Clinical and pharmacological group: & nbsp

Enzymes and antiferments

Included in the formulation
  • Gastenorm forte
    pills inwards 
  • Gastenorm forte 10000
    pills inwards 
  • Creon® 10000
    capsules inwards 
  • Creon® 25000
    capsules inwards 
  • Creon® 40000
    capsules inwards 
  • Creon® Micro
    granules inwards 
  • Mezim® 20000
    pills inwards 
    BERLIN-PHARMA, CJSC     Russia
  • Mezim® forte
    pills inwards 
    BERLIN-PHARMA, CJSC     Russia
  • Mezim® forte 10000
    pills inwards 
    BERLIN-PHARMA, CJSC     Russia
  • Micrazim®
    capsules inwards 
    AVVA RUS, OJSC     Russia
  • Micrazim®
    capsules inwards 
    AVVA RUS, OJSC     Russia
  • Pangrol® 25000
    capsules inwards 
  • PanziKam
    pills inwards 
    CAMELIA NPP, LLC     Russia
  • Panzim® forte
    pills inwards 
    BRYNTSALOV-A, CJSC     Russia
  • Pancreatic
    pills inwards 
    TECHNOLOG, JSC     Ukraine
  • Pancreatin
    pills inwards 
    VALENTA PHARM, PAO     Russia
  • Pancreatin
    pills inwards 
  • Pancreatin
    pills inwards 
    AVEKSIMA, JSC     Russia
  • Pancreatin
    pills inwards 
    AVVA RUS, OJSC     Russia
  • Pancreatin
    pills inwards 
    FARMPROJECT, CJSC     Russia
  • Pancreatin
    pills inwards 
    BIOSINTEZ, PAO     Russia
  • Pancreatin forte
    pills inwards 
    BIOSINTEZ, PAO     Russia
  • Pancreatin-LekT
    pills inwards 
  • Penzital
    pills inwards 
  • Enzistal®-P
    pills inwards 
  • Hermitage®
    capsules inwards 
  • Included in the list (Order of the Government of the Russian Federation No. 2782-r of 30.12.2014):

    VED

    ONLS

    Minimal chemist's assortment

    АТХ:

    A.09.A.A   Enzyme preparations

    A.09.A.A.02   Pancreatin

    Pharmacodynamics:

    Contains pancreatic enzymes: α-amylase, lipase, trypsin, chymotrypsin.

    α-amylase cleaves polysaccharides into glucose molecules.

    Lipase cleaves fatty acids from triacylglyceride molecules at positions 1 and 3. 2-monoglycerides and released fatty acids are absorbed in the upper part of the small intestine with the participation of bile acids. At a pH below 4, the lipolytic activity of pancreatic lipase irreversibly increases.

    Under the influence of enterokinase of the small intestine of trypsinogen, trypsin, which, in turn, activates proteolytic enzymes and cleaves peptide bonds formed by lysine and arginine.

    By the feedback mechanism, secretion of the pancreas is inhibited, which is manifested by an analgesic effect.

    Pharmacokinetics:

    Not absorbed. It is subjected to biotransformation in the intestine by hydrolysis to amino acids and oligopeptides.

    Indications:

    It is used for the treatment of chronic inflammatory-dystrophic diseases of the gastrointestinal tract, accompanied by digestive disorders, diarrhea, flatulence. It is used to improve the digestion of food in people with normal gastrointestinal function with errors in nutrition, forced long-term immobilization, hypodynamia, states after cholecystectomy, resection of the stomach, and also with malfunctioning of the masticatory function. It is used to prepare for ultrasound and radiological examination of the abdominal cavity organs.

    IV.E70-E90.E84   Cystic fibrosis

    XI.K80-K87.K86.1   Other chronic pancreatitis

    XI.K80-K87.K86.8   Other specified pancreatic diseases

    XI.K90-K93.K90.3   Pancreatic Storya

    XI.K90-K93.K91.2   Disruption of absorption after surgery, not elsewhere classified

    XXI.Z40-Z54.Z51.4   Preparatory procedures for subsequent treatment, not elsewhere classified

    Contraindications:

    Individual intolerance, acute pancreatitis.

    Carefully:

    In CF it is not recommended to exceed the dose of the drug above 10 000 U / kg / day due to the increased risk of developing fibrous colonopathy in the ileocecal region and in the ascending colon.

    Pregnancy and lactation:

    Recommendations for FDA - Category B. It is used in pregnancy and lactation.

    Dosing and Administration:

    Children

    Inside, up to 1,5 years: for 50 000 units / day;

    over 1.5 years: for 100 000 units / day.

    Adults

    Inside with food, 0.5-1 g before each meal, it is possible to increase the dose by half, depending on the nature of the food.

    The highest daily dose: 15 000-20 000 units / kg.

    The highest single dose: 15 000-20 000 units / kg.

    Side effects:

    Allergic reactions.

    Overdose:

    Symptoms: constipation.

    Treatment: symptomatic.

    Interaction:

    When used simultaneously with antacids, there may be a decrease in efficacy.

    Special instructions:

    The use of pancreatin as a remedy for overeating is not effective.

    In patients with cystic fibrosis, the use of omeprazole enhances the action of pancreatin.

    Instructions
    Up