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Nimodipine

尼莫地平
Mechanism of action:
Nimodipine 是一種鈣離子通道阻斷劑(calcium channel blocker),屬於二氫吡啶類(dihydropyridine)衍生物,具有高度的腦血管選擇性。Nimodipine 主要作用於腦血管平滑肌細胞,阻斷 L 型鈣離子通道(L-type calcium channel) ,使鈣離子流入細胞質的量下降,導致血管平滑肌放鬆。
Reference(s):
1. Janjua N et al. (2003). Cerebral vasospasm after subarachnoid hemorrhage. Curr Opin Crit Care.
2. Allen GS et al. (1983). Cerebral arterial spasm--a controlled trial of nimodipine in patients with subarachnoid hemorrhage. N Engl J Med.
3. Belfort MA et al. (2003). A comparison of magnesium sulfate and nimodipine for the prevention of eclampsia. N Engl J Med.
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