Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C21H26N2O7 |
| Molecular Weight | 418.4403 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
COCCOC(=O)C1=C(C)NC(C)=C(C1C2=CC(=CC=C2)[N+]([O-])=O)C(=O)OC(C)C
InChI
InChIKey=UIAGMCDKSXEBJQ-UHFFFAOYSA-N
InChI=1S/C21H26N2O7/c1-12(2)30-21(25)18-14(4)22-13(3)17(20(24)29-10-9-28-5)19(18)15-7-6-8-16(11-15)23(26)27/h6-8,11-12,19,22H,9-10H2,1-5H3
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/2663415Curator's Comment: Description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/2565839
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2663415
Curator's Comment: Description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/2565839
Nimodipine is a dihydropyridine calcium antagonist which has been shown to dilate cerebral arterioles and increase cerebral blood flow in animals and humans. It has potential in the treatment of a range of cerebrovascular disorders. Major interest to date, however, has focused on its use in the prevention and treatment of the delayed ischaemic neurological deficits that frequently occur in patients with subarachnoid haemorrhages as a result of sustained cerebral vasospasm. Nimodipine, a Ca2+ antagonist with cerebrovasodilatory and anti-ischemic effects, binds to rat, guinea pig, and human brain membranes with high affinity (less than 1 nM). Only at higher concentrations has nimodipine been reported to block the release of some neurotransmitters and hormones from neuronal tissue.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2760631
Curator's Comment: Nimodipine has adequate brain penetration, dilates
intracranial vessels in animals and humans.
Experimental data suggest direct neuronal action of nimodipine in animals.
https://www.ncbi.nlm.nih.gov/pubmed/2565839
Originator
Sources: https://www.google.com/patents/US3799934
Curator's Comment: # Meyer et al, patented to Bayer AG
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2095229 Sources: https://www.ncbi.nlm.nih.gov/pubmed/2565839 |
0.27 nM [Kd] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | NIMOTOP Approved UseNimodipine 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). Launch Date1988 |
|||
| Primary | NYMALIZE Approved UseNYMALIZE is a dihydropyridine calcium channel blocker indicated for the
improvement of neurological outcome by reducing the incidence and severity
of ischemic deficits in adult patients with subarachnoid hemorrhage (SAH)
from ruptured intracranial berry aneurysms regardless of their post-ictus
neurological condition (i.e., Hunt and Hess Grades I-V). Launch Date2013 |
|||
| Primary | NIMODIPINE Approved UseNimodipine 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). Launch Date2007 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
29 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7962672 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIMODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
20 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8249618 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIMODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
47.6 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7962672 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIMODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
100 nM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8249618 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIMODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.27 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7962672 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIMODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
2.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8249618 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIMODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
5% |
NIMODIPINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Effect of nimodipine (Bay e 9736) on postischaemic cerebrovascular reactivity, as revealed by measuring regional cerebral blood flow (rCBF). | 1982 |
|
| Cerebral arterial spasm--a controlled trial of nimodipine in patients with subarachnoid hemorrhage. | 1983 Mar 17 |
|
| Cerebral blood flow and neurologic outcome when nimodipine is given after complete cerebral ischemia in the dog. | 1984 Mar |
|
| Therapeutic trial of intravenous nimodipine in patients with established cerebral vasospasm after rupture of intracranial aneurysms. | 1988 Aug |
|
| Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial. | 1989 Mar 11 |
|
| Effect of treatment with nimodipine in patients with mild and moderate essential hypertension. | 1990 Apr |
|
| Nimodipine pretreatment improves cerebral blood flow and reduces brain edema in conscious rats subjected to focal cerebral ischemia. | 1990 Nov |
|
| Protective effect of nimodipine against ischemic neuronal damage in rat hippocampus without changing postischemic cerebral blood flow. | 1990 Sep |
|
| Quinine-induced tinnitus in rats. | 1991 Oct |
|
| Nimodipine reduces the toxicity of intravenous bupivacaine in rats. | 1992 Jun |
|
| Pulmonary vasoconstriction following intravenous nimodipine. | 1992 May |
