PANCREAZE is indicated for the treatment of exocrine pancreatic insufficiency in adult and pediatric patients.

37,000 unit dose available
Covered on the majority of commercial insurance plans.
37,000 unit dose available
Covered on the majority of commercial insurance plans.

Could your chronic gastrointestinal issues be caused by EPI?

The most common symptoms of EPI are gastrointestinal — related to the stomach and digestion7,8

When you have Exocrine Pancreatic Insufficiency (EPI), your body is missing the enzymes it needs to properly digest food. This can cause important nutrients such as fats, proteins and carbohydrates to pass through the body unabsorbed and as a result, your body doesn’t get the nutrients it needs. In people with EPI, these undigested nutrients cause chronic gastrointestinal (GI) symptoms after eating.


Could it be EPI?

Doctor Discussion Guide


The most common symptoms of EPI7,8

Discuss with your doctor if you have one or more of the following chronic symptoms:

STOMACH PAIN: Gas and bloating resulting from poor digestion due to EPI can cause stomach pain.

DIARRHEA: Unabsorbed fats and nutrients in the small bowel draw in water and cause diarrhea.

GAS: Gas is made as the body breaks down food. Improper digestion can cause increased gas and flatulence.

UNEXPLAINED WEIGHT LOSS: This can occur when the body can’t absorb enough nutrients and fats.

BLOATING: Excess gas can cause the uncomfortable feeling of fullness in the abdomen.

GREASY STOOLS: Fat that isn’t digested can cause greasy, foul-smelling stools that float.

Real patient perspectives


In a recent online survey, patients reported that before being diagnosed with EPI, their most troublesome symptoms were: diarrhea, stomach pain, oily stools and gas. Prior to their EPI diagnosis:


Worried about interruptions from
urgent, unpredictable symptoms


Reported being upset not knowing
what was causing their symptoms

Download a FREE doctor discussion guide

We know it can be uncomfortable talking about gastrointestinal issues and subjects like bowel movements. We can help make the conversation easier. This document provides helpful tips to support you when speaking with your doctor about your chronic gastrointestinal issues and whether EPI could be the cause.

Download the free Could it Be EPI? doctor discussion guide


The good news is that EPI is treatable. We’re here to help. Explore the following:

The causes
of EPI

Learn who's at risk
for having EPI.

Free Discussion

We can help make the
conversation easier.

Find a
GI Specialist

Use this free, publicly
available lookup tool.



Sign up and start saving today!

Save monthly on your medication and nutritional products, and access personalized pharmacy services. Includes FREE home delivery!


*Managed Markets Insight & Technology, LLC, database as of February 2024. Certain plans may require prior authorization.


PANCREAZE is a prescription medicine used to treat people who cannot digest food normally because their pancreas does not make enough enzymes.

Important Safety Information

What is the most important information I should know about PANCREAZE?​

PANCREAZE may increase your chance of having a serious, rare bowel disorder called fibrosing colonopathy that may require surgery. Fibrosing colonopathy has been reported with high dosages of pancreatic enzyme products, usually with use over a prolonged period of time and in pediatric patients with cystic fibrosis. Colonic stricture has been reported in pediatric patients less than 12 years of age.

Take PANCREAZE exactly as prescribed by your doctor. Do not take more or less PANCREAZE than directed by your doctor.

Call your doctor right away if you have any unusual or severe stomach area (abdominal) pain, bloating, trouble passing stool (having bowel movements), nausea, vomiting, or diarrhea.

What should I tell my doctor before taking PANCREAZE?

Tell your doctor if you:

  • are allergic to pork (pig) products
  • have a history of blockage of your intestines, or scarring or thickening of your bowel wall (fibrosing colonopathy)
  • have gout, kidney disease, or high blood uric acid (hyperuricemia)
  • have trouble swallowing capsules
  • have any other medical condition
  • are pregnant or plan to become pregnant
  • are breastfeeding or plan to breastfeed

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.

What are the possible side effects of PANCREAZE?

