Why is this medication prescribed?

Nintedanib is a medication prescribed for the treatment of certain lung diseases. It is primarily used to manage idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-associated interstitial lung disease (SSc-ILD). IPF is a progressive and debilitating condition where lung tissue becomes thickened, scarred, and stiff over time, leading to difficulty in breathing and reduced lung function. SSc-ILD is a complication of systemic sclerosis (also known as scleroderma) in which lung tissue becomes inflamed and fibrotic.

As an anti-fibrotic and anti-inflammatory agent, Nintedanib helps to slow down the progression of fibrosis in the lungs, reducing the rate at which lung function declines and improving symptoms in patients with these conditions. It does this by inhibiting certain growth factors and receptors involved in fibrosis and blood vessel formation.

How should this medicine be used?

Always take the medication as prescribed by your doctor or pharmacist. Here are some general guidelines for using Nintedanib:

• Dosage: The dosage of Nintedanib varies based on the specific lung disease being treated, the patient’s weight, and individual response to the medication. It is usually taken orally in the form of capsules.
• Administration: Nintedanib is typically taken twice daily, with each dose separated by approximately 12 hours. It is essential to follow the prescribed dosing schedule and not skip any doses to ensure maximum effectiveness.
• Food and Timing: Nintedanib should be taken with food to minimize gastrointestinal side effects. It is best to take it at the same time each day to maintain a consistent level of the drug in the body.
• Swallowing: The capsules should be swallowed whole with water and should not be crushed, chewed, or opened.
• Adherence: It is crucial to adhere to the prescribed dosage and not adjust the dose or stop taking Nintedanib without consulting the prescribing healthcare provider. Stopping the medication abruptly may lead to worsening of the lung condition.
• Monitoring: Regular follow-up with the healthcare provider is necessary to monitor the response to treatment and assess for any potential side effects or drug interactions.

Please note that Nintedanib should only be used under the supervision of a healthcare professional who is familiar with the management of pulmonary fibrosis and related lung diseases. If you or someone you know is prescribed Nintedanib, make sure to discuss any questions or concerns with the prescribing doctor to ensure safe and effective usage.

Other uses for this medicine

Nintedanib is primarily prescribed for the treatment of idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-associated interstitial lung disease (SSc-ILD). However, ongoing research and clinical trials may explore its potential in other conditions, and there could be updates beyond my last knowledge cutoff.

What special precautions should I follow?

Special precautions while using Nintedanib:

• Pregnancy and Breastfeeding: Nintedanib may cause harm to the unborn baby, so it is not recommended during pregnancy. If you are pregnant or planning to become pregnant, discuss the risks and benefits with your healthcare provider before starting the medication. Similarly, it is not known whether Nintedanib passes into breast milk, so breastfeeding mothers should avoid using it or discontinue breastfeeding while on this medication.
• Liver Function: Nintedanib can affect liver function, and periodic liver function tests may be necessary during treatment. Inform your healthcare provider if you have a history of liver problems, and report any signs of liver dysfunction such as yellowing of the skin or eyes, dark urine, or persistent nausea.
• Bleeding Risk: Nintedanib can increase the risk of bleeding. If you have a bleeding disorder or are taking blood-thinning medications, inform your healthcare provider before starting Nintedanib.
• Gastrointestinal Issues: Nintedanib can cause gastrointestinal side effects, such as nausea, diarrhea, vomiting, and abdominal pain. Taking the medication with food may help reduce these side effects. If you experience severe or persistent gastrointestinal symptoms, inform your healthcare provider.
• Drug Interactions: Inform your doctor about all the medications, supplements, and herbal products you are taking, as Nintedanib may interact with other drugs. Some medications may affect the way Nintedanib works or increase the risk of side effects.
• Pre-existing Medical Conditions: Nintedanib should be used with caution if you have a history of heart problems, high blood pressure, or any other medical conditions. Your doctor will evaluate the risks and benefits of Nintedanib in your specific case.
• Follow-up Visits: Regular follow-up visits with your healthcare provider are essential while taking Nintedanib. This allows monitoring of treatment response, potential side effects, and any necessary adjustments to the treatment plan.

Always adhere to your healthcare provider’s instructions and inform them of any new or concerning symptoms while on Nintedanib. It is essential to have open communication with your doctor to ensure the safe and effective use of the medication.

What special dietary instructions should I follow?

Nintedanib should be taken with food to help reduce the likelihood of gastrointestinal side effects such as nausea, vomiting, and abdominal pain. Taking the medication with a meal or snack can improve its tolerability and minimize discomfort. However, the specific type of food you consume with Nintedanib is not crucial; any regular meal or snack should suffice.

