{"id":55256,"date":"2024-01-14T09:11:30","date_gmt":"2024-01-14T09:11:30","guid":{"rendered":"https:\/\/medsname.com\/nimodip-nimodipine\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"nimodip-nimodipine","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/nimodip-nimodipine\/","title":{"rendered":"Nimodip (Nimodipine)"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Gyors v\u00e1lasz \u2013 Mi a Nimodip?<\/h3>\n<p style=\"margin:0;\"><strong>Nimodip<\/strong> egy <strong>30 mg-os nimodipin tabletta<\/strong> WHO-GMP tan\u00fas\u00edtv\u00e1nnyal rendelkez\u0151 gy\u00e1rt\u00f3t\u00f3l \u2013 dihidropiridin t\u00edpus\u00fa, cerebrovascularisan szelekt\u00edv kalciumcsatorna-blokkol\u00f3 (CCB). 1989-ben vezett\u00e9k be (a Bayer <strong>Nimotop<\/strong>) kifejezetten neuroseb\u00e9szeti haszn\u00e1latra. M\u00e1s DHP-kkel ellent\u00e9tben a nimodipin magas lipofilit\u00e1sa lehet\u0151v\u00e9 teszi, hogy \u00e1tjusson a v\u00e9r-agy g\u00e1ton \u00e9s el\u0151nyben r\u00e9szes\u00edtve hasson az agyi arteri\u00e1k simaizomzat\u00e1ra. Plazma felez\u00e9si id\u0151 1-2 \u00f3ra (r\u00f6vid) \u2013 4 \u00f3r\u00e1nk\u00e9nti adagol\u00e1st ig\u00e9nyel. A Nimodip NEM \u00e1ltal\u00e1nos antihypertenz\u00edv \u2013 kifejezetten a <strong>k\u00e9sleltetett agyi ischaemia (vasospasmus) megel\u0151z\u00e9s\u00e9re szolg\u00e1l aneurysmatikus subarachnoidalis v\u00e9rz\u00e9s (aSAH) ut\u00e1n<\/strong>. Adagol\u00e1s: 60 mg sz\u00e1jon \u00e1t 4 \u00f3r\u00e1nk\u00e9nt 21 napig, a v\u00e9rz\u00e9st\u0151l sz\u00e1m\u00edtott 96 \u00f3r\u00e1n bel\u00fcl megkezdve. Hypertonia eset\u00e9n haszn\u00e1ljon <a href=\"https:\/\/medsbase.com\/hu\/amlode\/\">amlodipine<\/a> vagy <a href=\"https:\/\/medsbase.com\/hu\/nicardia-retard\/\">nifedipin retard<\/a> helyett.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Mit kapsz a MedsBase-n\u00e1l:<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 1.400+ hiteles\u00edtett <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\"><strong>\u00dajrak\u00fcld\u00e9si Garancia<\/strong><\/a> \u2014 ha a csomagod nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, \u00fajrak\u00fcldj\u00fck.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>Generikus gy\u00f3gyszereink WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmaznak, \u00e9s diszkr\u00e9t, egyszer\u0171 csomagol\u00e1sban sz\u00e1ll\u00edtjuk \u0151ket vil\u00e1gszerte \u2014 a csomagon nem szerepel a gy\u00f3gyszer neve. A k\u00e1rty\u00e1s fizet\u00e9sek egy szab\u00e1lyozott feldolgoz\u00f3n kereszt\u00fcl t\u00f6rt\u00e9nnek (a sz\u00e1mlale\u00edr\u00e1sok egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3t tartalmaznak \u2014 soha nem \u201cMedsBase\u201d vagy b\u00e1rmilyen gy\u00f3gyszer neve). Kriptovalut\u00e1t \u00e9s SEPA banki \u00e1tutal\u00e1st is elfogadunk. Minden rendel\u00e9st a Reshipment Assurance Policy biztos\u00edt\u00e9k fedez.<\/p>\n<h2 class=\"wp-block-heading\">Mi az Nimodip?