Kraj: Stany Zjednoczone
Język: angielski
Źródło: NLM (National Library of Medicine)
NIMODIPINE (UNII: 57WA9QZ5WH) (NIMODIPINE - UNII:57WA9QZ5WH)
ANI Pharmaceuticals, Inc.
NIMODIPINE
NIMODIPINE 30 mg
ORAL
PRESCRIPTION DRUG
Nimodipine is indicated for the improvement of neurological outcome by reducing the incidence and severity of ischemic deficits in patients with subarachnoid hemorrhage from ruptured intracranial berry aneurysms regardless of their post-ictus neurological condition (i.e., Hunt and Hess Grades I-V). The concomitant use of nimodipine with strong inhibitors of CYP3A4 such as some macrolide antibiotics (e.g., clarithromycin, telithromycin), some anti-HIV protease inhibitors (e.g., delaviridine, indinavir, nelfinavir, ritonavir, saquinavir), some azole antimycotics (e.g., ketoconazole, itraconazole, voriconazole) and some antidepressants (e.g., nefazadone) is contraindicated because of a risk of significant hypotension (See PRECAUTIONS - Drug Interactions ). There have been no reported instances of drug abuse or dependence with nimodipine.
Nimodipine Capsules are available as: 30 mg: White, soft-gelatin, oblong-shape capsule. It contains a yellow solution; printed with ‘ANI 210’ in red ink. Unit Dose Package of 30 (10 x 3): NDC 62559-210-31 Unit Dose Package of 100 (10 x 10): NDC 62559-210-81 The capsules should be stored in the manufacturer’s original package. Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Capsules should be protected from light and freezing. Manufactured by: USGP, a division of Procaps S.A. Barranquilla, Colombia South America Distributed by: ANI Pharmaceuticals, Inc. Baudette, MN 56623 9675 Rev 06/19
Abbreviated New Drug Application
NIMODIPINE- NIMODIPINE CAPSULE ANI PHARMACEUTICALS, INC. ---------- NIMODIPINE CAPSULES FOR ORAL USE RX ONLY DO NOT ADMINISTER NIMODIPINE INTRAVENOUSLY OR BY OTHER PARENTERAL ROUTES. DEATHS AND SERIOUS, LIFE THREATENING ADVERSE EVENTS HAVE OCCURRED WHEN THE CONTENTS OF NIMODIPINE CAPSULES HAVE BEEN INJECTED PARENTERALLY (SEE WARNINGS AND DOSAGE AND ADMINISTRATION). DESCRIPTION Nimodipine belongs to the class of pharmacological agents known as calcium channel blockers. Nimodipine is isopropyl 2 -methoxyethyl 1,4 –dihydro -2,6 –dimethyl -4-(m- nitrophenyl) -3,5-pyridinedicarboxylate. It has a molecular weight of 418.5 and a molecular formula of C H N O . The structural formula is: Nimodipine is a yellow crystalline substance, practically insoluble in water. Nimodipine capsules are formulated as soft gelatin capsules for oral administration. Each liquid filled capsule contains 30 mg of nimodipine USP. Nimodipine capsules also contain the following inactive ingredients: peppermint oil, glycerin, polyethylene glycol, water, gelatin type A, titanium dioxide, light mineral oil, alcohol, shellac glaze, _n_-butyl alcohol, propylene glycol, SDA alcohol, and FD&C red No. 40 aluminum lake. CLINICAL PHARMACOLOGY MECHANISM OF ACTION Nimodipine is a calcium channel blocker. The contractile processes of smooth muscle cells are dependent upon calcium ions, which enter these cells during depolarization as 21 26 2 7 slow ionic transmembrane currents. Nimodipine inhibits calcium ion transfer into these cells and thus inhibits contractions of vascular smooth muscle. In animal experiments, nimodipine had a greater effect on cerebral arteries than on arteries elsewhere in the body perhaps because it is highly lipophilic, allowing it to cross the blood-brain barrier; concentrations of nimodipine as high as 12.5 ng/mL have been detected in the cerebrospinal fluid of nimodipine-treated subarachnoid hemorrhage (SAH) patients. The precise mechanism of action of nimodipine in humans is unknown. Although the clinical studies described bel Przeczytaj cały dokument