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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10369530PMC
http://dx.doi.org/10.1016/j.opresp.2020.100080DOI Listing

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Article Synopsis
  • Nintedanib is a medicine used to treat certain lung diseases, but it can sometimes cause low platelet counts (thrombocytopenia).
  • A 60-year-old man started taking nintedanib for his lung disease, and his platelet count dropped quickly but improved after stopping the medicine.
  • Doctors believe that the low platelet levels caused by nintedanib can usually be fixed and that patients should be closely watched while on this medication.
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Background & Objectives: Interstitial lung disease (ILD) in rheumatoid arthritis (RA) is a serious complication with varied prevalence ranging from 4% to as high as 68%, with varied presentation. Immunosuppressants and antifibrotics are used in the management of RA ILD. The clinicodemographic profile and presentation in our country need to be further explored.

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Background: Although inverse associations have been found between medication adherence and healthcare use and spending outcomes in many clinical settings, no studies to date have examined these relationships for patients with idiopathic pulmonary fibrosis (IPF) initiating nintedanib. We build on our prior study that used group-based trajectory modeling (GBTM) to compare inpatient hospitalization and medical care spending outcomes between groups of patients with different nintedanib adherence trajectories.

Methods: This analysis used 100% Medicare data and included beneficiaries with IPF who initiated nintedanib during 10/01/2014-12/31/2018.

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Article Synopsis
  • Gastrointestinal symptoms, specifically diarrhea and nausea, are common with nintedanib treatment, especially in patients with systemic sclerosis-associated interstitial lung disease (SSc-ILD).
  • A study compared adverse gastrointestinal events between SSc-ILD and idiopathic interstitial pneumonias (IIPs) patients who were treated with nintedanib, finding no significant difference in treatment duration.
  • Results showed that SSc-ILD patients experienced more nausea and similar rates of diarrhea compared to those with IIPs, suggesting a need for improved management of these adverse effects in SSc-ILD patients.
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Background: Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease with rapidly progressive evolution and an unfavorable outcome. Nintedanib (NTD) is an antifibrotic drug that has been shown to be effective in slowing down the progression of the disease. The aim of our study was to examine the efficacy, especially in terms of the functional decline, and the safety profile of NTD in patients treated with the recommended dose and subjects who reduced or suspended the therapy due to the occurrence of adverse reactions.

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