Flowers and greenery, representing the Picnic Area page, for nutrition and dietary information on the PPF support space

Picnic Area

Find advice on managing your diet to suit the specific needs of your condition.

Picnic Zone

What’s in the Picnic Area and how could it help you?

At the Picnic Area, you will find information about nutrition, how to eat and drink well, maintaining a healthy body weight and helping to manage your condition.

Lowercase 'i' in a circle indicating important medical information

The information provided is not a substitute for any advice given to you by your medical team or information within the patient information leaflet in your medicine pack.

It is divided into the following sections:

Weighing scales icon with the gauge at a low weight, representing maintaining a healthy weight

Your illness and weight

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Weighing scales icon with double ended arrow pointing low and high, representing weight change

Why does weight change occur?

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Apple icon, representing healthy dietary information

Dietary tips

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Additional information

Additional information

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Your illness and weight

Your illness and weight

Some patients with your illness may struggle to maintain a healthy body weight.

In people with your illness, unintended weight change can be caused by an inadequate consumption of essential nutrients, such as proteins, carbohydrates, essential fatty acids, vitamins, minerals and trace elements, from food and drink.


Some people may notice that they gain weight, as their condition may limit how much physical activity they can do. Others may unintentionally lose weight as a result of reduced appetite, taste distortion, dry mouth or other symptoms of their condition or side effects of treatment.  

Lowercase 'i' in a circle indicating important medical information

This page provides information about nutritional concerns, as well as eating and drinking well, to maintain a healthy body weight, but it is not intended to replace your medical team’s advice. If you have any concerns or questions about your health or condition, please speak to your healthcare professional. 

Why is maintaining a healthy body weight important?

Maintaining a healthy body weight

Maintaining a healthy body weight

Maintaining a healthy body weight includes maintaining your muscle mass, which is especially important in older people.

Hand weight icon, representing  maintaining a healthy muscle mass

Maintaining a healthy muscle mass

Maintaining a healthy muscle mass is associated with better outcomes in people with respiratory diseases.

Weighing scales icon with gauge at high and an exclamation mark icon, representing being  overweight

Being overweight

Being overweight can have a negative impact on health, increasing the risk of conditions like high blood pressure and high cholesterol, and can reduce your quality of life.

Lowercase 'i' in a circle indicating important medical information

Unintended weight change in patients with your illness can be a big problem and being under- or overweight can have a negative impact on health.

Look out for signs of weight loss as your illness progresses and speak to your doctor or nurse as soon as possible if you experience any of the following signs:  

  • Looser dentures 
  • Shirt or blouse collars looser
  • Thin arms
  • Clothes look too big
  • Belts and waistbands looser
  • Jewellery looser or slipping off
  • Thinner legs
  • Footwear looser
Older couple holding hands, walking through trees with a picnic basket

 

Why is a balanced diet important?

A balanced diet can help maintain a healthy weight and ensure your body is getting all the nutrients it needs to work properly and support immune function. 


A balanced diet can be combined with pulmonary rehabilitation to help maintain muscle mass. You can talk to your medical team for a referral to start pulmonary rehabilitation if required.

 
A balanced diet supports healthy body functioning and reduces the risk of additional symptoms, various diseases and conditions. 

Why does weight change occur? 

Why does unintentional weight change occur?

You may have been experiencing unintentional weight loss as a result of a loss of appetite, difficulty in chewing, poor dental health, dry mouth and/or taste distortion, or weight gain because you are not able to move around as much.


Weight loss may also be exacerbated by the side effects from your OFEV® treatment, such as diarrhoea, nausea and vomiting. 

Arrow icon weaving in and out of cross marks, between two circles, representing weight change strategy

How to manage factors contributing to unintentional weight change? 

There is no single, definite solution to resolve symptoms contributing to unintentional weight change. It is important to try and find out what works best for you.

The following pages provide recommendations and suggestions on what you can do to manage:

Diarrhoea

Persistent diarrhoea can hinder the absorption of important nutrients, such as carbohydrates, fat, protein, vitamins and minerals. 


People who are being treated with OFEV® sometimes experience gastrointestinal side effects, such as diarrhoea. 

