Drug & supplement interaction

Animal-assisted Therapy + Nintedanib Esylate

Nintedanib Esylate brand name: Ofev.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Oct 4, 2026
The bottom line No known interaction

We found no known interaction between Animal-assisted Therapy and Nintedanib Esylate in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Animal-assisted Therapy and Nintedanib Esylate

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Nintedanib Esylate and Animal-assisted Therapy in our sources. This does not guarantee that the combination is completely free of risk — research on Animal-assisted Therapy alongside specific medications may be limited.

Worth understanding: our licensed dataset holds no drug-interaction record for Animal-assisted Therapy at all — not against Nintedanib Esylate, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

Animal-assisted Therapy is a treatment rather than something you take. Tell whoever provides it which medicines you use, and ask your prescriber whether it is appropriate for your health and treatment. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Animal-assisted Therapy safety at a glance

Animal-assisted Th... overall Use caution Generally low-risk when supervised, but allergies, infection risk, and animal safety must be considered.
Pregnancy Use caution Usually fine, but be careful around animals that may carry infections; check with your doctor.
Breastfeeding Use caution No direct concern for the baby, but practice good hygiene around animals.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Nintedanib Esylate and Animal-assisted Therapy? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Animal-assisted Therapy and Nintedanib Esylate May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so having Animal-assisted Therapy while taking the medicine can make those effects more likely to turn up, and harder to pin on one or the other if they do. One of them is worth acting on rather than waiting out — marked below.

  • A higher chance of infection Worth acting on Additional detail

    Animal-assisted Therapy

    “Animal-assisted therapy (AAT) is generally well tolerated, with few adverse effects reported. However, a thorough evaluation of safety outcomes has not been conducted.

    Serious Adverse Effects (Rare):

    Transmission of zoonotic diseases to patients, particularly those prone to infection. With equine therapy, falling and low back pain.”

    Animal-assisted Therapy · Natural Medicines adverse-effect record, reported in back pain.

    Nintedanib Esylate

    Listed in the ADVERSE REACTIONS section of the FDA label for Nintedanib Esylate. Read the label on DailyMed ›

  • Back pain Additional detail

    Animal-assisted Therapy

    “AAT involving horseback riding has rarely resulted in falling and low back pain aggravation.”

    Animal-assisted Therapy · Natural Medicines adverse-effect record, reported in back pain.

    3 sources cited
    1. 101919. Kwon JY, Chang HJ, Yi SH, Lee JY, Shin HY, Kim YH. Effect of hippotherapy on gross motor function in children with cerebral palsy: a randomized controlled trial. J Altern Complement Med. 2015;21(1):15-21. PubMed
    2. 101924. Jang B, Song J, Kim J, et al. Equine-assisted activities and therapy for treating children with attention-deficit/hyperactivity disorder. J Altern Complement Med. 2015;21(9):546-53. PubMed
    3. 101927. Vermöhlen V, Schiller P, Schickendantz S, et al. Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO). Mult Scler. 2018;24(10):1375-1382. PubMed

    Nintedanib Esylate

    Listed in the ADVERSE REACTIONS section of the FDA label for Nintedanib Esylate. Read the label on DailyMed ›

Effects for Nintedanib Esylate come from the ADVERSE REACTIONS section of its FDA label; effects for Animal-assisted Therapy come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 31,339 voluntary FDA FAERS reports for Nintedanib Esylate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Overlapping uses

What Nintedanib Esylate Is Prescribed For, and What Animal-assisted Therapy Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Nintedanib Esylate is a prescription medicine with approved uses on its FDA label. Animal-assisted Therapy is a treatment: what follows is what researchers have looked at it for, and how strong that evidence is.

Nintedanib Esylate is prescribed for: Nintedanib treats certain scarring lung diseases in adults. All the supported products are indicated for idiopathic pulmonary fibrosis (IPF) and for chronic fibrosing interstitial lung diseases (ILDs) with a progressive phenotype (scarring lung disease that keeps getting worse). Ofev, nintedanib capsules (100 mg and 150 mg) and one other nintedanib capsule product are also indicated to slow the decline in lung function in systemic sclerosis-associated interstitial lung disease (SSc-ILD). The nintedanib esylate capsule label lists only IPF and progressive chronic fibrosing ILDs.

Animal-assisted Therapy has been studied for:

  • Scleroderma studied, not established Animal-assisted Therapy has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Animal-assisted Therapy for scleroderma

    It is unclear if animal-assisted therapy (AAT) is beneficial in scleroderma.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Nintedanib Esylate on your own; if you are taking Animal-assisted Therapy for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

Everything else you take

See Every Supplement That Interacts With Nintedanib Esylate

This page covers Animal-assisted Therapy only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Nintedanib Esylate page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Danshen (major), Grapefruit (major), Piracetam (major) and St. John's Wort (major).

By severity: 5 major · 240 moderate · 40 minor.

