Drug & supplement interaction

Nasal Irrigation + Nintedanib Esylate

Nintedanib Esylate brand name: Ofev.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Nasal Irrigation 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

Nasal Irrigation 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 Nasal Irrigation in our sources. This does not guarantee that the combination is completely free of risk — research on Nasal Irrigation alongside specific medications may be limited.

Worth understanding: our licensed dataset holds no drug-interaction record for Nasal Irrigation 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.

Nasal Irrigation is used rather than swallowed. Ask your pharmacist or doctor whether it is appropriate alongside your medicines. 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.

Nasal Irrigation safety at a glance

Nasal Irrigation overall Generally safe Generally safe when done with sterile or distilled water and a clean device.
Pregnancy Likely Safe When used appropriately. Saline solution is not harmful to the fetus or newborn. Read the full pregnancy detail
Breastfeeding Likely Safe When used appropriately. Saline solution is not harmful to the fetus or newborn. Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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

No Interaction Found — But Data Suggests Nasal Irrigation 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 using Nasal Irrigation 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. 2 of them are worth acting on rather than waiting out — marked below.

  • A higher chance of infection Worth acting on reported in 10.6% of FDA reports for Nintedanib Esylate Additional detail

    Nasal Irrigation

    “Nasal irrigation can cause mild side effects including nasal burning, pain, stinging, discharge, and irritation, and ear fullness, ringing, and pain. Irrigation solutions with a higher concentration of salt increase these side effects. In rare cases, epistaxis, nausea, coughing, and headaches have occurred.”

    Nasal Irrigation · Natural Medicines adverse-effect record, reported in nausea and vomiting.

    6 sources cited
    1. 16135. Saline nasal irrigation and use of neti pots. Pharmacist's Letter/Prescriber's Letter 2008;24(3):240307.
    2. 17039. Rabago D, Zgierska A. Saline nasal irrigation for upper respiratory conditions. Am Fam Physician 2009;80:1117-9. DOI
    3. 88354. Rabago D, Zgierska A, Mundt M, et al. Efficacy of daily hypertonic saline nasal irrigation among patients with sinusitis: a randomized controlled trial. J Fam Pract 2002;51(12):1049-55.
    4. 93984. Chusakul S, Warathanasin S, Suksangpanya N, et al.. Comparison of buffered and nonbuffered nasal saline irrigations in treating allergic rhinitis. Laryngoscope. 2013 Jan;123(1):53-6. DOI
    5. 93986. Jeffe JS, Bhushan B, Schroeder JW Jr. Nasal saline irrigation in children: a study of compliance and tolerance. Int J Pediatr Otorhinolaryngol. 2012 Mar;76(3):409-13. PubMed
    6. 93988. King D, Mitchell B, Williams CP, Spurling GK. Saline nasal irrigation for acute upper respiratory tract infections. Cochrane Database Syst Rev. 2015 Apr 20;(4):CD006821. PubMed

    “There is some concern that chronic use of nasal irrigation might actually increase the risk of sinus infection recurrence in patients with chronic rhinosinusitis. In a preliminary study, chronic users of nasal irrigation had a reduced risk of rhinosinusitis recurrence after discontinuing nasal irrigation compared to those who continued using nasal irrigation.”

    Nasal Irrigation · Natural Medicines adverse-effect record, reported in sinusitis.

    5 sources cited
    1. 17040. Nsouli TM. Long-term use of nasal saline irrigation: harmful or helpful (abstract 32). Ann Allergy Asthma Immunol 2009;103(5 Suppl 3):A27-8.
    2. 93987. Keen M, Foreman A, Wormald PJ. The clinical significance of nasal irrigation bottle contamination. Laryngoscope. 2010 Oct;120(10):2110-4. PubMed
    3. 93993. Satdhabudha A, Utispan K, Monthanapisut P, Poachanukoon O. A randomized controlled study comparing the efficacy of nasal saline irrigation devices in children with acute rhinosinusitis. Asian Pac J Allergy Immunol. 2016 Aug 16.
    4. 17911. North Louisiana woman dies from rare ameba infection. Louisiana Department of Public Health, December 6, 2011. Available at: http://new.dhh.louisiana.gov/index.cfm/newsroom/detail/2332. (Accessed 4 January 2012).
    5. 93982. Cain RB, Lal D, Barrs DM. Infected cochlear implant after large-volume nasal irrigation. Otol Neurotol. 2015 Jan;36(1):12-3. 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 ›

  • Bleeding or bruising Worth acting on Additional detail

    Nasal Irrigation

    “Nasal irrigation can cause side effects including nasal burning, pain, stinging, discharge, and irritation. Irrigation solutions with a higher concentration of salt increase these side effects. In rare cases, epistaxis and coughing have occurred. Nasal irrigation does not seem to negatively impact the sense of smell.”

