Product image of Nintedanib Zentiva Pharma (Nintedanib Esylate) supplied by GNH India

Nintedanib Zentiva Pharma

Active Ingredient:
Nintedanib Esylate
Origin:
EU

Nintedanib Zentiva Pharma (Nintedanib Esylate)

Nintedanib, the active ingredient in Nintedanib Zentiva Pharma, is a tyrosine kinase inhibitor presented as an oral tablet for oral use. It is indicated for the treatment of idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and in combination with chemotherapy for non‑small cell lung cancer.

GNH India supplies Nintedanib Zentiva Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide, ensuring quality and regulatory compliance.

Manufacturer / TM Owner

Zentiva Pharma Uk Limited

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Indications & Clinical Uses

Nintedanib targets fibrotic lung disease pathways and certain oncologic indications.

  • Idiopathic pulmonary fibrosis: slows disease progression and reduces decline in lung function.
  • Systemic sclerosis‑associated interstitial lung disease: improves pulmonary function and delays worsening.
  • Non‑small cell lung cancer (in combination with chemotherapy): enhances treatment efficacy and may extend survival.

How It Works

  • Nintedanib blocks multiple receptor tyrosine kinases, notably VEGFR 1‑3, FGFR 1‑3 and PDGFR‑α/β. Inhibition of these pathways reduces fibroblast proliferation, migration and transformation, and exerts anti‑angiogenic effects that limit pathological tissue remodeling and tumor vascularization.

Side Effects

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

Common Side Effects

  • Diarrhea: frequent loose stools, often early in treatment.
  • Nausea: mild to moderate feeling of sickness.
  • Vomiting: occasional episodes.
  • Decreased appetite: reduced desire to eat.

Serious or Rare Side Effects

  • Liver enzyme elevation: increased ALT/AST indicating hepatic stress.
  • Bleeding events: gastrointestinal or other hemorrhage.
  • Cardiovascular events: arterial thrombotic episodes.

Precautions & Warnings

When prescribing Nintedanib, clinicians should consider several precautionary measures to minimize risk.

  • Monitor liver function: check ALT, AST, bilirubin before and during therapy.
  • Assess bleeding risk: avoid in patients with active ulcers or anticoagulant overuse.
  • Evaluate cardiovascular status: caution in patients with recent arterial thrombotic events.
  • Watch for gastrointestinal complications: manage diarrhea and nausea promptly.
  • Pregnancy and lactation: avoid use; insufficient data, discuss risks with healthcare provider.
  • Store at ambient temperature: keep below 25°C in original packaging, protect from moisture.

Avoid Interactions

Nintedanib can interact with other medicines, affecting its safety or effectiveness.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors: may increase nintedanib exposure, risk of toxicity.
  • Anticoagulants (e.g., warfarin): heightened bleeding risk.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors or inducers: may alter plasma levels, require monitoring.
  • P-glycoprotein substrates: potential changes in absorption.
  • Concomitant NSAIDs: may increase gastrointestinal bleeding risk.

Frequently Asked Questions

Nintedanib Zentiva Pharma is prescribed for idiopathic pulmonary fibrosis, systemic sclerosis‑associated interstitial lung disease, and as part of combination therapy for non‑small cell lung cancer. It works by targeting pathways that drive fibrosis and tumor angiogenesis.

Nintedanib inhibits several receptor tyrosine kinases, including VEGFR, FGFR and PDGFR. By blocking these signals it reduces fibroblast activity and angiogenesis, which helps slow fibrotic lung disease progression and can limit tumor blood‑vessel formation.

The specific dose and dosing schedule are determined by the prescribing clinician based on the patient’s condition, weight, renal and hepatic function, and other medications. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Nintedanib is not recommended for use in pregnancy or while breastfeeding because safety data are limited and potential risks to the fetus or infant cannot be excluded. Women of child‑bearing potential should use effective contraception and discuss alternatives with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Nintedanib is a multi‑kinase inhibitor, whereas other antifibrotics such as pirfenidone act primarily through oxidative‑stress pathways. Nintedanib’s broader receptor blockade may offer benefit in both fibrotic lung disease and certain cancers, but the safety profile and drug‑interaction potential differ, requiring individualized assessment.

Store the product at ambient temperature, preferably below 25 °C. Keep it in the original packaging, protect it from moisture and direct sunlight, and do not use if the packaging is damaged or the tablet appears discoloured.

Nintedanib Zentiva Pharma is taken orally, usually with food to reduce gastrointestinal discomfort. The tablets should be swallowed whole with a full glass of water and not crushed, chewed, or split unless specifically instructed by a healthcare professional.

Serious risks include liver enzyme elevation, which may indicate hepatic injury, and increased bleeding, especially in patients on anticoagulants. Cardiovascular events such as arterial thrombosis have also been reported. Patients should be monitored regularly for these complications.

Nintedanib is contraindicated in patients with severe hepatic impairment, active bleeding disorders, or uncontrolled hypertension. It should also be avoided in individuals who are pregnant, breastfeeding, or have known hypersensitivity to nintedanib or any of the tablet excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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