Lowercase 'i' in a circle indicating important medical information

Inform your medical team if you have experienced diarrhoea. They may prescribe medicines and/or discontinue any laxatives that you might be on, as well as advise you on what else to consider when managing diarrhoea.

Medicine capsule icon and a medical cross, representing over the counter medicines to ease side effects

Diarrhoea can be managed effectively with loperamide, which is a common over-the-counter medicine, available at your local pharmacy.

If you have any concerns or questions, please speak to your medical team.

  • Eating smaller, more frequent meals 
  • Sitting after eating
  • Eating simple low-fibre food such as white rice, pasta and white bread; soft, well-cooked, peeled vegetables and fruit; canned fruit and well-cooked rolled oats 
  • Avoiding high-fibre food, such as whole-grain breads and cereals, nuts and legumes (peas, beans and lentils)
  • Drinking enough water or other fluids throughout the day
  • Avoiding skins, pips and seeds from fruit and vegetables
  • Avoiding raw vegetables, such as cabbage and cauliflower, as they may cause wind or stomach pain – eating cooked vegetables and fruits may be less likely to make diarrhoea worse 
  • Eating high-protein foods daily such as meats without the skin (chicken, turkey or fish) or eggs
Lowercase 'i' in a circle indicating important medical information

Speak to your medical team if you think your diet may be impacting your symptoms, as generalised dietary advice doesn’t work for everyone.

  • Reducing your intake of fatty or spicy foods 
  • Drinking only small amounts of coffee or caffeinated drinks and/or fruit juices. You can reintroduce these drinks when your diarrhoea is resolved 

Nausea and vomiting

Nausea is the queasy feeling in the back of your throat or in your stomach. Left alone, nausea can cause vomiting.


Nausea and vomiting can result in dehydration, as well as a lack of appetite. It is important to discover ways to help you tolerate food intake and improve the experience. 


If you are vomiting, it is important to drink plenty of hydrating liquids during the day to replace the water in your body. 

Lowercase 'i' in a circle indicating important medical information

Recommendation: Inform your doctor or nurse that you are experiencing nausea and/or vomiting. Ask your doctor or nurse if anti-sickness medications are appropriate.

  • Eating dry foods such as toast or crackers
  • Eating small, frequent meals
  • Drinking fluids and sipping them slowly during meals, rather than on an empty stomach 
  • Food or drinks containing ginger (e.g., crystallised ginger, ginger tea or ginger biscuits) – this may help to reduce the feelings of nausea (unless on certain blood-thinning medication) 

  • Greasy, fatty or fried foods
  • Food with unpleasant or strong odours 
  • Eating large meals 
  • Eating infrequently
  • Eating too quickly
  • Wearing tight or restrictive clothing
  • Lying flat after eating
  • Preparing food when you are feeling sick (ask your family or friends to help with cooking food or make food in bulk to freeze for times when you are unable to cook)

Loss of appetite and taste

A lack of appetite can result in inadequate consumption of essential nutrients. Loss of taste and taste distortion can impair your eating habits or decrease your food intake, stopping you from consuming adequate nutrients your body needs to function.  


It is important to find ways for you to eat and ensure a balanced nutritional intake. 

  • Eating small but frequent meals – aim to have six small meals or snacks a day 
  • Planning meals to include your favourite foods
  • Eating high-calorie foods in your meal first 
  • Having a milky drink, if you can’t manage a meal 
  • Choosing high-protein and high-calorie snacks
  • Getting some fresh air – this may stimulate your appetite 

  • Skipping meals
  • Having a drink while eating or before a meal which may make you feel bloated and full

Impact of Vitamin D deficiency

Vitamin D helps our body to absorb calcium and phosphate from our diet and is essential for healthy bones, teeth and muscles. 


Vitamin D is naturally present in a small number of foods, such as oily fish and red meat, but it is difficult for us to get the recommended amount of vitamin D through food alone. Our main source of vitamin D is from the action of direct sunlight on our skin when we are outdoors. 

Raincloud and leaf icon, representing the autumn and winter months which may contribute to a lack of vitamin D

During the autumn and winter months

The sun in the UK may not be strong enough for our body to make enough vitamin D. As such, Public Health England recommends adults to consider taking a daily supplement of vitamin D.