PANCREAZE may cause serious side effects, including:

  • A rare bowel disorder called fibrosing colonopathy
  • Irritation of the inside of your mouth. This can happen if PANCREAZE is not swallowed completely
  • Increase in blood uric acid levels. This may cause worsening of swollen, painful joints (gout) caused by an increase in your blood uric acid levels. This may occur if you have gout or renal impairment. Contact your healthcare provider if you experience pain, stiffness, redness or swelling of your joints.
  • Allergic reactions including trouble with breathing, skin rashes, or swollen lips
  • PANCREAZE and other pancreatic enzyme products are made from the pancreas of pigs, the same pigs people eat as pork. These pigs may carry viruses. Although it has never been reported, it may be possible for a person to get a viral infection from taking pancreatic enzyme products that come from pigs.

The most common side effects include pain in your stomach (abdominal pain) and gas.

These are not all the side effects of PANCREAZE. Talk to your doctor about any side effect that bothers you or does not go away. You may report side effects to the FDA at 1-800-FDA-1088 or You may also report side effects to VIVUS LLC at 1-888-998-4887.

How do I take PANCREAZE?

  • Take PANCREAZE with meals or snacks.
  • Swallow capsules whole.
  • For adult and pediatric patients unable to swallow intact capsules, the capsule contents may be sprinkled on a small amount so acidic food with a pH of 4.5 or less (e.g., applesauce).
  • For pediatric patients birth to 12 months of age, PANCREAZE capsules can also be opened, and the capsule contents sprinkled directly into the infant’s mouth.
  • Consume sufficient liquids (juice, water, breast milk, or formula) and visually inspect an infant’s mouth to ensure complete swallowing of PANCREAZE capsules or capsule contents.
  • Do not crush or chew PANCREAZE capsules or capsule contents.

Please read the PANCREAZE Medication Guide and PANCREAZE Product Information and discuss any questions you have with your doctor.

References: 1. PANCREAZE Full Prescribing Information. Campbell, CA: VIVUS LLC; 2024. 2. CREON® Full Prescribing Information. Chicago, IL: Abvie, Inc; 2023. 3. PERTZYE® Full Prescribing Information. Bethlehem, PA: Digestive Care, Inc; 2022. 4. VIOKACE™ Full Prescribing Information. Birmingham, AL: Allergan USA, Inc; 2012. 5. ZENPEP® Full Prescribing Information. Bridgewater, NJ: Aimmune Therapeutics, Inc; 2023. 6. Trapnell BC, et al. Efficacy and safety of PANCREAZE® for treatment of exocrine pancreatic insufficiency due to cystic fibrosis. J Cyst Fibros. 2011;10(5):350-356. 7. Cleveland Clinic. (n.d.). Exocrine Pancreatic Insufficiency (EPI). Retrieved from 8. Othman MO, et al. Introduction and practical approach to exocrine pancreatic insufficiency for the practicing clinician. Int J Clin Pract. 2018;72:e13066. 9. Cleveland Clinic. (n.d.). Pancreas. Retrieved from 10. Struyvenberg MR, et al. Practical guide to exocrine pancreatic insufficiency - breaking the myths. BMC Med. 2017;15(1):29. 11. Lindkvist B. Diagnosis and treatment of pancreatic exocrine insufficiency. World J Gastroenterol. 2013;19(42):7258-7266. 12. The National Pancreas Foundation (n.d.). About Chronic Pancreatitis. Retrieved from 13. The Cystic Fibrosis Foundation (n.d.). About Cystic Fibrosis. Retrieved from 14. Uribarri-Gonzalez L, et al. Exocrine pancreatic function and dynamic of digestion after restrictive and malabsorptive bariatric surgery: a prospective, cross-sectional, and comparative study. Surg Obes Relat Dis. 2021 Oct;17(10):1766-1772 15. Fousekis FS, Theopistos VI, Katsanos KH, Christodoulou DK. Pancreatic Involvement in Inflammatory Bowel Disease: A Review. J Clin Med Res. 2018;10(10):743-751. doi:10.14740/jocmr3561w. 16. Cystic Fibrosis Foundation. (n.d.). Phthalates. Retrieved March 3, 2022, from

Important Safety Information

PANCREAZE may increase your chance of having a serious, rare bowel disorder called fibrosing colonopathy that may require surgery. The risk of having this condition may be reduced by following the dosing instructions that your healthcare provider gave you. Take PANCREAZE exactly as prescribed by your doctor. Do not take more or less PANCREAZE than directed by your doctor.


You are about to enter a site that is for U.S. Healthcare Professionals Only

By selecting “Yes” below, you certify that you are a U.S. licensed Healthcare Professional and wish to proceed to the Healthcare Professionals Only section of this site.