Drug & supplement interaction

Detoxification + 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 Detoxification 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, and 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

Detoxification 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 Detoxification 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 Detoxification 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.

Detoxification safety at a glance

Detoxification overall Use caution Mild teas are usually low-risk, but aggressive cleanses, laxatives, and colon procedures can cause real harm.
Pregnancy Avoid Detox products, fasting, and laxative-based cleanses are not recommended during pregnancy.
Breastfeeding Avoid Cleanses and herbal detox blends are best avoided while breastfeeding due to unknown safety.

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

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

No Interaction Found — But Data Suggests Detoxification 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 taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Diarrhea reported in 32.4% of FDA reports for Nintedanib Esylate Additional detail

    Detoxification

    “The safety and adverse effects of detoxification depend on the method and substances used. Most information available on potential adverse effects is based only on anecdotal reports.

    Orally, detoxification regimens that involve high fiber intake can cause constipation. Regimens that involve the use of laxatives can cause diarrhea.”

    Detoxification · Natural Medicines adverse-effect record, reported in constipation.

    6 sources cited
    1. 93688. Klein AV, Kiat H. Detox diets for toxin elimination and weight management: a critical review of the evidence. J Hum Nutr Diet 2015;28(6):675-86. PubMed
    2. 99478. al-Zaki T, Jolly BT. Severe hyponatremia after "purification". Ann Emerg Med. 1997;29(1):194-5. PubMed
    3. 104877. Jung SJ, Kim WL, Park BH, Lee SO, Chae SW. Effect of toxic trace element detoxification, body fat reduction following four-week intake of the Wellnessup diet: a three-arm, randomized clinical trial. Nutr Metab (Lond). 2020 Jun 22;17:47. PubMed
    4. 3026. Margolin KA, Green MR. Polymicrobial enteric septicemia from coffee enemas. West J Med 1984;140:460.
    5. 3347. Green S. A critique of the rationale for cancer treatment with coffee enemas and diet. JAMA 1992;268:3224-7. DOI
    6. 3349. Shils ME, Herman MG. Unproved dietary claims in the treatment of patients with cancer. Bull N Y Acad Med 1982;58:323-39.

    “Detoxification that involves significantly altering the types of foods consumed can result in several potential side effects. Diets that eliminate caffeine may result in diarrhea, which can lead to fluid and electrolyte loss and dehydration. High fiber diets sometimes result in constipation. Detoxification programs often include laxatives.”

    Detoxification · Natural Medicines adverse-effect record, reported in constipation.

    2 sources cited
    1. 96868. Acosta RD, Cash BD. Clinical effects of colonic cleansing for general health promotion: a systematic review. Am J Gastroenterol. 2009;104(11):2830-6. PubMed
    2. 103273. Lee AH, Kabashneh S, Tsouvalas CP, et al. Proctocolitis from coffee enema. ACG Case Rep J. 2020;7(1):e00292. PubMed

    Nintedanib Esylate

    Listed in the ADVERSE REACTIONS section of the FDA label for Nintedanib Esylate, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Tiredness Additional detail

    Detoxification

    “Detoxification that eliminates caffeine can result in caffeine withdrawal headaches.

    Detoxification that eliminates or reduces protein intake by eliminating meat can result in mood changes, fatigue, tiredness, and a variety of other symptoms.

    In one case, serotonin syndrome was reported in a 19-year-old man attempting detoxification with tryptophan and St. John's wort after using MDMA (ecstasy).”

    Detoxification · Natural Medicines adverse-effect record, reported in fatigue.

    1 source cited
    1. 93688. Klein AV, Kiat H. Detox diets for toxin elimination and weight management: a critical review of the evidence. J Hum Nutr Diet 2015;28(6):675-86. PubMed

    Nintedanib Esylate

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

  • Headache Additional detail

    Detoxification

    Recorded for Detoxification in the same Natural Medicines adverse-effect record shown under Tiredness above.

    Nintedanib Esylate

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

Reported for Detoxification but not commonly for Nintedanib Esylate: an electrolyte imbalance, serotonin syndrome, constipation and mood changes or irritability.

Effects for Nintedanib Esylate come from the ADVERSE REACTIONS section of its FDA label; effects for Detoxification 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.

How to take them

Some Nintedanib Esylate Products Have a Food Rule — Detoxification Should Not Break It

At least one FDA label for a product containing Nintedanib Esylate says to take it with food. If you take Detoxification 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.