    Nasal Irrigation · Natural Medicines adverse-effect record, reported in pain.

    6 sources cited
    1. 16135. Saline nasal irrigation and use of neti pots. Pharmacist's Letter/Prescriber's Letter 2008;24(3):240307.
    2. 17039. Rabago D, Zgierska A. Saline nasal irrigation for upper respiratory conditions. Am Fam Physician 2009;80:1117-9. DOI
    3. 88354. Rabago D, Zgierska A, Mundt M, et al. Efficacy of daily hypertonic saline nasal irrigation among patients with sinusitis: a randomized controlled trial. J Fam Pract 2002;51(12):1049-55.
    4. 93984. Chusakul S, Warathanasin S, Suksangpanya N, et al.. Comparison of buffered and nonbuffered nasal saline irrigations in treating allergic rhinitis. Laryngoscope. 2013 Jan;123(1):53-6. DOI
    5. 93986. Jeffe JS, Bhushan B, Schroeder JW Jr. Nasal saline irrigation in children: a study of compliance and tolerance. Int J Pediatr Otorhinolaryngol. 2012 Mar;76(3):409-13. PubMed
    6. 93988. King D, Mitchell B, Williams CP, Spurling GK. Saline nasal irrigation for acute upper respiratory tract infections. Cochrane Database Syst Rev. 2015 Apr 20;(4):CD006821. PubMed

    Nintedanib Esylate

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

  • Fever Additional detail

    Nasal Irrigation

    Recorded for Nasal Irrigation in the same Natural Medicines adverse-effect record shown under A higher chance of infection above.

    Nintedanib Esylate

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

  • Nausea reported in 11.2% of FDA reports for Nintedanib Esylate Additional detail

    Nasal Irrigation

    “Rarely, nausea has occured.”

    Nasal Irrigation · Natural Medicines adverse-effect record, reported in nausea and vomiting.

    1 source cited
    1. 93986. Jeffe JS, Bhushan B, Schroeder JW Jr. Nasal saline irrigation in children: a study of compliance and tolerance. Int J Pediatr Otorhinolaryngol. 2012 Mar;76(3):409-13. 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 ›

  • Headache Additional detail

    Nasal Irrigation

    “Rarely, nasal irrigation can cause side effects such as headache.”

    Nasal Irrigation · Natural Medicines adverse-effect record, reported in cluster headache.

    1 source cited
    1. 88345. Holmstrom M, Rosen G, Wahlander L. Effect of nasal lavage on nasal symptoms and physiology in wood industry workers. Rhinology 1997;35(3):108-12.

    Nintedanib Esylate

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

Reported for Nasal Irrigation but not commonly for Nintedanib Esylate: cough.

Effects for Nintedanib Esylate come from the ADVERSE REACTIONS section of its FDA label; effects for Nasal Irrigation come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 188 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.

Special populations

Nasal Irrigation in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Safe

When used appropriately. Saline solution is not harmful to the fetus or newborn.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Nintedanib Esylate

This page covers Nasal Irrigation 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 Nasal Irrigation 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 Nasal Irrigation
Steady interest

#1,314 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Nintedanib Esylate
Steady interest

#1,877 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 Nasal Irrigation reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Nasal Irrigation 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 .
Self-care method

About Nasal Irrigation

What is Nasal Irrigation?

  • Nasal congestion
  • Sinus infections (sinusitis)
  • Allergies and hay fever
  • Common cold symptoms
  • Postnasal drip
  • Dryness and crusting in the nose

Nasal irrigation is rinsing the inside of your nose with a saltwater (saline) solution to wash out mucus, allergens, and irritants. It is a low-cost, generally safe option that may ease congestion and sinus symptoms, but it must be done with distilled, sterile, or properly boiled water to avoid rare but serious infections.

Saline rinse bottles, neti pots, squeeze bottles, premixed saline packets, nasal sprays

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

Nasal Irrigation: dosing

There is no single official dose for nasal irrigation. Many people rinse once or twice a day when they have symptoms, but you should follow the directions on your specific product or kit.Premixed saline packets are designed to make a comfortable salt concentration, so follow the packet instructions for how much salt and water to combine. If symptoms are not improving, are getting worse, or you have signs of infection like fever, see your doctor.Always use distilled, sterile, or boiled-and-cooled water, and clean your device after each use.

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

Read the full Nasal Irrigation monograph & all interactions
Medication

About Nintedanib

What Is Nintedanib Used For?

Brand name: Ofev

Nintedanib capsules are approved for adults with idiopathic pulmonary fibrosis (IPF) — a chronic, progressive scarring of the lungs — and for adults with chronic fibrosing interstitial lung diseases (ILDs) with a progressive phenotype, meaning fibrosing lung diseases that continue to worsen over time despite treatment.

