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EPI is a condition that occurs when the pancreas is unable to provide the enzymes needed to digest food. When you have exocrine pancreatic insufficiency the body can’t properly digest and absorb fats, proteins, and carbohydrates from the food you eat.
This means that after you eat, food passes through your system without being fully digested and can cause troublesome gastrointestinal symptoms. Additional complications that can result from EPI include muscle loss, skin problems, brittle nails and hair loss.
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The pancreas is a pear-shaped organ in the back of the abdomen (belly) behind the stomach. It is about 6 inches long and is part of the digestive system. It produces enzymes that help with digestion and sends out hormones that control the amount of sugar in the bloodstream.
PANCREAS
The gland that produces digestive enzymes runs the length of the pancreas.
When food enters the stomach, the pancreas releases the enzymes into small tubes that flow into the main pancreatic duct.
The pancreas produces three types of enzymes to help digest food:
Works with bile (a fluid produced by the liver) to break down fats.
Breaks down carbohydrates for energy.
Breaks down
proteins
EPI is diagnosed based on a combination of patient history, symptoms and specific laboratory tests. The symptoms of EPI can be similar to other digestive conditions — which can complicate the process of diagnosing it. The primary treatment for EPI is called pancreatic enzyme replacement therapy (PERT). This is a therapy that replaces the enzymes your pancreas isn't making — a prescription medication taken every time you eat.
A condition where the
body can’t properly
digest food.7
Learn who's at risk
for having EPI.
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*Managed Markets Insight & Technology, LLC, database as of February 2024. Certain plans may require prior authorization.
What is PANCREAZE?
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:
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:
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 www.fda.gov/medwatch. You may also report side effects to VIVUS LLC at 1-888-998-4887.
How do I take PANCREAZE?
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: AbbVie, Inc; 2024. 3. PERTZYE® Full Prescribing Information. Bethlehem, PA: Digestive Care, Inc; 2024. 4. VIOKACE™ Full Prescribing Information. Birmingham, AL: Allergan USA, Inc; 2012. 5. ZENPEP® Full Prescribing Information. Bridgewater, NJ: Aimmune Therapeutics, Inc; 2024. 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 https://my.clevelandclinic.org/health/diseases/21577-exocrine-pancreatic-insufficiency-epi 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 https://my.clevelandclinic.org/health/body/21743-pancreas 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 https://pancreasfoundation.org/patient-information/chronic-pancreatitis/ 13. The Cystic Fibrosis Foundation (n.d.). About Cystic Fibrosis. Retrieved from https://www.cff.org/What-is-CF/About-Cystic-Fibrosis/ 14. 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. 15. Mayo Clinic. (n.d.). Biliopancreatic diversion with duodenal switch (BPD/DS). Retrieved from https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180 16. Mayo Clinic. (n.d.). Gastric bypass (Roux-en-Y). Retrieved from https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189 17. 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 18. Vujasinovic M, et al. Pancreatic Exocrine Insufficiency after Bariatric Surgery. Nutrients. 2017 Nov 13;9(11):1241. 19. Cystic Fibrosis Foundation. (n.d.). Phthalates. Retrieved March 3, 2022, from https://www.cff.org/phthalates
Important Safety Information
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.
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