OFEV

Nintedanib 150mg, Oral capsule, liquid filled

Grapefruit juice

· Severity: Moderate

· Notes for Consumers: Do not take Grapefruit Juice during nintedanib treatment without talking to your health care provider. It is best if you limit or avoid grapefruit juice during treatment. Side effects from Nintedanib may get worse if you take Grapefruit Juice, including nausea, vomiting, diarrhea, abdominal pain, headache, or other side effects. Discuss any new or worsening side effects with your health care provider.

· Notes for Professionals: Patients should limit or avoid grapefruit juice during nintedanib treatment. Grapefruit Juice is a potent inhibitor of CYP3A4 and a moderate P-glycoprotein (P-gp) inhibitor; nintedanib is a P-gp substrate as well as a minor substrate of CYP3A4. Coadministration may increase the concentration and clinical effect of nintedanib. If the patient continues to regularly ingest grapefruit juice in the diet, closely monitor for increased nintedanib side effects including nausea, vomiting, diarrhea, gastrointestinal toxicity, or elevated liver enzymes. If these occur, the patient should discontinue use of grapefruit juice.

<b>DISCLAIMER:</b><em> This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.</em>