• Pork Pancreas Powder 319.052-414.354 mg

• triethyl citrate
• Iron(II,III) oxide
• Iron(III) oxide hydrate, black
• Methacrylic acid ethyl acrylate copolymer (1:1) dispersion 30%
• ferric oxide
• Simeticon emulsion 30%
• gelatin
• Sodium Lauryl Sulfate
• titanium dioxide
• talc

Maldigestion, Disorders of the exocrine pancreas, Panzytrat 40,000 capsules indication

• This medicine belongs to a group of medicines called pancreatic enzymes. Pancreatic enzymes are the digestive enzymes of the pancreas. The most important digestive enzymes are lipase, amylase and proteases. Lipase breaks down fat from food, amylase breaks down starch and protease breaks down protein.
• The enzymes are in capsules with enteric acid resistant pellets. In the stomach, the pellets are released from the capsules and mix with the food pulp, so that the enzymes in the food are distributed in the small intestine.
• It is used to replace digestive enzymes in the case of indigestion (maldigestion) as a result of impaired pancreatic function.
• The drug is suitable for adults, adolescents and children.
• If you do not feel better or if you feel worse, contact your doctor.

dosage Maldigestion, Disorders of the exocrine pancreas, Panzytrat 40,000 capsules

• Always take this medicine exactly as described or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
• dosage
  • The dose must be individually adjusted and should not exceed the enzyme dose necessary for adequate fat digestion, taking into account the quantity and composition of meals. The dose should only be increased under medical supervision and aimed at improving the symptoms (e.g. fatty stool, abdominal pain).
  • Different strengths and pharmaceutical forms are available: your doctor will recommend the most suitable dose for you.
  • The recommended dose for adults and adolescents is 20,000 to 75,000 units* per meal (equivalent to 1 to 2 capsules) or 10,000 to 25,000 units per snack (equivalent to 1 capsule). Some patients require significantly higher dosages.
• Application in children
  • For infants and children, the recommended starting dose is 10,000 - 20,000 Ph. Eur. units per meal.
  • The maintenance dose is 500 to 4,000 units* of lipase per gram of fat (equivalent to 50,000 to 100,000 units* of lipase per day or 2 capsules).
  • *Units = Ph. Eur. Units

• How long should you take the medicine?
  • The duration of use depends on the course of the disease and is determined by your doctor. The preparation is suitable for long-term treatment. As long as the indigestion persists, continuous administration of the drug is necessary.

• If you take more than you should
  • If you experience unwanted symptoms, talk to your doctor.

• If you forget to take a dose
  • You can take the capsules up to half an hour after a meal. If you forget to take a dose, you may have an upset stomach after eating. Do not double the amount at the next meal.

• If you stop taking it
  • If you suddenly stop taking it, the symptoms may reappear.
  • If you have problems that could lead to stopping treatment, please talk to your doctor.

• If you have any further questions on the use of the medicine, ask your doctor or pharmacist.

Maldigestion, Disorders of the exocrine pancreas, Panzytrat 40,000 capsules way

• Take the preparation with meals with plenty of liquid, such as fruit juice.
• If you cannot swallow the capsules whole, you can pull open the capsules and mix the contents with a small amount of liquid or soft food (such as orange juice, apple juice or applesauce) that you can swallow without chewing. Swallow this immediately after mixing and without chewing. Drink a glass of water or juice afterwards to ensure all of the medicine is washed down.
• Do not mix the capsule contents with alkaline foods or drinks such as milk, ice cream or tea. Neither the capsules nor their contents should be chewed.

side effects

• Like all medicines, this medicine can cause side effects, although not everybody gets them.
• Side effects can occur with a certain frequency defined as follows: very common (affects more than 1 user in 10), common (affects 1 to 10 users in 100), uncommon (affects 1 to 10 users in 1,000), not known (frequency). cannot be estimated from the available data).
• These include:
  • Very common: abdominal pain
  • Common: constipation, diarrhea, flatulence
  • Uncommon: loss of appetite, heartburn, abnormal bowel contractions, nausea, rash
  • Frequency not known: increased uric acid concentration in the blood and/or urine, fibrosing colonopathy (narrowing of the large intestine), vomiting, itching, allergic reactions
• If you have an allergic reaction, stop taking it and talk to your doctor or pharmacist straight away.
• It is advisable to have your doctor clarify which ingredient triggered the allergic reaction so that you can avoid this substance in other medicines, foods, etc. in the future.
• If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects that are not specified.

interactions

• Taking with other medicines
  • Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
  • It is possible that vitamin B11 (folic acid) is not absorbed as well when taken with pancreatic enzymes. If necessary, your doctor can prescribe additional folic acid.

Maldigestion, Disorders of the exocrine pancreas, Panzytrat 40,000 capsules Contraindications

• The drug must not be taken
  • if you are allergic to pork pancreas powder or any of the other ingredients of this medicine.
  • if you are allergic to pork protein: The pancreas powder contained in this preparation comes from the pancreas of pigs. If you are allergic to pork, you could also be allergic to this medicine.

pregnancy and breast feeding period

• If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
• This medicine can be taken during pregnancy or breastfeeding. As far as is known, there is no risk to the fetus or the baby. However, you must strictly follow the prescribed dose.
• pregnancy
  • If you are taking vitamin B11 (folic acid) during pregnancy, you may need to take a higher dose of folic acid. In this case, please speak to your doctor first.

patient notes

• Warnings and Precautions
  • Please talk to your doctor or pharmacist before taking this medicine.
    • If these active enzymes are not taken as directed, they can irritate the lining of the mouth because they are released there. Therefore, the capsules and/or their contents must be swallowed whole without chewing.
    • When taking high doses, the concentration of uric acid in the urine should be monitored.
  • If you have cystic fibrosis (an inherited disease that affects several organs, but mainly the lungs and digestive system) and need to be treated with high doses, in this particular case, you may experience narrowing of the large intestine.

• Ability to drive and use machines
  • The medicine has no effect on the ability to drive and use machines.