Nimodipine Oral Solution Shortage

• • Nymalize oral solution, Arbor, 30 mg/10 mL, unit-dose cup, 12 count, NDC 24338-0205-12 - discontinued
  • Nymalize oral solution, Arbor, 60 mg/20 mL, 473 mL bottle, 1 count, NDC 24338-0200-16 - discontinued
  • Nymalize oral solution, Arbor, 60 mg/20 mL, unit-dose cup, 12 count, NDC 24338-0200-12 - discontinued

• • Arbor Pharmaceuticals has a new formulation of Nymalize available in prefilled oral syringes.

• • Nymalize oral solution, Arbor, 6 mg/1 mL, 10 mL prefilled oral syringe, 12 count, NDC 24338-0260-12
  • Nymalize oral solution, Arbor, 6 mg/1 mL, 5 mL prefilled oral syringe, 12 count, NDC 24338-0230-12

Safety

• • The contents of nimodipine capsules may be extracted into a syringe using an 18-gauge needle. Transfer the contents of the capsule to an oral syringe that is not compatible with intravenous (IV) connections to avoid accidental IV administration of nimodipine. The manufacturers of nimodipine capsules and the Institute for Safe Medication Practices (ISMP) both recommend labeling the syringe containing nimodipine for administration with the phrase, "For Oral Use Only." Once the contents are given via a nasogastric tube, wash the tube with 30 mL of 0.9% normal saline. More information can be found at the following links:
  • Nimodipine Capsule Manufacturer Package Inserts: https://dailymed.nlm.nih.gov/dailymed/search.cfm?labeltype=all&query=nimodipine&pagesize=200&page=1
  • ISMP Oral Syringe Featured Article: https://www.ismp.org/resources/using-oral-syringes-wont-necessarily-protect-against-inadvertent-iv-injection-oral