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SKU: BN300350525
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Pancreatin Mikro-ratiopharm® 20 000 gastro-resistant hard capsules

Active ingredient: pancreatin.

ingredients

Magnesium stearate
Simeticon Emulsion
Montan glycol wax
Montan glycol wax
triethyl citrate
Iron oxides and hydroxides
Crospovidone
Silicon dioxide, highly disperse
Cellulose, microcrystalline
Methacrylic acid ethyl acrylate copolymer (1:1) dispersion 30%
gelatin
Water, purified
Sodium Lauryl Sulfate
Polysorbate 80
titanium dioxide
talc

Buy pancreatin, PANKREATIN micro-ratio.20,000 Indication :

What is the medicine?
- The medicine contains a mixture of enzymes called pancreas powder.
- It is also called pancreatin. It supports digestion. The enzymes are obtained from pork pancreas.
- The preparation contains small enteric-coated microfilm tablets that slowly release the pancreas powder into the intestines.
What the medicine is used for
- It is used to treat exocrine pancreatic insufficiency. This is when the pancreas does not produce enough enzymes to digest food.
- The preparation can be used in children, adolescents and adults.
- The dosage instructions for the age groups are explained in the “Dosage” category.
- Treatment with this drug improves symptoms of exocrine pancreatic insufficiency, including stool consistency (eg, greasy stools), abdominal pain, flatulence, and stool frequency (diarrhea or constipation).
- If you don't feel better or feel worse after 5 days, contact your doctor.
How the product works
- The enzymes in this medicine digest food as it passes through the intestines. You should take the product during or immediately after a meal or snack. This allows the enzymes to mix thoroughly with the food.

Buy pancreatin, PANKREATIN micro-ratio.20,000 Dosage :

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 unsure.
Your dosage is given in "lipase units." Lipase is one of the enzymes in pancreas powder. Different strengths of this preparation contain different amounts of lipase. Always follow your doctor's instructions about how much of this medicine you should take. Your doctor will determine the appropriate dose for you.
This depends on:
- the severity of your illness
- your weight
- your diet
- the fat content in your stool
If you continue to have fatty stools or other stomach or intestinal problems (gastrointestinal symptoms), talk to your doctor as your dosage may need to be adjusted.
How much to take
- Children
  - The strength of this drug may not be appropriate for initiating therapy in children, depending on the child's age and weight. The required dose for a child should be determined by the doctor using dosage forms containing fewer lipase units (e.g. 10,000 lipase units). Once the dose per meal has been established, this strength of the drug can be used in children.
    - The usual starting dose for children under 4 years of age is 1,000 lipase units per kilogram of body weight per meal.
    - The usual starting dose for children aged 4 and over is 500 lipase units per kilogram of body weight per meal.
- young people and adults
  - Weight-based enzyme dosing for adolescents and adults should begin with 500 lipase units per kilogram of body weight per meal.
  - The usual dose for a meal is between 25,000 and 80,000 lipase units.
  - The usual dose for a snack is half the dose for a meal.
- For all ages
  - Your total daily dose should not exceed 2,500 lipase units per kilogram of bodyweight per meal, or 10,000 lipase units per kilogram of bodyweight per day, or 4,000 lipase units per gram of fat intake.

If you have taken more than you should
- Drink plenty of water and talk to your doctor or pharmacist. Very high doses of pancreas powder have sometimes caused an increase in uric acid in the blood (hyperuricemia) and urine (hyperuricosuria).

If you forget to take it
- Take the next dose as usual with the next meal. Do not try to make up for a missed dose.

If you stop taking it
- Do not stop taking this medicine without talking to your doctor first. Many patients have to take the drug for life.

Way :

Always take this medicine during or immediately after a meal or snack. This allows the enzymes to mix thoroughly with the food and digest it as it passes through the intestines.
The preparation should always be taken with a meal or snack.
The capsules should be swallowed whole with sufficient liquid.
Do not crush or chew the capsules as this may cause irritation in your mouth or change how they work in your body.
For further information see instructions for use!

Side effects :

Like all medicines, this medicine can cause side effects, although not everyone gets them.
The following side effects may occur with this medicine:
- The main serious side effects that can occur with pancreatic enzyme replacement drugs are anaphylactic shock and fibrosing colonopathy. A very small number of people have experienced these two side effects and their exact frequency is unknown.
- Anaphylactic shock is a serious, potentially life-threatening allergic reaction that can develop quickly. Seek immediate medical attention if you notice any of the following:
  - Itching, hives or rash
  - Face, eyes, lips, hands or feet are swollen
  - Drowsiness or feeling weak
  - Difficulty breathing or swallowing
  - heart palpitations
  - Dizziness, collapse or loss of consciousness
- Repeated high doses of pancreatic enzyme replacement medications can also cause scarring or thickening of the intestinal wall, which can lead to blockage of the intestine, a condition called fibrosing colonopathy.
- Tell your doctor right away if you have severe stomach pain, difficulty passing stools (constipation), nausea, or vomiting.
- Very common side effects (may affect more than 1 in 10 people)
  - stomach pain
- Common side effects (may affect up to 1 in 10 people)
  - nausea
  - Vomit
  - constipation
  - bloating/bloating
  - Diarrhea
- Uncommon side effects (may affect up to 1 in 100 people)
  - rash
If you notice any side effects, contact your doctor or pharmacist. This also applies to side effects that are not specified.

Interactions :

Taking together with other medicines
- Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Contraindications :

The medicine must not be taken
- if you are allergic to pancreatin or any of the other ingredients of this medicine.

Pregnancy and breastfeeding :

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.
Pregnancy:
- Your doctor will decide whether you can take the medicine during pregnancy.
Breastfeeding:
- The medicine can be used during breastfeeding.

Patient information :

Warnings and Precautions
- Please talk to your doctor or pharmacist before taking the medicine.
- Patients with cystic fibrosis
  - A rare intestinal disorder called “fibrosing colonopathy,” in which their intestines become narrowed, has been reported in patients with cystic fibrosis taking high-dose pancreas powder products. Tell your doctor if you have cystic fibrosis and take more than 10,000 lipase units per kilogram of body weight per day and have unusual abdominal discomfort or changes in abdominal symptoms. The dosage of lipase units is explained in the “Dosage” category.
- Severe allergic reaction
  - If an allergic reaction occurs, stop your treatment and talk to your doctor. An allergic reaction could include itching, hives, or rash. In rare cases, a serious allergic reaction may occur with a feeling of warmth, dizziness and fainting, and difficulty breathing.
  - These are symptoms of a serious, potentially life-threatening condition called "anaphylactic shock." If this occurs, call for medical help immediately.
  - Before taking this medicine, talk to your doctor if you are allergic to pork proteins.
- Irritation in the mouth
  - Mouth pain, irritation (stomatitis), bleeding and mouth ulceration may occur if the capsules are chewed and/or held in the mouth for too long.
  - Rinsing your mouth and drinking a glass of water can help when the first signs of mouth irritation appear.
  - The preparation can only be sprinkled on certain foods.

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

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ingredients

Buy pancreatin, PANKREATIN micro-ratio.20,000 Indication :

Buy pancreatin, PANKREATIN micro-ratio.20,000 Dosage :

Way :

Side effects :

Interactions :

Contraindications :

Pregnancy and breastfeeding :

Patient information :

Description

Buy pancreatin, PANKREATIN micro-ratio.20,000