nimodipine in treatment of vasospasm in SAH

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In subarachnoid haemorrhage, nimodipine, the calcium channel blocker, is given under the following regimes:

  • 60mg orally, 4-hourly

If established vasospasm is present, then:

  • 1mg/h by iv infusion
  • if blood pressure satisfactory then increase to 2mg/h

Note: in small patients start with 0.5mg/h. Also do this if the patient has an unstable blood pressure.

Last reviewed 01/2018