Everything else you take

See Every Supplement That Interacts With Nintedanib Esylate

This page covers Detoxification 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 Detoxification 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 Detoxification
Steady interest

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

29 days ago today
Medication Nintedanib Esylate
Top half

#1,059 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 Detoxification reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified October 4, 2026. The Detoxification 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 .
Supplement

About Detoxification

What is Detoxification?

  • Perceived cleansing of toxins
  • Weight loss support
  • Boosting energy
  • Improving digestion
  • Clearer skin
  • Post-holiday or post-alcohol 'reset'

"Detoxification" supplements and cleanses are marketed to flush toxins from the body, but your liver, kidneys, lungs, and gut already do this job well in healthy people. There is little solid evidence that commercial detox products remove toxins or improve health, and some can cause side effects or even harm. If you are concerned about a real toxic exposure, talk to a doctor rather than relying on a detox product.

Teas, juice cleanses, capsules, powders, liquid drops, foot pads, enemas/colon cleanses, supplement 'detox kits'

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

Detoxification: dosing

There is no standardized or proven dose for "detoxification" because it is not a single ingredient and the products vary widely. There is also no medically established detox "protocol" for healthy people who are not facing a real toxic exposure.If you choose to try a commercial detox product, follow the label directions exactly and do not exceed them, especially for products containing laxatives or stimulant herbs. Avoid long fasts and repeated cleanses. Drink enough fluids, and stop if you feel unwell.A pharmacist can help you read the ingredient list, spot risky herbs, and decide whether a product is appropriate for you and your medications.

From our Detoxification monograph — the full record covers uses, side effects and every documented interaction.

Read the full Detoxification 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 & Detoxification

Browse every other medication we’ve checked against Detoxification — 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 Detoxification 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 Detoxification list.

See the full Detoxification interactions page
See every supplement checked against Nintedanib Esylate, ranked by severity
Evidence & sources

Detoxification References

The 9 references that drive our Detoxification 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. Margolin KA, Green MR. Polymicrobial enteric septicemia from coffee enemas. West J Med 1984;140:460.
  2. Green S. A critique of the rationale for cancer treatment with coffee enemas and diet. JAMA 1992;268:3224-7. DOI
  3. Shils ME, Herman MG. Unproved dietary claims in the treatment of patients with cancer. Bull N Y Acad Med 1982;58:323-39.
  4. Brown BT. Treating cancer with coffee enemas and diet. JAMA 1993;269:1635-6. DOI
  5. Klein AV, Kiat H. Detox diets for toxin elimination and weight management: a critical review of the evidence. J Hum Nutr Diet 2015;28(6):675-86. PubMed
  6. Acosta RD, Cash BD. Clinical effects of colonic cleansing for general health promotion: a systematic review. Am J Gastroenterol. 2009;104(11):2830-6. PubMed
  7. al-Zaki T, Jolly BT. Severe hyponatremia after "purification". Ann Emerg Med. 1997;29(1):194-5. PubMed
  8. Lee AH, Kabashneh S, Tsouvalas CP, et al. Proctocolitis from coffee enema. ACG Case Rep J. 2020;7(1):e00292. PubMed
  9. Jung SJ, Kim WL, Park BH, Lee SO, Chae SW. Effect of toxic trace element detoxification, body fat reduction following four-week intake of the Wellnessup diet: a three-arm, randomized clinical trial. Nutr Metab (Lond). 2020 Jun 22;17:47. 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

Taking Detoxification and Nintedanib Esylate Together: Common Questions

Is it safe to take Detoxification with Nintedanib Esylate?
We do not list a known interaction between Detoxification 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 Detoxification and Nintedanib Esylate have any of the same side effects?
Yes — our sources link each of them separately to 3 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.
Should I take Detoxification and Nintedanib Esylate at the same time of day?
At least one FDA label for a product containing Nintedanib Esylate says to take it with food. If you take Detoxification on an empty stomach out of habit, keep them separate and take Nintedanib Esylate with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Nintedanib Esylate products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Nintedanib Esylate interact with any supplements?
Yes. Nintedanib Esylate has documented interactions with 285 supplements in our database — Detoxification 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

Detoxification 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 9 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Nintedanib Esylate and Detoxification?

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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.