|
| Effects of the combination of ketoconazole and calcium channel antagonists against Candida albicans in vitro. | 1993 Jul |
|
| Hypotensive effect of nimodipine during treatment for aneurysmal subarachnoid haemorrhage. | 1995 |
|
| Dose-finding study with nimodipine: a selective central nervous system calcium channel blocker on aminophylline induced seizure models in rats. | 1998 Mar 15 |
|
| Haloperidol-induced catalepsy is influenced by calcium channel antagonists. | 2000 May-Jun |
|
| Calcium antagonists decrease capillary wall damage in aging hypertensive rat brain. | 2001 Mar-Apr |
|
| High initial blood pressure after acute stroke is associated with poor functional outcome. | 2001 May |
|
| Functional properties of Cav1.3 (alpha1D) L-type Ca2+ channel splice variants expressed by rat brain and neuroendocrine GH3 cells. | 2001 Oct 19 |
|
| Calcium channel blocker, nimodipine, for the treatment of bipolar disorder during pregnancy. | 2002 Dec |
|
| Cerebral vasospasm after subarachnoid hemorrhage. | 2003 Apr |
|
| Use of phenytoin and other anticonvulsant prophylaxis in patients with aneurysmal subarachnoid hemorrhage. | 2005 Dec |
|
| Antioxidant effect of nimodipine in young rats after pilocarpine-induced seizures. | 2005 Sep |
|
| Ion changes in spreading ischaemia induce rat middle cerebral artery constriction in the absence of NO. | 2005 Sep |
|
| Effect of nimodipine on outcome in patients with traumatic subarachnoid haemorrhage: a systematic review. | 2006 Dec |
|
| Reversible cerebral angiopathy: efficacy of nimodipine. | 2006 Dec |
|
| Low dose hydroxylated PCB induces c-Jun expression in PC12 cells. | 2006 Mar |
|
| The L-type calcium channel blocker nimodipine mitigates cytoskeletal proteins phosphorylation in dichlorvos-induced delayed neurotoxicity in rats. | 2006 May |
|
| Protective effect of adenosine reuptake inhibitors in haloperidol-induced orofacial dyskinesia and associated behavioural, biochemical and neurochemical changes. | 2007 |
|
| [Effect of nimodipine on mechanisms of HL-60 cell apoptosis induced by cytarabine]. | 2007 Feb |
|
| L-type calcium channel blockade on haloperidol-induced c-Fos expression in the striatum. | 2007 Nov 9 |
|
| Amphetamine-induced anxiety-related behavior in animal models. | 2007 Nov-Dec |
|
| Mechanisms of potassium- and capsaicin-induced axonal calcitonin gene-related peptide release: involvement of L- and T-type calcium channels and TRPV1 but not sodium channels. | 2008 Feb 6 |
|
| A number of marketed dihydropyridine calcium channel blockers have mineralocorticoid receptor antagonist activity. | 2008 Mar |
|
| Ammonia inhibits the C-type natriuretic peptide-dependent cyclic GMP synthesis and calcium accumulation in a rat brain endothelial cell line. | 2008 May |
|
| Protective effect of L-type calcium channel blockers against haloperidol-induced orofacial dyskinesia: a behavioural, biochemical and neurochemical study. | 2008 Sep |
|
| Cell death induced by zinc and cadmium is mediated by clusterin in cultured mouse seminiferous tubules. | 2009 Jul |
|
| Intraarterial nimodipine infusion to treat symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage. | 2009 Sep |
|
| Palmitate increases the susceptibility of cells to drug-induced toxicity: an in vitro method to identify drugs with potential contraindications in patients with metabolic disease. | 2012 Oct |
|
| Nephroprotective effect of calcium channel blockers against toxicity of lead exposure in mice. | 2013 Apr 26 |
|
| Role of voltage gated Ca2+ channels in rat visceral hypersensitivity change induced by 2,4,6-trinitrobenzene sulfonic acid. | 2013 Mar 28 |
|
| Screening of a chemical library reveals novel PXR-activating pharmacologic compounds. | 2015 Jan 5 |
Sample Use Guides
Nimodipine is given orally in the form of soft gelatin 30 mg capsules for subarachnoid hemorrhage. The recommended oral dose is 60 mg (two 30 mg capsules) every 4 hours for 21 consecutive days.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22677442
Nimodipine (1-100 μM) conferred 65±13% neuroprotection in PC12 neuronal cultures upon exposure to oxygen-glucose deprivation (OGD) and 35±6% neuroprotection towards different trophic withdrawal-induced cell death measured by lactate dehydrogenase and caspase 3 activities. The time window of nimodipine conferred neuroprotection was detected during the first 5h but not at longer OGD exposures.
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EU/3/15/1554
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NBK548041
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C333
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N0000000069
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C08CA06
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343711
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N0000007556
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FDA ORPHAN DRUG |
566016
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338611
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QC08CA06
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ACTIVE MOIETY
METABOLITE (PARENT)