<\/h2>\n<p>Az Nimodip egy 30 mg nimodipint tartalmaz\u00f3 tabletta, amelyet WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 sz\u00e1ll\u00edt 30-180 tablett\u00e1s kiszerel\u00e9sben. 1989-ben mutatt\u00e1k be (a Bayer \u00e1ltal <strong>Nimotop<\/strong>) kifejezetten neuroseb\u00e9szeti c\u00e9lra. M\u00e1s DHP-kkel ellent\u00e9tben a nimodipin magas lipofilit\u00e1sa lehet\u0151v\u00e9 teszi, hogy \u00e1tjusson a v\u00e9r-agy g\u00e1ton \u00e9s el\u0151nyben r\u00e9szes\u00edtve hasson az agyi art\u00e9ri\u00e1k simaizomzat\u00e1ra.<\/p>\n<p>A nimodipin a <strong>aloszt\u00e1lyba tartozik, amely a nem-dihidropiridinekt\u0151l (<\/strong> diltiazem<a href=\"https:\/\/medsbase.com\/hu\/dilzem\/\">verapamil<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/calaptin-40\/\">) elt\u00e9r\u0151en<\/a>szelekt\u00edven hat az \u00e9rsimaizomra, minim\u00e1lis k\u00f6zvetlen sz\u00edvi hat\u00e1ssal <strong>. Ez a szelektivit\u00e1si profil klinikailag fontos: a DHP-k biztons\u00e1gosan kombin\u00e1lhat\u00f3k b\u00e9ta-blokkol\u00f3kkal (a kombin\u00e1ci\u00f3 szabv\u00e1nyos angina kezel\u00e9s\u00e9ben), m\u00edg a nem-DHP-k nem (addit\u00edv bradycardia\/sz\u00edvblokk kock\u00e1zat).<\/strong>. Hogyan m\u0171k\u00f6dik az amlodipin?.<\/p>\n<h2 class=\"wp-block-heading\">Hogyan hat a nimodipin?<\/h2>\n<p>Calcium-channel blockers bind L-type voltage-gated calcium channels and reduce calcium influx into the cell during depolarisation. In <strong>arteri\u00e1lis simaizom<\/strong>, a cs\u00f6kkent kalciumbe\u00e1raml\u00e1s kevesebb aktin-miozin k\u00f6lcs\u00f6nhat\u00e1st jelent \u00e9s <strong>k\u00f6zvetlen arteri\u00e1lis vazodilat\u00e1ci\u00f3<\/strong> \u2014 cs\u00f6kkenti a sziszt\u00e9m\u00e1s \u00e9rellen\u00e1ll\u00e1st \u00e9s a v\u00e9rnyom\u00e1st.<\/p>\n<p>A dihidropiridinek kb. 10-szer er\u0151sebb hat\u00e1ssal vannak az \u00e9rrendszer simaizomzat\u00e1ra, mint a sz\u00edvizomra \u2013 \u00edgy a f\u0151 klinikai hat\u00e1s az erek t\u00e1gul\u00e1sa, a sz\u00edv \u00f6sszeh\u00faz\u00f3d\u00e1si vagy inger\u00fcletvezet\u00e9si k\u00e9pess\u00e9g\u00e9nek k\u00f6zvetlen cs\u00f6kken\u00e9se minim\u00e1lis. A szervezet baroreflexe enyhe reflex tachycardia-t v\u00e1lthat ki a gyors erek t\u00e1gul\u00e1sa ut\u00e1n; a nimodipin k\u00f6zpontilag hat az agyi art\u00e9ri\u00e1kon, \u00edgy a reflexhat\u00e1sok kev\u00e9sb\u00e9 relev\u00e1nsak klinikai szempontb\u00f3l.<\/p>\n<p>A klinikai hat\u00e1s kezdete: gyors (15-30 perc); plazmakoncentr\u00e1ci\u00f3 cs\u00facsa 1 \u00f3r\u00e1n bel\u00fcl.<\/p>\n<h2 class=\"wp-block-heading\">J\u00f3v\u00e1hagyott \u00e9s bizony\u00edt\u00e9kokon alapul\u00f3 alkalmaz\u00e1sok<\/h2>\n<ul>\n<li><strong>Aneurizm\u00e1s szubarachnoid\u00e1lis v\u00e9rz\u00e9s (aSAH)<\/strong> \u2014 a k\u00e9sleltetett agyi ischaemia megel\u0151z\u00e9se agyi vasospasmus miatt. 60 mg 4 \u00f3r\u00e1nk\u00e9nt 21 napig, legk\u00e9s\u0151bb 96 \u00f3r\u00e1n bel\u00fcl kezdve.