Creopase
Creopase Uses, Dosage, Side Effects, Food Interaction and all others data.
Pancreatin is a preparation of Pancreatin having protease, lipase and amylase enzyme activity. Pancreatin hydrolyses fats to glycerol and fatty acids, changes protein into proteoses and derived substances and converts starch into dextrins and sugars. Pancreatin is employed in the conditions where the secretion of pancreatic juice is defcient.
The major maldigestion/malabsorption problems arise from incomplete fat digestion. In clinical trials, the administration of pancrelipase as a mixture of amylase, lipase, and protease demonstrated a significant improvement in the coefficient of fat absorption and nitrogen absorption. These effects are accompanied by increased in body weight and body mass index.
Trade Name | Creopase |
Availability | Rx and/or OTC |
Generic | Pancrelipase |
Pancrelipase Other Names | Pancrealipase, Pancreatic extract pancrelipase, Pancreatic protease, Pancreatin, Pancreatinum, Pancrelipase, Pancrelipase (amylase;lipase;protease) |
Related Drugs | azithromycin, gentamicin, Zithromax, Creon, tobramycin, Zenpep, pancreatin, Pancreaze, Pertzye, Viokace |
Type | Capsule |
Weight | 131000.0 Da |
Protein binding | Pancrelipase acts locally in the GI tract and it is not absorbed in any significant amount thus, the protein binding is not relevant. |
Groups | Approved, Investigational |
Therapeutic Class | Digestive Enzyme |
Manufacturer | Alniche Life Sciences Pvt Ltd |
Available Country | India |
Last Updated: | September 19, 2023 at 7:00 am |
Uses
Children:
- Reduced or absence of pancreatic exocrine secretion
- Cystic fbrosis
Adults:
In the conditions with defcient pancreatic exocrine function such as-
- Following pancreatectomy
- Following total gastrectomy
- Chronic pancreatitis
- Steatorrhea
- Somatostatinoma
- Celiac disease
Creopase is also used to associated treatment for these conditions: Aerophagy, Deficiency Digestive enzymes, Diarrhoea, Dyspepsia, Exocrine Pancreatic Insufficiency, Flatulence, Gastrointestinal Discomfort, Pancreatic Insufficiency, Post Operative Gas, Pre-operative Gas, Fat malabsorption, Meteorism, Bile Duct Disorders, Carbohydrate Digestion, Digestive Aid, Fat Digestion, Liver Metabolism, Protein Digestion
How Creopase works
Creopase is used to replace the deficiency of pancreatic enzymes. As abovementioned, pancrelipase is formed by a mixture of lipase, protease, and amylase which are able to break down fat, protein, and starches, respectively, in the small intestine. For a more specific description of each mechanism of action, please visit Creopase amylase, Creopase protease and Creopase lipase.
Dosage
Creopase dosage
1-3 tablets daily with meal or as per direction of the physician.
Side Effects
Pancreatin may cause buccal and perianal soreness, particularly in infants. Hypersensitivity reactions have been reported; these may be sneezing, lacrimation or skin rashes.
Toxicity
The studies of the toxicology of pancrelipase are not needed as this drug has been used clinically for a long time. Clinical overdose studies proved no effect on lungs, pancreas, liver and kidneys but it can produce symptoms such as diarrhea or stomach upset. Carcinogenicity studies have not shown any increased incidence with the use of pancrelipase. As pancrelipase is not absorbed, the effect on fetal development or reproduction is not expected.
Precaution
A proper balance between fat, protein and starch intake must be maintained to avoid temporary indigestion.
Interaction
Alkaline media will rupture the enteric coating. As such to prevent bursting out of the content in the stomach Pancreatin should not be used concurrently with antacid.
Food Interaction
- Drink plenty of fluids.
- Take with fluids.
- Take with food. If swallowing the oral capsule is not tolerated, sprinkle on acidic soft foods with a pH of 4 or less.
Creopase multivitamins interaction
[Moderate] Exogenous pancreatic enzymes may interfere with the gastrointestinal absorption of folic acid and iron.
The exact mechanism of interaction is unknown.
In one study, investigators compared oral iron absorption over a 3-hour period in the presence and absence of exogenous pancreatic enzymes in 13 stable young adults with cystic fibrosis and 9 age-matched controls.
There was no difference between patients and controls in iron absorption in the absence of exogenous pancreatic enzymes.
However, significant impairment of iron absorption was observed in both groups after administration of pancrelipase one hour prior to iron administration.
In the patient group, one hour after iron administration, there was a 188% increase in serum iron level above baseline in the absence of pancrelipase but only a 62% increase in the presence of pancrelipase.
In the controls, percentage increases as well as peak serum iron levels were significantly higher in the absence of pancrelipase during all 3 hours after iron administration.
