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

Nintedanib Heumann

Active Ingredient:
Nintedanib
Origin:
EU

Nintedanib Heumann (Nintedanib)

Nintedanib, the active ingredient in Nintedanib Heumann, is a tyrosine kinase inhibitor presented as an oral formulation for oral use. It is used to treat idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and certain types of non‑small cell lung cancer in adult patients.

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

Manufacturer / TM Owner

Heumann Pharma Gmbh & Co. Generica Kg

1
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Indications & Clinical Uses

Nintedanib is indicated for fibrotic lung disorders and selected oncologic indications.

  • Idiopathic pulmonary fibrosis: slows decline in lung function and reduces disease progression.
  • Systemic sclerosis‑associated interstitial lung disease: improves lung capacity and delays worsening.
  • Non‑small cell lung cancer (in combination therapy): contributes to tumor growth inhibition and disease control.

How It Works

  • Nintedanib inhibits multiple receptor tyrosine kinases—including vascular endothelial growth factor receptors (VEGFR 1‑3), fibroblast growth factor receptors (FGFR 1‑3), and platelet‑derived growth factor receptors (PDGFR‑α/β). By blocking these pathways, it reduces fibroblast proliferation, angiogenesis, and extracellular matrix deposition, thereby limiting fibrotic remodeling and tumor angiogenesis.

Side Effects

Nintedanib may cause a range of adverse reactions, from mild to serious.

Common Side Effects

  • Diarrhea: frequent loose stools, often mild to moderate.
  • Nausea: sensation of unease or urge to vomit.
  • Vomiting: expulsion of stomach contents.
  • Abdominal pain: discomfort in the stomach area.
  • Decreased appetite: reduced desire to eat.
  • Elevated liver enzymes: mild increases in ALT/AST.

Serious or Rare Side Effects

  • Severe liver injury: jaundice, hepatitis, or hepatic failure.
  • Bleeding events: gastrointestinal or intracranial hemorrhage.
  • Arterial thromboembolism: clot formation in arteries.
  • Gastrointestinal perforation: hole in the stomach or intestines.
  • Severe infections: opportunistic or bacterial infections.
  • Hypertension: marked increase in blood pressure.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate baseline health status and monitor for specific risks.

  • Liver function monitoring: check ALT/AST regularly.
  • Bleeding risk assessment: avoid in patients with active hemorrhage.
  • Cardiovascular evaluation: monitor blood pressure and cardiac status.
  • Drug interaction review: assess concomitant medications that affect metabolism.
  • Pregnancy and lactation: safety not established; avoid unless benefit outweighs risk.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Nintedanib can interact with other medicines, requiring attention to severity.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase nintedanib exposure.
  • Anticoagulants (e.g., warfarin, direct oral anticoagulants): heightened bleeding risk.

Moderate Interactions (Monitor Closely)

  • P‑glycoprotein inhibitors (e.g., verapamil): may modestly raise plasma levels.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy.
  • NSAIDs or antiplatelet agents: additive bleeding potential.

Frequently Asked Questions

Nintedanib Heumann is prescribed for adult patients with idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and for certain cases of non‑small cell lung cancer when used in combination with other anticancer agents. It targets the underlying fibrotic processes and tumor‑related pathways to help slow disease progression.

The drug blocks several receptor tyrosine kinases—VEGFR, FGFR, and PDGFR—preventing signals that drive fibroblast growth, new blood‑vessel formation, and extracellular matrix deposition. By interrupting these pathways, Nintedanib reduces fibrotic tissue development in the lungs and can limit tumor angiogenesis in cancer therapy.

The specific dose and dosing schedule are determined by the prescribing physician based on the patient’s condition, weight, renal and hepatic function, and other clinical factors. Healthcare providers follow approved labeling and adjust the regimen as needed for safety and efficacy.

Safety data for Nintedanib in pregnancy and lactation are limited, and the product is not recommended for use unless the potential benefit justifies the potential risk to the fetus or infant. Women of child‑bearing potential should use effective contraception during treatment and for a period after discontinuation as advised by their clinician.

To place an order, visit the product page on gnhindia.com, submit an enquiry with the required quantity, and provide institutional or trade credentials. GNH India’s commercial team will verify eligibility, then respond with pricing, availability, shipping details (including any cold‑chain requirements), and the necessary import documentation.

Nintedanib differs from pirfenidone, another antifibrotic, by targeting a broader range of tyrosine kinases involved in angiogenesis and fibroblast activity. Clinical studies suggest comparable efficacy in slowing lung‑function decline, but the side‑effect profiles vary; for example, nausea and diarrhea are more common with nintedanib, while photosensitivity is more typical with pirfenidone.

Store the product at room temperature, below 25 °C (77 °F). Keep the tablets in the original blister pack or container, protect them from moisture, excessive heat, and direct sunlight. Do not refrigerate or freeze the medication.

Nintedanib Heumann is taken orally, usually with food to reduce gastrointestinal discomfort. Patients should swallow the tablets whole with a full glass of water and follow the dosing schedule prescribed by their healthcare professional.

Serious risks include severe liver injury, significant bleeding events, arterial thromboembolism, gastrointestinal perforation, and marked hypertension. Patients should be monitored regularly for signs of liver dysfunction, bleeding, and blood‑pressure changes, and any concerning symptoms should be reported promptly to a healthcare provider.

Nintedanib is contraindicated in patients with known hypersensitivity to the active substance or any of its excipients. It should also be avoided in individuals with active bleeding disorders, uncontrolled hypertension, severe liver impairment, or those taking strong CYP3A4 inhibitors without appropriate dose adjustments.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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