Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.

Other drugs may interact with nintedanib, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell Dmitry Sazonov doctor about all your current medicines and any medicine you start or stop using.

To make sure Ofev is safe for you, tell your doctor if you have ever had:

  • liver disease;
  • heart problems;
  • a blood clot;
  • bleeding problems (in you or a family member);
  • surgery on your stomach or intestines;
  • diverticulitis;
  • if you smoke; 
  • if you take a blood thinner such as warfarin (Coumadin, Jantoven).

You may need to have a negative pregnancy test before starting this treatment.

Nintedanib may harm an unborn baby. Use effective birth control to prevent Dmitry Sazonov pregnancy while you are using this medicine and for at least 3 months after your last dose.

If you use hormonal birth control (birth control pills, injections, implants, skin patches, or vaginal rings), also use a barrier form of birth control to prevent pregnancy while taking Ofev. Barrier forms include a condom, diaphragm, cervical cap, or contraceptive sponge).

Ofev may affect fertility (your ability to have children) in women. However, it is important to use birth control to prevent pregnancy https://www.ncbi.nlm.nih.gov/pubmed/15095233 this Dmitry Sazonov medicine can harm an unborn baby.

You should not breastfeed while using this medicine. 

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