<\/li>\n<li><strong>Egy\u00e9b agyi vasospasmus form\u00e1k<\/strong> \u2014 off-label (neuroseb\u00e9szeti beavatkoz\u00e1s ut\u00e1n, traum\u00e1s SAH)<\/li>\n<li><strong>Vascularis kognit\u00edv k\u00e1rosod\u00e1s \/ enyhe demencia<\/strong> \u2014 off-label; v\u00e1ltoz\u00f3 bizony\u00edt\u00e9k<\/li>\n<li><strong>Migr\u00e9n megel\u0151z\u00e9s<\/strong> \u2014 off-label; nem els\u0151 vonalbeli<\/ul>\n<p><strong>D\u00f6nt\u0151 fontoss\u00e1g\u00fa vizsg\u00e1lati bizony\u00edt\u00e9k:<\/strong> <strong>British Aneurysm Nimodipine Trial (1989)<\/strong> \u00e9s a k\u00e9s\u0151bbi meger\u0151s\u00edt\u00e9sek \u2014 60 mg-os or\u00e1lis nimodipin 4 \u00f3r\u00e1nk\u00e9nt 21 napig az aneurizm\u00e1s szubarachnoid\u00e1lis v\u00e9rz\u00e9s (aSAH) ut\u00e1n cs\u00f6kkenti a k\u00e9sleltetett agyi ischaemia (vasospasmusb\u00f3l ered\u0151) el\u0151fordul\u00e1s\u00e1t \u00e9s jav\u00edtja a neurol\u00f3giai kimenetelt. Ez marad az EGYETLEN bizony\u00edtott gy\u00f3gyszeres beavatkoz\u00e1s a vasospasmus-\u00f6sszef\u00fcgg\u00e9s\u0171 morbidit\u00e1s cs\u00f6kkent\u00e9s\u00e9re aSAH-ban.<\/p>\n<h2 class=\"wp-block-heading\">Nimodip adagol\u00e1s<\/h2>\n<p><strong>Els\u0151dleges indik\u00e1ci\u00f3 \u2014 aSAH vasospasmus megel\u0151z\u00e9s:<\/strong><\/p>\n<ul>\n<li><strong>60 mg or\u00e1lisan 4 \u00f3r\u00e1nk\u00e9nt 21 napig<\/strong>, kezdve a szubarachnoid\u00e1lis v\u00e9rz\u00e9s diagn\u00f3zis\u00e1t\u00f3l sz\u00e1m\u00edtott 96 \u00f3r\u00e1n bel\u00fcl<\/li>\n<li>Intub\u00e1lt\/eszmeletlen betegekn\u00e9l: ugyanaz az adag nasogasztrikus cs\u0151vel<\/li>\n<li>Cs\u00f6kkentse 30 mg-ra 4 \u00f3r\u00e1nk\u00e9nt m\u00e1jk\u00e1rosod\u00e1s eset\u00e9n<\/li>\n<li>Sz\u00fcneteltesse, ha a szisztol\u00e9s v\u00e9rnyom\u00e1s &lt;100 mmHg al\u00e1 esik; agressz\u00edv t\u00e9rfogatp\u00f3tl\u00e1s sz\u00fcks\u00e9ges az agyi perf\u00fazi\u00f3s nyom\u00e1s fenntart\u00e1s\u00e1hoz, ami jellemz\u0151 a neuroseb\u00e9szeti oszt\u00e1lyokon<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Mell\u00e9khat\u00e1sok<\/h2>\n<p><strong>Gyakori (&gt;5%, f\u0151leg enyhe \u00e9s \u00e1tmeneti):<\/strong><\/p>\n<ul>\n<li>Hypot\u00f3nia (a f\u0151 agg\u00e1ly a neuroseb\u00e9szeti akut haszn\u00e1latban)<\/li>\n<li>Flushing (meleg arc \u00e9s fels\u0151test)<\/li>\n<li>Fejf\u00e1j\u00e1s (k\u00fcl\u00f6n\u00f6sen a kezel\u00e9s elej\u00e9n; \u00e1ltal\u00e1ban 2-4 h\u00e9ten bel\u00fcl alkalmazkodik)<\/li>\n<li>Reflex tachycardia (sz\u00edvdobog\u00e1s\u00e9rz\u00e9s) \u2014 kev\u00e9sb\u00e9 gyakori a hossz\u00fa hat\u00e1s\u00fa formul\u00e1ci\u00f3kn\u00e1l<\/li>\n<li>Sz\u00e9d\u00fcl\u00e9s, posztur\u00e1lis hypotensio<\/li>\n<li>F\u00e1radts\u00e1g<\/li>\n<li>Enyhe sz\u00e9kreked\u00e9s (kev\u00e9sb\u00e9 gyakori, mint a nem-DHP-k eset\u00e9n)<\/li>\n<\/ul>\n<p><strong>Nem gyakori:<\/strong><\/p>\n<ul>\n<li>Ki\u00fct\u00e9s, viszket\u00e9s<\/li>\n<li>H\u00e1nyinger, hasi diszkomfort<\/li>\n<li>Erektilis diszfunkci\u00f3 (ritka)<\/li>\n<li>M\u00e1jenzimek emelked\u00e9se (\u00e1ltal\u00e1ban enyhe, reverzibilis)<\/li>\n<li>Ritk\u00e1n el\u0151fordul\u00f3 f\u00e9ny\u00e9rz\u00e9kenys\u00e9g<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Ellenjavallatok \u00e9s \u00f3vint\u00e9zked\u00e9sek<\/h2>\n<ul>\n<li>Ismert \u00e9rz\u00e9kenys\u00e9g a nimodipinre vagy a dihidropiridin oszt\u00e1lyra<\/li>\n<li>Kardiog\u00e9n