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Oral preparations for pancreatic enzyme replacement therapy

Oral preparations for pancreatic enzyme replacement therapy
Pancrelipase preparations
(United States trade name)
Description and United States manufacturer
(refer to NOTE)
Administration Lipase
(USP units)
Amylase
(USP units)
Protease
(USP units)
Pancreaze 2600

Delayed-release capsule containing enteric-coated microtablets, porcine origin.

(VIVUS, Inc)

Applies to Pancreaze, Creon, Zenpep:

Preparation is suitable for use in adults, children, and infants.

Swallow capsules whole or sprinkle capsule contents on small amount of acidic, soft food with pH of 4.5 or less (eg, applesauce, yogurt, commercially prepared bananas or pears). Consume immediately and follow with water, juice, or other liquid. Do not crush or chew capsule shell or contents.

For infants, contents of the capsule may also be administered directly into the mouth, followed by breast milk or formula*.
2600 15,200 8800
Pancreaze 4200 4200 24,600 14,200
Pancreaze 10,500 10,500 61,500 35,500
Pancreaze 16,800 16,800 98,400 56,800
Pancreaze 21,000 21,000 83,900 54,700
Pancreaze 37,000 37,000 149,000 97,300
Creon 3

Delayed-release capsule containing enteric-coated minimicrospheres, porcine origin.

(AbbVie, Inc)
3000 15,000 9500
Creon 6 6000 30,000 19,000
Creon 12 12,000 60,000 38,000
Creon 24 24,000 120,000 76,000
Creon 36 36,000 180,000 114,00
Zenpep 3

Delayed-release capsule containing enteric-coated beads, porcine origin.

(Aimmune Therapeutics, Inc)
3000 14,000 10,000
Zenpep 5 5000 24,000 17,000
Zenpep 10 10,000 42,000 32,000
Zenpep 15 15,000 63,000 47,000
Zenpep 20 20,000 84,000 63,000
Zenpep 25 25,000 105,000 79,000
Zenpep 40 40,000 168,000 126,000
Viokace 10,440

Regular-release (non-enteric-coated) tablet, porcine origin.

(Nestlé Healthcare Nutrition, Inc)

Only indicated for use in adult patients also treated with a proton pump inhibitor.

Swallow tablets whole with sufficient liquid. Do not crush or chew.

Preparation is not suited for infants or children who do not readily swallow whole pills.
10,440 39,150 39,150
Viokace 20,880 20,880 78,300 78,300
Pertzye 4

Delayed-release capsule containing bicarbonate-buffered, enteric-coated microspheres, porcine origin.

(Digestive Care, Inc)

Preparation is suitable for use in adults, children, and infants.

Swallow capsules whole or sprinkle capsule contents on small amount of acidic, soft food with pH of 4.5 or less (eg, applesauce, yogurt, commercially prepared bananas or pears). Consume immediately and follow with water, juice, formula, or breast milk as appropriate. Do not crush or chew capsule shell or contents. Do not mix contents of capsule in formula or breast milk.

Pertzye 24 is indicated for children over 12 months of age and adults.
4000 15,125 14,375
Pertzye 8 8000 30,250 28,750
Pertzye 16 16,000 60,500 57,500
Pertzye 24 24,000 90,750 86,250

This table shows USP units of enzyme activity for product brands available in the United States. Individual product contents, preparation type, and units of activity vary by country. The units of activity used in other countries are not equivalent to the USP units shown in this table (unless the data are specifically given as USP units). Consult local prescribing information before use or changing products.

NOTE: Products are not equivalent to one another and are not automatically interchangeable with any other pancreatic enzyme replacement product.

USP: United States Pharmacopeial.

* Care should be taken to be sure that the capsule contents (pellets) are not crushed or retained in the mouth, to avoid irritation of the oral mucosa. Do not mix directly into infant formula or breast milk, as this may diminish efficacy.
Data from: US licensed prescribing information. Available at: https://dailymed.nlm.nih.gov/dailymed/index.cfm (Accessed on November 7, 2023).
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