Dietary tips

Tips to gain, maintain or lose weight

Eating a healthy, balanced and nutritious diet is important, especially if you have lost your appetite or have unintentionally lost weight due to your condition.


Conversely, some people with PPF may gain weight due to the effect their condition has on their physical activity levels. For these people it is important to eat healthy but filling foods that are high in protein but low in sugars and fats. 

Additional information

NP-GB-103032 | July 2024

If you live in the UK and you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the yellow card scheme at https://yellowcard.mhra.gov.uk/. By reporting side effects, you can help provide more information on the safety of this medicine.

If you live in the Republic of Ireland and you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Health Products Regulatory Authority at www.hpra.ie or by email to medsafety@hpra.ie. By reporting side effects, you can help provide more information on the safety of this medicine.

 

THIS WEBSITE HAS BEEN DEVELOPED BY BOEHRINGER INGELHEIM AND IS INTENDED FOR PEOPLE WITH PROGRESSIVE PULMONARY FIBROSIS WHO HAVE BEEN PRESCRIBED OFEV® (NINTEDANIB).

This website is intended for people with progressive pulmonary fibrosis who have been prescribed treatment with OFEV® (nintedanib). OFEV® is used to treat idiopathic pulmonary fibrosis (IPF), or other chronic fibrosing interstitial lung diseases (ILDs) that are showing signs of progression and these diseases are referred to on this website collectively as ‘progressive pulmonary fibrosis’ (PPF).

This website aims to provide you with information about your disease and how to manage your symptoms or the side effects of your treatment, as well as to give you details on holistic support available. 

The information on this website has been developed to enhance, but not replace, the advice and help of your medical team. If you have any questions after reading this website, or any further concerns, always talk to your medical team – i.e., a nurse, doctor or pharmacist – they are here to help you. 

You’ll also find more information about OFEV® in your Patient Information Leaflet (PIL), included with your OFEV® medication pack, or on https://www.medicines.org.uk/emc/files/pil.7705.pdf if you live in Great Britain, or on https://www.emcmedicines.com/en-gb/northernireland/medicine?id=1c9c7bb7-cac4-4c5f-a633-a8220c0a16dd&type=pil if you live in Northern Ireland or on https://www.medicines.ie/medicines/ofev-150-mg-soft-capsules-33198/patient-info if you live in the Republic of Ireland.

Access your progressive pulmonary fibrosis

Pulmonary fibrosis (PPF) support space

Access your progressive pulmonary fibrosis (PPF) support space

You have been directed here by your medical team because you have been prescribed OFEV® (nintedanib).

Please provide the password given to you by your medical team to access this space:

If you are unsure of your password, please contact the medical team that prescribed you OFEV® for more information.

Required.

THE INFORMATION ON THE FOLLOWING WEB PAGES IS SUITABLE AND ONLY INTENDED FOR PEOPLE LIVING IN THE UK AND IRELAND WHO HAVE BEEN PRESCRIBED OFEV®.

BY INPUTTING THE PASSWORD, YOU ARE CONFIRMING THAT YOU ARE A PATIENT PRESCRIBED THIS MEDICINE.

If you live in the UK and you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the yellow card scheme at https://yellowcard.mhra.gov.uk/. By reporting side effects, you can help provide more information on the safety of this medicine.

If you live in the Republic of Ireland and you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Health Products Regulatory Authority at www.hpra.ie or by email to medsafety@hpra.ie. By reporting side effects, you can help provide more information on the safety of this medicine.

THIS WEBSITE HAS BEEN DEVELOPED BY BOEHRINGER INGELHEIM AND IS INTENDED FOR PEOPLE WITH PROGRESSIVE PULMONARY FIBROSIS WHO HAVE BEEN PRESCRIBED OFEV® (NINTEDANIB).

This website is intended for people with progressive pulmonary fibrosis who have been prescribed treatment with OFEV® (nintedanib). OFEV® is used to treat idiopathic pulmonary fibrosis (IPF), or other chronic fibrosing interstitial lung diseases (ILDs) that are showing signs of progression and these diseases are referred to on this website collectively as ‘progressive pulmonary fibrosis’ (PPF).

