PENZITAL PILLS

Mechanism of action

Enzyme agent. Contains pancreatic enzymes - amylase, lipase and proteases, which facilitate the digestion of carbohydrates, fats and proteins, which contributes to their more complete absorption in the small intestine. In diseases of the pancreas, it compensates for the insufficiency of its exocrine function and contributes to the improvement of the digestive process.

The pharmacokinetics of Pancreatin has not been studied.

Indications and usage

Insufficiency of exocrine pancreatic function (including in chronic pancreatitis, cystic fibrosis).

Chronic inflammatory-dystrophic diseases of the stomach, intestines, liver, gallbladder; conditions after resection or irradiation of these organs, accompanied by impaired digestion of food, flatulence, diarrhea (as part of combination therapy).

To improve the digestion of food in patients with normal gastrointestinal function in case of errors in the diet, as well as violations of the chewing function, forced long-term immobilization, sedentary lifestyle.

Preparation for X-ray and ultrasound examination of the abdominal cavity organs.

The dose (in terms of lipase) depends on the age and degree of pancreatic function insufficiency.The average dose for adults - 150 000 IU / day. With complete insufficiency of the excretory function of the pancreas - 400 000 IU / day, which corresponds to the daily needs of an adult in lipase.

Maximum dose: 15 000-20 000 U / kg / day

Children under the age of 1.5 years - 50 000 IU / day; over 1.5 years old - 100,000 U / day.

The duration of treatment can vary from several days (in case of disturbance of the digestive process due to errors in the diet) to several months and even years (if necessary, constant replacement therapy).

When used in moderate therapeutic doses, side effects are observed in less than 1%.

Gastrointestinal: in some cases - diarrhea, constipation, feeling of discomfort in the stomach, nausea. The causal relationship between the development of these reactions and the action of pancreatin has not been established, since These phenomena are related to symptoms of exocrine pancreatic insufficiency.

Allergic reactions: in some cases - skin manifestations.

Metabolism: with prolonged use in high doses, hyperuricuricuria may develop, in excessively high doses, an increase in plasma uric acid levels.

Other: with the use of pancreatin in high doses in children, perianal irritation may occur.

Contraindications

Acute pancreatitis. Hypersensitivity to pancreatin.

Pregnancy and breastfeeding

The safety of using pancreatin during pregnancy has not been studied enough. Application is possible in cases where the expected benefit to the mother outweighs the potential risk to the fetus.

In experimental studies found that pancreatin has no teratogenic effect.

Special notes

Not recommended for use in the acute phase of chronic pancreatitis.

In cystic fibrosis, the dose should be adequate to the amount of enzymes that are necessary for the absorption of fat, taking into account the quality and quantity of food consumed.

In cystic fibrosis, the use of pancreatin in doses of more than 10,000 U / kg / day (in terms of lipase) is not recommended due to the increased risk of stricture development (fibrous colonopathy) in the ileocecal region and in the ascending colon.

With a high activity of lipase contained in pancreatin, increases the likelihood of developing constipation in children. Increasing the dose of pancreatin in this category of patients should be carried out gradually.

Violations of the digestive system can occur in patients with hypersensitivity to pancreatin, or in patients with meconium ileus or a bowel resection in history.

Drug interactions

When used simultaneously with antacids containing Calcium carbonate and / or Magnesium hydroxide, it is possible to reduce the effectiveness of pancreatin.

With simultaneous use, it is theoretically possible to reduce the clinical efficacy of acarbose.

With the simultaneous use of iron preparations may decrease the absorption of iron.