Nimodipine is the only approved prophylactic medication. In addition to its anticoagulant properties, heparin also has a pleiotropic and anti-inflammatory effect that could be beneficial in vasospasm.
Administration of intravenous UFH for more than 48 hours reduced the rate of cerebral infarction with a good safety profile. This result supports the ongoing clinical trial 1).
Removal of subarachnoid hemorrhage as soon as possible.
Installation of thrombolytic agents (e.g. urokinase).
Antiinflammatory agents (steroids or NSAIDs).