Product image of Nintedanib Eg (Nintedanib) supplied by GNH India

Nintedanib Eg

Active Ingredient:
Nintedanib
Origin:
EU

Nintedanib Eg (Nintedanib)

Nintedanib, the active ingredient in Nintedanib Eg, is a tyrosine kinase inhibitor presented as a tablet for oral use. It is indicated for the treatment of idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and non‑small cell lung cancer in adult patients where disease progression warrants antifibrotic therapy.

GNH India supplies Nintedanib Eg as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Eg Labo Laboratoires Eurogenerics

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Indications & Clinical Uses

Nintedanib is used to target fibrotic and oncologic pathways in several serious lung conditions.

  • Idiopathic pulmonary fibrosis: slows decline in lung function and reduces disease progression.
  • Systemic sclerosis‑associated interstitial lung disease: improves forced vital capacity and delays worsening.
  • Non‑small cell lung cancer: used in combination therapy to inhibit tumor growth in patients with specific disease characteristics.

How It Works

  • Nintedanib blocks multiple receptor tyrosine kinases, notably VEGFR 1‑3, PDGFR‑α/β and FGFR 1‑3. Inhibition of these pathways curtails fibroblast proliferation, angiogenesis, and extracellular matrix deposition, thereby attenuating fibrotic remodeling and tumor‑driven vascular growth.

Side Effects

Nintedanib may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Diarrhea: frequent loose stools, often mild to moderate.
  • Nausea: sensation of unease or urge to vomit.
  • Vomiting: expulsion of stomach contents.
  • Elevated liver enzymes: increased ALT/AST levels on laboratory testing.

Serious or Rare Side Effects

  • Hepatotoxicity: potential liver injury requiring monitoring.
  • Severe bleeding: heightened risk of gastrointestinal or other hemorrhage.
  • Cardiovascular events: includes myocardial infarction or ischemic heart disease.
  • Exacerbation of interstitial lung disease: worsening respiratory symptoms.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Liver monitoring: assess hepatic function regularly and adjust therapy if transaminases rise.
  • Bleeding risk: evaluate patient history of hemorrhage and use caution with anticoagulants.
  • Cardiovascular assessment: screen for existing heart disease before treatment.
  • Pregnancy and lactation: avoid use due to unknown safety; discuss alternatives.
  • Severe hepatic impairment: contraindicated in patients with marked liver dysfunction.
  • Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Nintedanib can interact with other medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase exposure.
  • Anticoagulants (e.g., warfarin, direct oral anticoagulants): heightened bleeding risk.
  • P‑gp inhibitors (e.g., verapamil, amiodarone): can raise plasma concentrations.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy.
  • Antacids that raise gastric pH: could affect absorption, monitor therapeutic response.
  • Concomitant antifibrotic agents: assess additive toxicity, especially hepatic.

Frequently Asked Questions

Nintedanib Eg is prescribed for three primary indications: idiopathic pulmonary fibrosis, where it helps slow lung function decline; systemic sclerosis‑associated interstitial lung disease, where it can improve forced vital capacity; and non‑small cell lung cancer, where it is used as part of combination regimens to inhibit tumor growth.

Nintedanib blocks several receptor tyrosine kinases—VEGFR, PDGFR and FGFR. By inhibiting these signals, the drug reduces fibroblast proliferation, angiogenesis, and extracellular matrix formation, which together limit fibrotic tissue remodeling and tumor‑driven blood vessel formation.

The exact dose of Nintedanib Eg is determined by the prescribing clinician based on the patient’s specific condition, disease severity, renal and hepatic function, and any concomitant medications. Dosage adjustments are made according to clinical response and tolerability, not by a fixed schedule.

Safety data for Nintedanib in pregnancy and lactation are limited, and the drug is classified as contraindicated or not recommended for use in these situations. Women of child‑bearing potential should use effective contraception, and breastfeeding mothers should avoid the medication unless the benefits outweigh potential risks.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Nintedanib Eg. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

The primary alternative antifibrotic is pirfenidone. Both agents aim to slow disease progression in idiopathic pulmonary fibrosis, but they differ in mechanism—pirfenidone modulates cytokine production, while Nintedanib inhibits multiple tyrosine kinases. Choice between them depends on patient tolerance, liver function, drug‑interaction profile, and physician judgment.

Nintedanib Eg should be stored at room temperature, below 25 °C, in its original packaging. Keep the tablets away from moisture, direct sunlight, and excessive heat. Do not refrigerate or freeze the product, and ensure the container remains tightly closed until use.

Nintedanib Eg is taken orally, usually with a full glass of water. It is recommended to swallow the tablet whole and not to crush or chew it. Dosing times (e.g., with food) are guided by the prescriber to improve tolerability and absorption.

The most serious adverse events include hepatotoxicity (elevated liver enzymes or liver injury), severe bleeding (especially when combined with anticoagulants), and cardiovascular complications such as myocardial infarction. Patients should be monitored regularly for liver function, signs of bleeding, and cardiac symptoms.

Nintedanib Eg is contraindicated in patients with severe hepatic impairment, those who are pregnant or breastfeeding, and individuals with uncontrolled bleeding disorders. Caution is also advised for patients with significant cardiovascular disease, and the drug should be avoided in anyone with known hypersensitivity to Nintedanib or its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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