Clinically, at least one-third of cystic fibrosis patients reportedly have iron deficiency.
In the study, mean serum iron concentration was significantly lower in patients than in controls (11.9 versus 18.9 micromoles
Patients receiving therapeutic iron or folate therapy should be monitored for potentially reduced hematologic response if pancreatic enzymes are administered concomitantly.
Separating the times of administration may be helpful.
Creopase Drug Interaction
Unknown: zolpidem, aspirin, rosuvastatin, duloxetine, hydromorphone, levetiracetam, insulin glargine, atorvastatin, pregabalin, polyethylene glycol 3350, esomeprazole, insulin aspart, clopidogrel, pantoprazole, levothyroxine, acetaminophen, cyanocobalamin, ascorbic acid, cholecalciferol, ondansetron
Creopase Disease Interaction
Volume of Distribution
Creopase acts locally in the GI tract and it is not absorbed in any significant amount thus, the volume of distribution is not relevant.
Elimination Route
Creopase acts locally in the GI tract and it is not absorbed in any significant amount.
Half Life
Creopase acts locally in the GI tract and it is not absorbed in any significant amount thus, the elimination half-life is not relevant.
Clearance
Creopase acts locally in the GI tract and it is not absorbed in any significant amount thus, the clearance rate is not relevant.
Elimination Route
Creopase is entirely eliminated in the feces.
Pregnancy & Breastfeeding use
Pregnancy category C. Not known whether Pancreatin is distributed into milk. Caution advised if Pancreatin is used.
Acute Overdose
Excessive dosage may produce a laxative efect. Systemic toxicity does not occur. Very high dosage may cause hyperuricemia and hyperuricos-uria.
Storage Condition
Store in a cool and dry place. Keep out of the reach of children.
Innovators Monograph
You find simplified version here Creopase
FAQ
What is Creopase used for?
Creopase is used to help improve food digestion in certain conditions where the pancreas is not working properly.
How safe is Creopase?
Creopase is safe and effective in children when taken as prescribed by your doctor.
How does Creopase work?
Creopase works to decrease fatty bowel movements and to improve nutrition by breaking down fats, proteins, and starches from food into smaller substances that can be absorbed from the intestine.
What are the common side effects of Creopase?
Common side effects of Creopase are include:
- stomach pain, gas, upset stomach;
- diarrhea, frequent or abnormal bowel movements;
- rectal itching;
- headache;
- runny or stuffy nose, sore throat; or.
- changes in your blood sugar.
Is Creopase safe during pregnancy?
Creopase should be used during pregnancy only if clearly needed and the benefit outweighs the risk to the fetus.
Is Creopase safe during breastfeeding?
Caution is recommended, benefit to mother should outweigh risk to the infant. The effects in the nursing infant are unknown. Some experts recommend;Creopase should be used in doses sufficient to provide adequate effects to the mother.
When should I take Creopase?
Creopase is taken with plenty of water with every meal or snack, usually 5 to 6 times per day.
How long does it take for Creopase enzymes to work?
Creopase enzymes begin to work fairly immediately after taking them. They continue to work for about an hour to digest the food that has been consumed.
Can I stop taking Creopase enzymes?
Do not stop taking your enzymes if your symptoms persist try increasing the dose and contact your medical team for help.
Who should not take Creopase?
You should not take Creopase if you are allergic to pork proteins. Call your doctor at once if you have symptoms of a rare but serious bowel disorder: severe or unusual stomach pain, vomiting, bloating, diarrhea, or constipation.
Can Creopase cause pancreatitis?
Kidney disease or Pancreatitis usese with caution. May make these conditions worse.
What happens if I miss a dose of Creopase?
Take the missed dose with your next meal or snack. Do not take two doses at one time.Get your prescription refilled before you run out of medicine completely.
Can I take Creopase long time?
Do not change the dose of your medication unless your doctor tells you that you should. Your doctor will tell you the maximum amount of Creopase you should take in one day. Do not take more than this amount of Creopase in one day even if you eat more than your usual number of meals and snacks.
Can Creopase affect the liver?
Creopase can affects on liver also with other side effects are Gastrointestinal disorders ,skin disorders, blurred vision, myalgia, muscle spasm, and asymptomatic elevations of liver enzymes have been reported with this formulation of Creopase.
How should I store the Creopase?
Keep out of the reach of children.Do not keep outdated medicine or medicine no longer needed.Ask your healthcare professional how you should dispose of any medicine you do not use.
Will I have to take Creopase forever?
If you have had surgery to remove your entire pancreas or if it has been damaged by cancer, you will need to take Creopase for the rest of your life.
Can I take Creopase without food?
Creopase comes as a tablet, and a delayed-release capsule to take by mouth. It is taken with plenty of water with every meal or snack, usually 5 to 6 times per day.