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Pancreatin

About Pancreatin

Pancreatin is a pancreatic enzyme supplement indicated for the treatment of exocrine pancreatic insufficiency (pancreatin enzyme deficiency) due to cystic fibrosis (an inherited disorder that damages the lungs and digestive system), chronic pancreatitis (inflammation of the pancreas), or other conditions. Exocrine pancreatic insufficiency occurs in people whose bodies do not make enough of their enzymes.

Pancreatin contains Pancreatin, which is a combination of digestive enzymes such as porcine-derived lipases, proteases, and amylases. These enzymes help in the digestion of food. Pancreatin mixes thoroughly with the food and helps in digestion as it passes through the gut.

You are advised to take Pancreatin for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, Pancreatin may cause certain common side effects such as nausea, mild stomach pain, diarrhoea, and mild skin rash. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Inform your doctor before taking Pancreatin if you have gout, asthma, or any other medical condition. Consult your doctor before taking Pancreatin if you are pregnant or breastfeeding. Pancreatin may cause dizziness, so drive with caution. It is unknown whether alcohol interacts with Pancreatin; please consult your doctor if you have any concerns regarding this. Pancreatin can be given to children if prescribed by the doctor; the dose depends upon the child’s age and body weight.

Uses of Pancreatin

Pancreatin is used in the treatment of exocrine pancreatic insufficiency (pancreatin enzyme deficiency). The detailed uses of Pancreatin are as follows:
• Treatment of Exocrine Pancreatic Insufficiency: Pancreatin compensates for the deficiency of digestive enzymes and supports digestion in conditions such as chronic pancreatitis (inflammation of the pancreas), cystic fibrosis (a genetic disorder that affects the lungs), and pancreatic cancer.
• Treatment of Steatorrhea (Fatty Stools): Pancreatin helps break down fats, reducing fat content in stools and preventing malnutrition.
• Support after Gastrointestinal Surgery: Pancreatin may be used to assist digestion when the flow or production of digestive enzymes is impaired after procedures like pancreatectomy (surgical removal of the pancreas) and gastric bypass (a weight-loss surgery that reduces stomach size).

Medicinal Benefits

Pancreatin is a pancreatic enzyme supplement indicated for the treatment of exocrine pancreatic insufficiency (pancreatin enzyme deficiency) due to cystic fibrosis (an inherited disorder that damages the lungs and digestive system), chronic pancreatitis (inflammation of the pancreas), or other conditions. Pancreatin is a combination of digestive enzymes such as porcine-derived lipases, proteases, and amylases. These enzymes help in the digestion of food. Pancreatin mixes thoroughly with the food and aids in digestion as it passes through the gut. Pancreatin may also be used to treat steatorrhea (oily, smelly stools due to a lack of fat absorption).

Directions for Use

  • Pancreatin should be taken immediately after a meal or snack.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow the tablet or capsule as a whole with a glass of water.
  • You may also open the capsules and mix the granules (do not crush them) with soft foods like yoghurt or applesauce, or with an acidic liquid such as apple, pineapple, or orange juice. Consume the mixture immediately.
  • Do not crush or chew this medication.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Pancreatin

  • Nausea
  • Mild stomach pain
  • Diarrhoea
  • Mild skin rash

Drug Warnings

Do not take Pancreatin if you are allergic to pork (pig), cow, or buffalo products. Consult your doctor if you experience stomach pain, swelling, constipation, and vomiting, as patients taking Pancreatin with cystic fibrosis may develop a rare bowel condition called fibrosing colonopathy. Inform your doctor before taking Pancreatin if you have gout, asthma, or any other disease condition. Consult your doctor before taking Pancreatin if you are pregnant or breastfeeding. Pancreatin may cause dizziness, so drive with caution. It is unknown whether alcohol interacts with Pancreatin; please consult your doctor if you have any concerns regarding this. Pancreatin can be given to children if prescribed by the doctor; the dose depends upon the child’s age and body weight.

Drug Interactions

Drug-Drug Interactions: Pancreatin may interact with calcium, iron, and calcium supplements.

Drug-Food Interactions: Avoid taking Pancreatin with non-acidic foods or liquids, as this may change the way Pancreatin works in your body.

Drug-Disease Interactions: No interaction found/established.

Drug-Drug Interactions Checker List:

  • CALCIUM
  • CALCITRIOL
  • FERROUS SULPHATE
  • IRON
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      It is unknown whether alcohol interacts with Pancreatin. Please consult your doctor if you have any concerns regarding this.

    • Safety Warning

      Pregnancy

      caution

      Pancreatin belongs to pregnancy category C. Consult your doctor before taking Pancreatin if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      caution

      It is unknown whether Pancreatin passes into breast milk. Consult your doctor before taking Pancreatin; your doctor will decide whether breastfeeding mothers can take Pancreatin or not.