This website aims to provide you with information about your disease and how to manage your symptoms or the side effects of your treatment, as well as to give you details on holistic support available.

The information on this website has been developed to enhance, but not replace, the advice and help of your medical team. If you have any questions after reading this website, or any further concerns, always talk to your medical team – i.e., a nurse, doctor or pharmacist – they are here to help you. 

You’ll also find more information about OFEV® in your Patient Information Leaflet (PIL), included with your OFEV® medication pack, or on https://www.medicines.org.uk/emc/files/pil.7705.pdf if you live in Great Britain, or on https://www.emcmedicines.com/en-gb/northernireland/medicine?id=1c9c7bb7-cac4-4c5f-a633-a8220c0a16dd&type=pil if you live in Northern Ireland or on https://www.medicines.ie/medicines/ofev-150-mg-soft-capsules-33198/patient-info if you live in the Republic of Ireland.

PPF support space

pulmonary fibrosis support space

Access your progressive pulmonary fibrosis (PPF) support space

This website is intended for people with progressive pulmonary fibrosis who have been prescribed treatment with OFEV® (nintedanib). OFEV® is used to treat idiopathic pulmonary fibrosis (IPF), or other chronic fibrosing interstitial lung diseases (ILDs) that are showing signs of progression and these diseases are referred to on this website collectively as “progressive pulmonary fibrosis” (PPF).  

This website aims to provide you with information about your disease and how to manage your symptoms or the side effects of your treatment, as well as to give you details on holistic support available. 

The information on this website has been developed to enhance, but not replace, the advice and help of your medical team. If you have any questions after reading this website, or any further concerns, always talk to your medical team i.e., a nurse, doctor or pharmacist – they are here to help you. 

You’ll also find more information about OFEV® in your Patient Information Leaflet (PIL), included with your OFEV® medication pack, or on https://www.medicines.org.uk/emc/files/pil.7705.pdf if you live in Great Britain, or on https://www.emcmedicines.com/en-gb/northernireland/medicine?id=1c9c7bb7-cac4-4c5f-a633-a8220c0a16dd&type=pil if you live in Northern Ireland or on https://www.medicines.ie/medicines/ofev-150-mg-soft-capsules-33198/patient-info if you live in the Republic of Ireland.

If you live in the UK and you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the yellow card scheme at https://yellowcard.mhra.gov.uk/. By reporting side effects, you can help provide more information on the safety of this medicine.

If you live in the Republic of Ireland and you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Health Products Regulatory Authority at www.hpra.ie or by email to medsafety@hpra.ie. By reporting side effects, you can help provide more information on the safety of this medicine.

THIS WEBSITE HAS BEEN DEVELOPED BY BOEHRINGER INGELHEIM AND IS INTENDED FOR PEOPLE WITH PROGRESSIVE PULMONARY FIBROSIS WHO HAVE BEEN PRESCRIBED OFEV® (NINTEDANIB).

This website is intended for people with progressive pulmonary fibrosis who have been prescribed treatment with OFEV® (nintedanib). OFEV® is used to treat idiopathic pulmonary fibrosis (IPF), or other chronic fibrosing interstitial lung diseases (ILDs) that are showing signs of progression and these diseases are referred to on this website collectively as ‘progressive pulmonary fibrosis’ (PPF).

This website aims to provide you with information about your disease and how to manage your symptoms or the side effects of your treatment, as well as to give you details on holistic support available.

The information on this website has been developed to enhance, but not replace, the advice and help of your medical team. If you have any questions after reading this website, or any further concerns, always talk to your medical team – i.e., a nurse, doctor or pharmacist – they are here to help you. 

You’ll also find more information about OFEV® in your Patient Information Leaflet (PIL), included with your OFEV® medication pack, or on https://www.medicines.org.uk/emc/files/pil.7705.pdf if you live in Great Britain, or on https://www.emcmedicines.com/en-gb/northernireland/medicine?id=1c9c7bb7-cac4-4c5f-a633-a8220c0a16dd&type=pil if you live in Northern Ireland or on https://www.medicines.ie/medicines/ofev-150-mg-soft-capsules-33198/patient-info if you live in the Republic of Ireland.


NP-GB-103027 | July 2024