sokk<\/li>\n<li>S\u00falyos aortasten\u00f3zis (kritikus hypotensi\u00f3t okozhat)<\/li>\n<li>Instabil angina vagy sz\u00edvinfarktus az elm\u00falt 1 h\u00f3napban (amlodipint\u00f3l elt\u00e9r\u0151 DHP-k eset\u00e9n)<\/li>\n<li>Obstrukt\u00edv hypertroph cardiomyopathia (dinamikusan cs\u00f6kkenti a kimeneti gradienst)<\/li>\n<li>S\u00falyos m\u00e1jk\u00e1rosod\u00e1s (minden DHP m\u00e1jban metaboliz\u00e1l\u00f3dik)<\/li>\n<\/ul>\n<p><strong>Terhess\u00e9g:<\/strong> ker\u00fclje a nimodipint, kiv\u00e9ve, ha felt\u00e9tlen\u00fcl sz\u00fcks\u00e9ges aSAH eset\u00e9n (ahol a haszon fel\u00fclm\u00falja a kock\u00e1zatot).<\/p>\n<p><strong>Szoptat\u00e1s:<\/strong> kis mennyis\u00e9gben ker\u00fcl az anyatejbe; \u00e1ltal\u00e1ban elfogadhat\u00f3 csecsem\u0151figyel\u00e9s mellett.<\/p>\n<h2 class=\"wp-block-heading\">Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>Grapefruitl\u00e9<\/strong> \u2014 g\u00e1tolja a CYP3A4 metabolizmust; 2-3\u00d7-kal n\u00f6velheti az amlodipin \u00e9s k\u00fcl\u00f6n\u00f6sen a nifedipin\/nimodipin plazmaszintj\u00e9t. Ker\u00fclni kezel\u00e9si napokon, vagy k\u00f6vetkezetesen alkalmazni, ha egy\u00e1ltal\u00e1n sz\u00fcks\u00e9ges.<\/li>\n<li><strong>Er\u0151s CYP3A4 g\u00e1tl\u00f3k<\/strong> (ketokonazol, itrakonazol, klaritromicin, ritonavir, kobicistat) \u2014 n\u00f6velik a CCB plazmaszintet; cs\u00f6kkentse az adagot vagy ker\u00fclje<\/li>\n<li><strong>Er\u0151s CYP3A4 induk\u00e1l\u00f3k<\/strong> (rifampicin, fenitoin, karbamazepin, Szent J\u00e1nos kenyere) \u2014 cs\u00f6kkentik a CCB plazmaszintet; adagn\u00f6vel\u00e9sre lehet sz\u00fcks\u00e9g<\/li>\n<li><strong>Simvastatin<\/strong> \u2014 az amlodipin enyh\u00e9n n\u00f6veli a szimvasztatin expoz\u00edci\u00f3t; a szimvasztatin maxim\u00e1lis adagja 20 mg\/nap kombin\u00e1ci\u00f3 eset\u00e9n<\/li>\n<li><strong>B\u00e9ta-blokkol\u00f3k<\/strong> \u2014 a DHP-k kombin\u00e1lhat\u00f3k <strong>biztons\u00e1gosan<\/strong> b\u00e9ta-blokkol\u00f3kkal (a kombin\u00e1ci\u00f3 szabv\u00e1nyos kezel\u00e9s angina eset\u00e9n \u2014 a b\u00e9ta-blokkol\u00f3 cs\u00f6kkenti a reflex tachycardia-t, a CCB vazodilat\u00e1ci\u00f3t biztos\u00edt). Elk\u00fcl\u00f6n\u00fcl a nem-DHP CCB-k (diltiazem, verapamil) haszn\u00e1lat\u00e1t\u00f3l, amelyeket NEM szabad kombin\u00e1lni b\u00e9ta-blokkol\u00f3kkal.<\/li>\n<li><strong>Egy\u00e9b antihypertenz\u00edv szerek<\/strong> \u2014 \u00e1ltal\u00e1ban kieg\u00e9sz\u00edt\u0151 hat\u00e1s\u00faak; v\u00e9rnyom\u00e1s monitoroz\u00e1sa sz\u00fcks\u00e9ges<\/li>\n<li><strong>Sildenafil \/ tadalafil<\/strong> (PDE5 g\u00e1tl\u00f3k mereved\u00e9si zavar kezel\u00e9s\u00e9re) \u2014 addit\u00edv hypotensi\u00f3; k\u00fcl\u00f6n\u00f6s \u00f3vatoss\u00e1g CCB-k magas adagjain\u00e1l<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kalciumcsatorna-g\u00e1tl\u00f3k \u00e1ttekint\u00e9se<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">CCB<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Oszt\u00e1ly<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Niche<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/amlode\/\">Amlodipine (Amlode, Amlip)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">DHP (3. gener\u00e1ci\u00f3s)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Referencia DHP; napi egyszeri HTN + angina; ASCOT bizony\u00edt\u00e9k<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/depin\/\">Nifedipine (Depin, Nicardia Retard, Cardipin)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">DHP (1. gener\u00e1ci\u00f3s)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Terhess\u00e9gbiztos MR; tokolitikum; kr\u00f3nikus HTN-hez k\u00f6telez\u0151 ER formul\u00e1ci\u00f3<\/td>\n<\/tr>\n<tr style=\"background:#fff3cd;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/nimodip-nimodipine\/\">Nimodipine (Nimodip)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">DHP (cerebrovaskul\u00e1ris)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Subarachnoid\u00e1lis v\u00e9rz\u00e9s vasospazmus megel\u0151z\u00e9s\u00e9re \u2014 NEM rutin HTN-hez<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/dilzem\/\">Diltiazem (Dilzem, Dilzem CD)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nem-DHP (benzothiazepin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">HTN + sz\u00edvfrekvencia-szab\u00e1lyoz\u00e1s + angina; m\u00e9rs\u00e9kelt sz\u00edvi hat\u00e1s<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/calaptin-40\/\">Verapamil (Calaptin 40, Calaptin SR)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nem-DHP (fenilalkilamin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Legmark\u00e1nabb sz\u00edvi hat\u00e1s; SVT, AF frekvencia, klaszter-fejf\u00e1j\u00e1s<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>DHP vs nem DHP \u2014 mi\u00e9rt fontos:<\/strong> A DHP-k (amlodipin, nifedipin) szelekt\u00edven hatnak az arteri\u00e1lis simaizomra, minim\u00e1lis sz\u00edvi hat\u00e1ssal \u2014 biztons\u00e1gosan kombin\u00e1lhat\u00f3 b\u00e9ta-blokkol\u00f3kkal. A nem DHP-k (diltiazem, verapamil) lass\u00edtj\u00e1k az AV-csom\u00f3ponti vezet\u00e9st \u00e9s cs\u00f6kkentik a sz\u00edvi kontraktilit\u00e1st \u2014 <strong>NE kombin\u00e1lj\u00e1k b\u00e9ta-blokkol\u00f3kkal<\/strong> (addit\u00edv bradikardia, sz\u00edvblokk, akut sz\u00edvel\u00e9gtelens\u00e9g kock\u00e1zata). Ha a beteg m\u00e1r szed b\u00e9ta-blokkol\u00f3t, haszn\u00e1ljon DHP-t.<\/p>\n<h2 class=\"wp-block-heading\">T\u00e1rol\u00e1s<\/h2>\n<p>T\u00e1rolja a Nimodipet 25\u00b0C alatt. V\u00e9dje a f\u00e9nyt\u0151l. Tartsa gyermekek el\u0151l.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3 class=\"wp-block-heading\">Fogyaszthatok grapefruitot Nimodip szed\u00e9se k\u00f6zben?<\/h3>\n<p>A grapefruit (l\u00e9 \u00e9s friss gy\u00fcm\u00f6lcs) g\u00e1tolja a CYP3A4 metabolizmust \u00e9s 2-3\u00d7-kal n\u00f6velheti a nimodipin plazmaszintj\u00e9t, n\u00f6velve a hypot\u00f3nia, sz\u00e9d\u00fcl\u00e9s \u00e9s \u00f6d\u00e9ma kock\u00e1zat\u00e1t. Legjobb gyakorlat: ker\u00fclje a grapefruitot\/l\u00e9t CCB szed\u00e9se k\u00f6zben, vagy fogyassza k\u00f6vetkezetesen (az adagot a v\u00e9rnyom\u00e1sra szabj\u00e1k; a sz\u00f3rv\u00e1nyos grapefruit megzavarja ezt).