From our pharmacist’s overview on the Nintedanib Esylate page

“You take Ofev (nintedanib) to slow lung scarring, and this page deserves a careful read before any supplement joins it. Of the 285 ingredients here, the biggest cluster, over 200, can add to bleeding risk, a real concern since nintedanib itself can make you bleed more easily.”

Reviewed by 2 · Jul 18, 2026

Open the Nintedanib Esylate interaction page

How much people look this up

Where Animal-assisted Therapy and Nintedanib Esylate Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Animal-assisted Therapy
Steady interest

#1,316 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Nintedanib Esylate
Top half

#1,018 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Animal-assisted Therapy reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified October 4, 2026. The Animal-assisted Therapy and Nintedanib Esylate records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Treatment approach

About Animal-assisted Therapy

What is Animal-assisted Therapy?

  • Anxiety and stress
  • Depression and low mood
  • Loneliness and social isolation
  • Pain and comfort during hospital stays
  • Support for children with autism or developmental needs
  • Rehabilitation and physical therapy motivation

Animal-assisted therapy uses trained animals, guided by professionals, to support emotional and physical well-being. Many people find it comforting and it appears generally low-risk, but high-quality evidence for treating specific medical conditions is still limited. It is best used alongside, not instead of, standard medical care.

Not applicable (this is a therapy, not an herb or supplement) · Sessions with trained therapy animals such as dogs, horses, cats, or other animals, guided by a handler or health professional

An interaction check asks whether these two react with each other — it does not ask whether Animal-assisted Therapy is a good idea for someone in your situation. Here is what our Animal-assisted Therapy record says about it on its own.

Animal-assisted Therapy: dosing

There is no standard dose for animal-assisted therapy. The number, length, and frequency of sessions are usually tailored to the person and their goals by the therapist or program running it.If you are interested in AAT, ask about programs run through reputable hospitals, clinics, or certified therapy-animal organizations. A pharmacist or doctor can help you decide if it is a reasonable addition to your care, especially if you have allergies or a weakened immune system.

From our Animal-assisted Therapy monograph — the full record covers uses, side effects and every documented interaction.

Read the full Animal-assisted Therapy monograph & all interactions
Medication

About Nintedanib

What Is Nintedanib Used For?

Brand name: Ofev

Nintedanib treats certain scarring lung diseases in adults. All the supported products are indicated for idiopathic pulmonary fibrosis (IPF) and for chronic fibrosing interstitial lung diseases (ILDs) with a progressive phenotype (scarring lung disease that keeps getting worse).

Ofev, nintedanib capsules (100 mg and 150 mg) and one other nintedanib capsule product are also indicated to slow the decline in lung function in systemic sclerosis-associated interstitial lung disease (SSc-ILD). The nintedanib esylate capsule label lists only IPF and progressive chronic fibrosing ILDs.

See full Nintedanib drug information
Keep checking

Other Drugs & Animal-assisted Therapy

Browse every other medication we’ve checked against Animal-assisted Therapy — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Animal-assisted Therapy against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Animal-assisted Therapy list.

See the full Animal-assisted Therapy interactions page
See every supplement checked against Nintedanib Esylate, ranked by severity
Evidence & sources

Animal-assisted Therapy References

The 3 references that drive our Animal-assisted Therapy monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Kwon JY, Chang HJ, Yi SH, Lee JY, Shin HY, Kim YH. Effect of hippotherapy on gross motor function in children with cerebral palsy: a randomized controlled trial. J Altern Complement Med. 2015;21(1):15-21. PubMed
  2. Jang B, Song J, Kim J, et al. Equine-assisted activities and therapy for treating children with attention-deficit/hyperactivity disorder. J Altern Complement Med. 2015;21(9):546-53. PubMed
  3. Vermöhlen V, Schiller P, Schickendantz S, et al. Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO). Mult Scler. 2018;24(10):1375-1382. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Having Animal-assisted Therapy While Taking Nintedanib Esylate: Common Questions

Is it safe to have Animal-assisted Therapy while taking Nintedanib Esylate?
We do not list a known interaction between Animal-assisted Therapy and Nintedanib Esylate. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Animal-assisted Therapy and Nintedanib Esylate have any of the same side effects?
Yes — our sources link each of them separately to 2 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Are Animal-assisted Therapy and Nintedanib Esylate used for the same thing?
They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Animal-assisted Therapy in each. That is a conversation for your prescriber, especially if Nintedanib Esylate is being adjusted to a target.
Does Nintedanib Esylate interact with any supplements?
Yes. Nintedanib Esylate has documented interactions with 285 supplements in our database — Animal-assisted Therapy is not one of them. The Nintedanib Esylate interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Animal-assisted Therapy monograph Uses, safety profile, and every drug interaction in one place Nintedanib drug information The full plain-English guide to this medication Nintedanib Esylate supplement interactions Every supplement checked against Nintedanib Esylate, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 3 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Nintedanib Esylate and Animal-assisted Therapy?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.