    • Safety Warning

      Driving

      caution

      Pancreatin does not affect your ability to drive. However, Pancreatin may cause dizziness. So, do not drive or operate machinery unless you are alert.

    • Safety Warning

      Liver

      caution

      Dose adjustment may be needed. Consult your doctor before taking Pancreatin if you have a liver impairment or any concerns regarding this.

    • Safety Warning

      Kidney

      caution

      Dose adjustment may be needed. Consult your doctor before taking Pancreatin if you have kidney impairment or any concerns regarding this.

    • Safety Warning

      Children

      safe if prescribed

      Pancreatin can be given to children if prescribed by the doctor. The dose depends upon the child’s age and body weight.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Eat small portions of meals 3-5 times a day, as larger meals make the digestive system work overtime.
    • Include a diet rich in fruits and vegetables.
    • Avoid processed, deep-fried foods as they are hard to digest.
    • Maintain a balanced diet that includes proteins, carbohydrates, and fats. 
    • Stay hydrated by drinking enough water, as it helps the digestive system function smoothly.
    • Avoid highly processed foods that contain trans-fat, hydrogenated fats, and saturated fats. Instead, include foods containing monounsaturated, polyunsaturated, and omega-3 fatty acids. Include olive oil, peanut oil, seeds, nuts, salmon, and tuna fish as they contain healthy fats.
    • Avoid foods rich in fibre such as brown rice, barley, lentils, and peas as they might interfere with the enzyme activity.
    • Avoid or limit alcohol consumption as it can cause increased damage to the pancreas.

    Special Advise

    • Try to avoid taking an antacid within 1 hour before or after you take Pancreatin. Simultaneous use of antacids containing calcium carbonate and/or magnesium hydroxide may lead to pancreatin deficiency.

    Patients Concern

    Disease/Condition Glossary

    Exocrine pancreatic insufficiency: The Pancreas plays an essential role in the digestion of food. It produces enzymes that help in the breakdown of food and the absorption of nutrients. Exocrine pancreatic insufficiency occurs in individuals whose bodies do not produce sufficient amounts of their own enzymes. This leads to the inability to properly digest food due to the pancreas's lack of a digestive enzyme. Exocrine pancreatic insufficiency could occur due to various conditions such as cystic fibrosis (an inherited disorder that damages the lungs and digestive system), pancreatitis (inflammation of the pancreas), diabetes, celiac disease (inability to digest gluten), pancreatic cancer, inflammatory bowel disease, Zollinger-Ellison disease, pancreatic or stomach surgery. Exocrine pancreatic insufficiency symptoms include abdominal pain, bloating, diarrhoea, flatulence, weight loss, and steatorrhea (loose, fatty, smelly stools).

    FAQs

    Pancreatin is used to treat Pancreatic insufficiency (pancreatin enzyme deficiency).

    Pancreatin contains pancreatin enzymes that break down food and convert it into energy. Pancreatin is a combination of amylase (to digest starch), protease (to digest protein), and lipase (to digest fat). Together, it fulfils the digestive enzymes' requirements in conditions such as pancreatitis (inflammation of the pancreas), cystic fibrosis (a genetic disorder that damages the lungs), pancreatic cancer, pancreatectomy (surgical removal of the pancreas), and steatorrhea (loose fatty stool due to poor fat absorption).

    Pancreatin might interfere with the absorption and reduce the effectiveness of folic acid and iron. To prevent this, maintain a minimum gap between both.

    Diarrhoea might be a side-effect of Pancreatin. Drink enough fluids and eat non-spicy food if you experience diarrhoea. Consult your doctor if you experience watery diarrhoea or if you find blood in stools. Do not take anti-diarrhoeal medicine on your own.

    Mixing Pancreatin with non-acidic food or liquids, chewing or crushing may cause irritation in the mouth. It might also change the way Pancreatin works in the body. Do not hold Pancreatin or its contents in your mouth.

    To treat your condition effectively, continue taking Pancreatin for as long as your doctor has prescribed it. Many patients will need to take Pancreatin for the rest of their lives. Do not hesitate to consult your doctor if you experience any difficulties while taking Pancreatin.

    Pancreatin is a pancreatic enzyme derived from the pancreatic organs of pigs used for food. Consult your doctor before taking Pancreatin if you are allergic to the pig (pork), cow products or buffalo products.

    Pancreatin may cause side effects such as nausea, mild stomach pain, diarrhoea, and mild skin rash. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

    Pancreatin is safe to be used in children if prescribed by the doctor. The dose is determined by the child’s age and body weight.

    Take Pancreatin during or immediately after eating a meal or a snack, and drink plenty of water.

    Pancreatin is safe to be taken if prescribed by the doctor. Do not take Pancreatin if you are allergic to any of its ingredients, pig or pork products.

    Include fruits, vegetables, whole grains, lean meats, poultry without skin, fish, yoghurt, cheese, and non-fat/low-fat milk. Avoid high-fat, deep-fried, and buttered foods.

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    Pancreatin

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