<\/p>\n<h3 class=\"wp-block-heading\">Biztons\u00e1gos a Nimodip terhess\u00e9g alatt?<\/h3>\n<p>A Nimodipin ker\u00fclend\u0151 terhess\u00e9g alatt, kiv\u00e9ve \u00e9letvesz\u00e9lyes aSAH eset\u00e9n, amikor a neurol\u00f3giai haszon fel\u00fclm\u00falja a magzati expoz\u00edci\u00f3 kock\u00e1zat\u00e1t.<\/p>\n<h3 class=\"wp-block-heading\">\u00d6sszevehetem a Nimodipot m\u00e1s v\u00e9rnyom\u00e1scs\u00f6kkent\u0151 gy\u00f3gyszereimmel?<\/h3>\n<p>Igen \u2014 a DHP t\u00edpus\u00fa kalciumcsatorna-blokkol\u00f3k j\u00f3l kombin\u00e1lhat\u00f3k <strong>ACE-g\u00e1tl\u00f3k<\/strong> (<a href=\"https:\/\/medsbase.com\/hu\/ramcor\/\">ramipril<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/lispro\/\">lisinopril<\/a>), <strong>ARB-k<\/strong> (<a href=\"https:\/\/medsbase.com\/hu\/losar\/\">losartan<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/telmaheal\/\">telmisartan<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/olmin\/\">olmesartan<\/a>), <strong>b\u00e9ta-blokkol\u00f3k<\/strong> (<a href=\"https:\/\/medsbase.com\/hu\/concor\/\">bisoprolol<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/betablock-xl\/\">metoprolol<\/a>), \u00e9s <strong>tiazid vizelethajt\u00f3k<\/strong> (<a href=\"https:\/\/medsbase.com\/hu\/aquazide\/\">HCTZ<\/a>Az ACE-g\u00e1tl\u00f3\/ARB + CCB kombin\u00e1ci\u00f3 k\u00fcl\u00f6n\u00f6sen hasznos, mert megsz\u00fcnteti a boka\u00f6d\u00e9ma mell\u00e9khat\u00e1st.<\/p>\n<h3 class=\"wp-block-heading\">Haszn\u00e1lhatom a nimodipint rendszeres magas v\u00e9rnyom\u00e1sra?<\/h3>\n<p>Nem \u2014 a nimodipin egy speci\u00e1lis neuroseb\u00e9szeti CCB, amelyet 21 napos k\u00far\u00e1ban alkalmaznak a cerebralis vasospasmus megel\u0151z\u00e9s\u00e9re szubarachnoid\u00e1lis v\u00e9rz\u00e9s ut\u00e1n. R\u00f6vid felez\u00e9si ideje miatt 4 \u00f3r\u00e1nk\u00e9nti adagol\u00e1s sz\u00fcks\u00e9ges, ami nem praktikus kr\u00f3nikus hypertoni\u00e1ban, \u00e9s cerebrovascularis szelektivit\u00e1sa miatt kev\u00e9sb\u00e9 hat\u00e9kony perif\u00e9ri\u00e1s v\u00e9rnyom\u00e1scs\u00f6kkent\u00e9sben, mint az amlodipin vagy a nifedipin MR. Haszn\u00e1lata <a href=\"https:\/\/medsbase.com\/hu\/amlode\/\">amlodipine<\/a> vagy <a href=\"https:\/\/medsbase.com\/hu\/nicardia-retard\/\">nifedipin retard<\/a> kr\u00f3nikus hypertoni\u00e1ra.<\/p>\n<h3 class=\"wp-block-heading\">Hol tudok Nimodipint v\u00e1s\u00e1rolni online?<\/h3>\n<p>A Nimodipint (nimodipin 30 mg, 30-180 tabletta) a MedsBase-r\u00f3l rendelheti meg diszkr\u00e9t csomagol\u00e1sban \u00e9s vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1ssal.