course as prescribed by your doctor. Stopping early can increase the risk of complications. - Myth: Nimodipine can be taken with grapefruit juice.
Fact: Grapefruit juice can increase the levels of nimodipine in your body and cause dangerous low blood pressure.
🔄 Alternative Options
Generic Alternatives
- Nimodipine 30 mg tablet
Brand Alternatives
- Nimodip tablet