Nintedanib capsules (including Ofev) are also indicated to slow the rate of decline in lung function in adults with systemic sclerosis-associated interstitial lung disease (SSc-ILD), a lung complication of the autoimmune condition systemic sclerosis (scleroderma). Note that the Nintedanib esylate capsule product is approved for IPF and chronic fibrosing ILDs with a progressive phenotype, but SSc-ILD approval is carried by Ofev and other nintedanib capsule products — always confirm with your prescriber which product you have been prescribed.

See full Nintedanib drug information
Keep checking

Other Drugs & Nasal Irrigation

Browse every other medication we’ve checked against Nasal Irrigation — 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
No interaction 2,829 drugs checked — show the list
Evidence & sources

Nasal Irrigation References

The 43 references that drive our Nasal Irrigation 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. Saline nasal irrigation and use of neti pots. Pharmacist's Letter/Prescriber's Letter 2008;24(3):240307.
  2. Papsin B, McTavish A. Saline nasal irrigation: its role as an adjunct treatment. Can Fam Physician 2003;49:168-73.
  3. Rabago D, Pasic T, Zgierska A, et al. The efficacy of hypertonic saline nasal irrigation for chronic sinonasal symptoms. Otolaryngol Head Neck Surg 2005;133:3-8. PubMed
  4. Garavello W, DiBerardino F, Romagnoli M, et al. Nasal rinsing with hypertonic solution: an adjunctive treatment for pediatric seasonal allergic rhinoconjunctivitis. Int Arch Allergy Immunol 2005;137:310-4. PubMed
  5. Garavello W, Romagnoli M, Sordo L, et al. Hypersaline nasal irrigation in children with symptomatic seasonal allergic rhinitis: a randomized study. Pediatr Allergy Immunol 2003;14:140-3. PubMed
  6. Pynnonen MA, Mukerji SS, Kim HM, et al. Nasal saline for chronic sinonasal symptoms: a randomized controlled trial. Arch Otolaryngol Head Neck Surg 2007;133:1115-20. PubMed
  7. Rabago D, Zgierska A. Saline nasal irrigation for upper respiratory conditions. Am Fam Physician 2009;80:1117-9. DOI
  8. Nsouli TM. Long-term use of nasal saline irrigation: harmful or helpful (abstract 32). Ann Allergy Asthma Immunol 2009;103(5 Suppl 3):A27-8.
  9. North Louisiana woman dies from rare ameba infection. Louisiana Department of Public Health, December 6, 2011. Available at: http://new.dhh.louisiana.gov/index.cfm/newsroom/detail/2332. (Accessed 4 January 2012).
  10. Holmstrom M, Rosen G, Wahlander L. Effect of nasal lavage on nasal symptoms and physiology in wood industry workers. Rhinology 1997;35(3):108-12.
  11. Spraggs PD, Macnamara M, Joseph T. A prospective randomized study to assess the efficacy of post-operative nasal medication after endonasal surgery. J Laryngol Otol 1995;109(7):618-21. PubMed
  12. Seppey M, Schweri T, Hausler R. Comparative randomised clinical study of tolerability and efficacy of Rhinomer Force 3 versus a reference product in post-operative care of the nasal fossae after endonasal surgery. ORL J Otorhinolaryngol .Relat Spec. 1996; PubMed
  13. Cordray S, Harjo JB, Miner L. Comparison of intranasal hypertonic Dead Sea saline spray and intranasal aqueous triamcinolone spray in seasonal allergic rhinitis. Ear Nose Throat J 2005;84(7):426-30. DOI
  14. Tomooka LT, Murphy C, Davidson TM. Clinical study and literature review of nasal irrigation. Laryngoscope 2000;110(7):1189-93. PubMed
  15. Keerl R, Weber R, Draf W, Dshambazov K. [Tolerance, subjective complaints and mucociliary clearance in rhinitis sicca before and after nasal irrigation with Rhinomer Force 1.] Laryngorhinootologie 1998;77(4):196-200.

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

Using Nasal Irrigation While Taking Nintedanib Esylate: Common Questions

Is it safe to use Nasal Irrigation while taking Nintedanib Esylate?
We do not list a known interaction between Nasal Irrigation 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 Nasal Irrigation and Nintedanib Esylate have any of the same side effects?
Yes — our sources link each of them separately to 5 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.
Does Nintedanib Esylate interact with any supplements?
Yes. Nintedanib Esylate has documented interactions with 285 supplements in our database — Nasal Irrigation 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

Still Have a Question About Nintedanib Esylate and Nasal Irrigation?

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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.