What is the recommended Ofev (Nintedanib) dosage in patients with elevated liver enzymes?

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Last updated: February 10, 2025View editorial policy

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From the Research

Recommended Dosage

  • The recommended dose of Ofev (Nintedanib) is 150 mg twice daily 1.
  • However, in patients with elevated liver enzymes, dose reduction or treatment interruption may be necessary to manage liver enzyme elevations 2.

Dose Adjustment

  • Patients with mild hepatic impairment should be monitored closely and the dose adjusted accordingly 3.
  • Administration of nintedanib in patients with moderate or severe hepatic impairment is not recommended 3.
  • In some cases, patients may require a dose reduction to 100 mg twice daily due to adverse events such as diarrhea or liver enzyme elevations 2, 4.

Safety and Tolerability

  • Nintedanib has a manageable safety and tolerability profile in patients with idiopathic pulmonary fibrosis (IPF) 2, 5.
  • The most common adverse events associated with nintedanib are diarrhea, nausea, and liver enzyme elevations 2, 1, 4, 5.
  • Monitoring of liver enzymes before and periodically during nintedanib treatment is recommended to manage liver enzyme elevations 2.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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