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Nintedanib Side Effects

In Summary

Commonly reported side effects of nintedanib include: abdominal pain, abdominal tenderness, abnormal hepatic function tests, diarrhea, gastrointestinal pain, increased gamma-glutamyl transferase, increased liver enzymes, increased serum alanine aminotransferase, increased serum aspartate aminotransferase, increased serum transaminases, lower abdominal pain, nausea, upper abdominal pain, vomiting, weight loss, hemorrhage, and decreased appetite. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to nintedanib: oral capsule

As well as its needed effects, nintedanib may cause unwanted side effects that require medical attention.

Major Side Effects

If any of the following side effects occur while taking nintedanib, check with your doctor immediately:

More common:
  • Diarrhea
  • nausea
  • severe stomach pain
  • vomiting
Less common:
  • Abdominal or stomach pain or swelling
  • black, tarry stools
  • blood in the urine
  • blurred vision
  • bruising or purple areas on the skin
  • chest pain or discomfort
  • coughing up blood
  • decreased alertness
  • dizziness
  • headache
  • irregular heartbeat
  • joint pain or swelling
  • nervousness
  • nosebleeds
  • pain or discomfort in the arms, jaw, back, or neck
  • pain in the chest, groin, or legs, especially calves of the legs
  • pounding in the ears
  • severe headaches of sudden onset
  • shortness of breath
  • slow or fast heartbeat
  • sudden loss of coordination
  • sudden onset of shortness of breath for no apparent reason
  • sudden onset of slurred speech
  • sudden vision changes
  • sweating

Minor Side Effects

Some nintedanib side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

More common:
  • Decreased appetite
  • weight loss
Less common:
  • Constipation
  • depression
  • dry skin and hair
  • feeling cold
  • hair loss
  • hoarseness or husky voice
  • muscle cramps and stiffness
  • slow heartbeat
  • unusual tiredness or weakness
  • weight gain

For Healthcare Professionals

Applies to nintedanib: oral capsule


The most common side effects included diarrhea, nausea, abdominal pain, vomiting, liver enzyme elevation, decreased appetite, headache, weight decreased, hypertension, and peripheral neuropathy.[Ref]


Very common (10% or more): Diarrhea (up to 62%), nausea (24%), abdominal pain (15%), vomiting (12%)
Uncommon (0.1% to 1%): Gastrointestinal perforation[Ref]


Common (1% to 10%): Hypertension, venous thromboembolism, myocardial infarction[Ref]


Very common (10% or more): Bleeding events (10%)
Common (1% to 10%): Febrile neutropenia
Frequency not reported: Neutropenia[Ref]


Very common (10% or more): Liver enzyme elevation (up to 43%)
Common (1% to 10%): Hyperbilirubinemia[Ref]


Frequency not reported: Mucositis (including stomatitis), rash[Ref]


Common (1% to 10%): Hypothyroidism[Ref]


Very common (10% or more): Decreased appetite (11%)
Common (1% to 10%): Dehydration
Frequency not reported: Electrolyte imbalance[Ref]

Nervous system

Very Common (10% or more): Peripheral neuropathy (19%)
Common (1% to 10%): Headache[Ref]


Frequency not reported: Lung neoplasm malignant[Ref]


Common (1% to 10%): Abscesses, sepsis[Ref]


Common (1% to 10%): Bronchitis
Frequency not reported: Pneumonia[Ref]


1. "Product Information. Ofev (nintedanib)." Boehringer Ingelheim, Ridgefield, CT.

2. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

It is possible that some side effects of nintedanib may not have been reported. These can be reported to the FDA here. Always consult a healthcare professional for medical advice.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.