Bitter Milkwort + Nintedanib Esylate
Nintedanib Esylate brand name: Ofev.
We found no known interaction between Bitter Milkwort 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 label for Nintedanib Esylate states a food rule worth keeping to.
Bitter Milkwort 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 Bitter Milkwort in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.
Worth understanding: our licensed dataset holds no drug-interaction record for Bitter Milkwort 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.
If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. 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.
Bitter Milkwort safety at a glance
Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Some Nintedanib Esylate Products Have a Food Rule — Bitter Milkwort Should Not Break It
At least one FDA label for a product containing Nintedanib Esylate says to take it with food. If you take Bitter Milkwort on an empty stomach out of habit, keep them separate — and take Nintedanib Esylate with a meal where the label says to.
This may not be true of your version. Food instructions belong to the product, not the ingredient: two Nintedanib Esylate products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.
2 DOSAGE AND ADMINISTRATION Recommended dosage: 150 mg taken orally twice daily approximately 12 hours apart taken with food.
From the Dosage and Administration section of the FDA label we read for Nintedanib Esylate — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›
A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.
See Every Supplement That Interacts With Nintedanib Esylate
This page covers Bitter Milkwort 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
Where Bitter Milkwort 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.
#1,332 of 1,452 supplements looked up here in the last 7 days
#875 of 2,830 medications looked up here in the last 7 days
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. Bitter Milkwort is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
- Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Bitter Milkwort reference on this page ↓
- Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Bitter Milkwort and Nintedanib Esylate records this page draws on were last updated June 22, 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.
About Bitter Milkwort
What is Bitter Milkwort?
- Cough and chest congestion
- Digestive upset and poor appetite
- Bitter tonic
- Mild relaxation
- Sore throat
Bitter Milkwort is a European herb traditionally used to loosen mucus, support digestion, and as a bitter tonic. There is very little modern clinical research to confirm these uses, so it should be viewed as a traditional remedy rather than a proven treatment. Talk with a pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.
Polygala amara · Polygalaceae · Aerial parts (flowering herb) and root · Tea, tincture, liquid extract, capsules
An interaction check asks whether these two react with each other — it does not ask whether Bitter Milkwort is a good idea for someone in your situation. Here is what our Bitter Milkwort record says about it on its own.
Bitter Milkwort: dosing
There is no well-established, standardized dose for Bitter Milkwort. Traditional use typically involves a small amount of the dried herb as a tea or a measured number of drops of tincture or liquid extract.Because products vary widely in strength, the safest approach is to follow the directions on the product label and not exceed them.
From our Bitter Milkwort monograph — the full record covers uses, side effects and every documented interaction.
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.
Other Drugs & Bitter Milkwort
Browse every other medication we’ve checked against Bitter Milkwort — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
No interaction 2,829 drugs checked — show the list
We also checked Bitter Milkwort against these medications and found no known interaction in our sources. Open any page to confirm.
- Apixaban ›
- Levothyroxine ›
- Amlodipine ›
- Methylphenidate ›
- Warfarin ›
- Ivermectin ›
- Abemaciclib ›
- Testosterone ›
- Sertraline ›
- Losartan Potassium ›
- Acetaminophen ›
- Rosuvastatin ›
- Aspirin ›
- Escitalopram ›
- Metoprolol ›
- Clopidogrel ›
- Atorvastatin ›
- Rivaroxaban ›
- Isotretinoin ›
- Tirzepatide ›
- Warfarin Sodium ›
- Ibuprofen ›
- Methamphetamine ›
- Amlodipine Besylate ›
- Docusate ›
- Tadalafil ›
- Valacyclovir ›
- Prednisone ›
- Metformin ›
- Hydroxyurea ›
- Sumatriptan ›
- Semaglutide ›
- Amitriptyline ›
- Lisdexamfetamine ›
- Levothyroxine, Liothyronine ›
- Amphetamine ›
- Propranolol ›
- Methotrexate ›
- Amoxicillin ›
- Lisinopril ›
- Bupropion ›
- Fluoxetine ›
- Azithromycin ›
- Pregabalin ›
- Doxycycline ›
- Bendamustine ›
- Gabapentin ›
- Dextroamphetamine ›
- Lamotrigine ›
- Naproxen ›
- Acetaminophen, Aspirin, Caffeine ›
- Acyclovir ›
- Quetiapine ›
- Clonazepam ›
- Buspirone ›
- Omeprazole ›
- Letrozole ›
- Duloxetine ›
- Citalopram ›
- Methylene Blue ›
Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Bitter Milkwort list.
Bitter Milkwort References
The 3 sources that drive our Bitter Milkwort monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Bitter Milkwort is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.
- Polygala (milkwort) and herbal expectorants overview — MedlinePlus Source
- Using Dietary Supplements Wisely — NIH NCCIH Source
- Dietary Supplements: What You Need to Know — NIH Office of Dietary Supplements Source
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.
Taking Bitter Milkwort and Nintedanib Esylate Together: Common Questions
Is it safe to take Bitter Milkwort with Nintedanib Esylate?
Should I take Bitter Milkwort and Nintedanib Esylate at the same time of day?
Does Nintedanib Esylate interact with any supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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.