What should I do if I forget a dose?

If you forget to take a dose of Nintedanib at the scheduled time, follow these general guidelines:

• Take the Missed Dose: If it has been only a short time since the missed dose (a few hours), take the missed dose as soon as you remember. Then continue with your regular dosing schedule.
• Skip the Missed Dose: If it is almost time for your next scheduled dose, skip the missed dose altogether. Do not take a double dose to make up for the missed one.
• Consult Your Doctor: If you are unsure about what to do or if you frequently miss doses, talk to your doctor or pharmacist. They can provide specific advice based on your medical history and the medication’s dosing requirements.

What side effects can this medication cause?

Nintedanib, like any medication, can cause side effects. Not everyone will experience these side effects, and their severity can vary from person to person. Some common side effects of Nintedanib include:

• Gastrointestinal issues: Nausea, vomiting, diarrhea, and abdominal pain are among the most common side effects. Taking Nintedanib with food may help reduce the likelihood and severity of these symptoms.
• Fatigue: Feeling tired or experiencing general weakness is another relatively common side effect reported by some individuals taking Nintedanib.
• Liver toxicity: Nintedanib can affect liver function in some cases, leading to elevated liver enzyme levels. Regular monitoring of liver function may be required during treatment.
• High blood pressure: Nintedanib may cause an increase in blood pressure for some individuals. Blood pressure should be monitored regularly during treatment.
• Bleeding risk: Nintedanib can increase the risk of bleeding in some individuals. If you have a history of bleeding disorders or are taking blood-thinning medications, inform your healthcare provider.
• Decreased appetite: Some people may experience a reduced appetite while taking Nintedanib.
• Skin problems: Rash or other skin reactions have been reported in some cases.
• Cardiovascular events: In rare instances, Nintedanib has been associated with an increased risk of cardiovascular events such as heart attacks or strokes, particularly in patients with a history of cardiovascular disease.
• Wound healing: Nintedanib may affect wound healing. Before undergoing any surgery or dental procedure, inform your healthcare provider that you are taking Nintedanib.

It is essential to be aware of these potential side effects and promptly inform your healthcare provider if you experience any concerning symptoms while on Nintedanib. Your doctor will carefully weigh the benefits of the medication against the potential risks and monitor your response during treatment.

This list does not cover all possible side effects. If you have specific concerns or questions about side effects related to Nintedanib, please consult your healthcare provider or pharmacist for personalized guidance.

What should I know about storage and disposal of this medication?

Storage and disposal of Nintedanib:

• Storage: Store Nintedanib capsules at room temperature, away from moisture and heat. Follow the specific storage instructions provided on the medication packaging or by your pharmacist.
• Keep out of reach of children: Store Nintedanib in a secure location to prevent accidental ingestion by children or pets.
• Disposal: Dispose of unused or expired Nintedanib properly. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Contact your local waste disposal or recycling center to inquire about the appropriate method of disposal for medication.

In case of emergency/overdose

If you suspect an overdose or experience severe adverse effects after taking Nintedanib, seek immediate medical attention or contact your local poison control center. Overdose symptoms may include severe nausea, vomiting, dizziness, or difficulty breathing.

What other information should I know

• Follow your doctor’s instructions: Take Nintedanib exactly as prescribed by your healthcare provider. Do not change the dosage or stop taking the medication without consulting your doctor.
• Regular check-ups: Attend all follow-up appointments with your healthcare provider to monitor your condition’s progress and assess any potential side effects.
• Medication interactions: Inform your doctor about all other medications, supplements, and herbal products you are taking, as they may interact with Nintedanib.
• Allergies: Inform your doctor of any known allergies to medications or any other substances before starting Nintedanib.
• Pregnancy and breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding, as Nintedanib may not be safe during pregnancy and breastfeeding.
• Inform healthcare professionals: If you need to undergo surgery or dental procedures, inform the healthcare professional about your Nintedanib usage, as it may affect wound healing.
• Carry medical information: Keep a record of your medication, dosage, and doctor’s contact information in case of emergencies, especially if you are traveling.
• Compliance: It is essential to take Nintedanib regularly and as prescribed to achieve its therapeutic benefits effectively.

Always follow your doctor’s advice and communicate any questions or concerns you have regarding Nintedanib or your medical condition. Your healthcare provider is the best resource for providing personalized guidance and ensuring the safe and effective use of the medication.