<\/p>\n<h2 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 antihipertenz\u00edv szerek a MedsBase-en<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/aquazide\/\">Aquazide \u2014 Hydrochlorothiazide v\u00edzhajt\u00f3<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/calaptin-sr\/\">Calaptin SR \u2014 Verapamil SR 120\/240 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/cardipin-retard\/\">Cardipin Retard \u2014 Nifedipin 20 mg ER<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/dilzem\/\">Dilzem \u2014 Diltiazem IR 30\/60 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/dilzem-cd\/\">Dilzem CD \u2014 Diltiazem CD 120\/180 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/nicardia-retard\/\">Nicardia Retard \u2014 Nifedipin retard 10\/20\/30 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/high-blood-pressure-medication\/\"><strong>\u00d6sszes magas v\u00e9rnyom\u00e1sra szolg\u00e1l\u00f3 gy\u00f3gyszer b\u00f6ng\u00e9sz\u00e9se<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Orvosi nyilatkozat.<\/strong> Ez az oldal t\u00e1j\u00e9koztat\u00f3 jelleg\u0171, \u00e9s nem helyettes\u00edti a k\u00e9pzett eg\u00e9szs\u00e9g\u00fcgyi szakember tan\u00e1cs\u00e1t. A hypertonia, sz\u00edvel\u00e9gtelens\u00e9g \u00e9s sz\u00edvritmuszavarok diagnosztiz\u00e1l\u00e1st, monitoroz\u00e1st \u00e9s d\u00f3zis-individualiz\u00e1l\u00e1st ig\u00e9nyelnek orvosi r\u00e9sz\u00e9r\u0151l \u2014 mindig orvosi utas\u00edt\u00e1s szerint haszn\u00e1ljon b\u00e9ta-blokkol\u00f3kat.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 alternat\u00edv\u00e1k<\/h3>\n<p>Egy\u00e9b term\u00e9kek a <strong>Kr\u00f3nikus betegs\u00e9gek<\/strong> v\u00e1s\u00e1rl\u00f3k \u00e1ltal szint\u00e9n megtekintett term\u00e9kek:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/cerecetam\/\">Cerecetam<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/aquazide\/\">Aquazide<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/natrilix-sr\/\">Natrilix SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/avil-25\/\">Avil 25<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/tamoxilon\/\">Tamoxilon<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>A Nimodip 30 mg-os nimodipin tabletta \u2013 cerebrovascularisan szelekt\u00edv dihidropiridin t\u00edpus\u00fa kalciumcsatorna-blokkol\u00f3 (CCB). F\u0150 INDIK\u00c1CI\u00d3: a k\u00e9sleltetett agyi ischaemia megel\u0151z\u00e9se vasospasmus miatt aneurysmatikus subarachnoidalis v\u00e9rz\u00e9s (aSAH) ut\u00e1n. Szabv\u00e1nyos kezel\u00e9si s\u00e9ma: 60 mg 4 \u00f3r\u00e1nk\u00e9nt 21 napig, a v\u00e9rz\u00e9st\u0151l sz\u00e1m\u00edtott 96 \u00f3r\u00e1n bel\u00fcl megkezdve (British Aneurysm Nimodipine Trial). Nem rutin hypertoni\u00e1ra val\u00f3 \u2013 haszn\u00e1ljon ink\u00e1bb amlodipint vagy retard nifedipint.<\/p>","protected":false},"featured_media":55257,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3892,3893],"class_list":{"0":"post-55256","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-nimodip","11":"product_tag-nimodipine","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/55256","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=55256"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/55257"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=55256"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=55256"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=55256"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=55256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}