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Zenpep is a medicine that contains a mixture of digestive enzymes. Zenpep is used to treat people who cannot digest food normally because their pancreas does not make enough enzymes due to cystic fibrosis (an inherited disease that causes your mucus to be thick and sticky, and may result in difficulty breathing) or other conditions determined by your healthcare provider. Zenpep is a delayed-release medicine (a capsule that releases medicine into your body at a later time from when you take it).
How does this medication work?
Zenpep replaces the digestive enzymes your pancreas is not producing, helping to digest nutrients (such as fats, proteins, and sugars) from food.
What are the beneficial effects of this medication and when should I begin to have results?
What: Studies show that Zenpep helped to improve the absorption of nutrients and fats from food.
When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you take Zenpep exactly as your healthcare provider has prescribed.
How do I know it is working?
Your healthcare provider may order tests regularly to check how well this medication is working.
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
More common side effects may include: pain in your belly, gas, headache, cough, decreased weight, feeling full after a small amount of food, bruising.
Less common side effects may include:
Increased chance of developing fibrosing colonopathy (a rare and serious bowel disorder), especially if used in high doses for long periods of time in people with cystic fibrosis. Tell your healthcare provider if you have any unusual or severe stomach pain, bloating, bowel movements, nausea, vomiting, or diarrhea.
Irritation of the inside of your mouth, especially if Zenpep is retained in your mouth or is not swallowed completely.
Increased blood uric acid levels which may worsen existing gout (severe and painful inflammation of the joints).
Allergic reactions with symptoms such as trouble breathing, skin rashes, or swollen lips.
Do not take Zenpep if you are allergic to it or any of its ingredients.
Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Zenpep. Also, talk to your healthcare provider about your complete medical history, especially if you have allergies to pork products; a history of an intestinal blockage, or scarring or thickening of your bowel wall; gout; kidney disease; high blood uric acid levels; or if you are pregnant, plan to become pregnant, or are breastfeeding.
The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Adults, children, and infants: Your healthcare provider will prescribe the appropriate dose for you or your child, based on the condition, diet, and age.
Take Zenpep exactly as prescribed by your healthcare provider. Do not take extra doses or take more often without talking to your healthcare provider.
Do not switch Zenpep with any other pancreatic enzyme product without first talking to your healthcare provider.
Always take Zenpep with a meal or snack and enough liquid to swallow it whole and completely. If you eat a lot of meals or snacks in a day, be careful not to go over your total daily dose.
Infants (Children up to 12 Months)
Give Zenpep right before each feeding of formula or breast milk. Do not mix Zenpep capsule contents directly into formula or breast milk.
Open the capsules and sprinkle the contents directly into your infant's mouth or mix the contents in a small amount of room temperature acidic soft food, such as applesauce, pureed bananas or pears.
If you sprinkle Zenpep on food, give the Zenpep and food mixture to your child right away. Do not store the mixture for future use.
Give your child enough liquid to completely swallow the Zenpep contents or the Zenpep and food mixture.
Look in your child's mouth to make sure that all of the medicine has been swallowed.
Adults and Children
Swallow Zenpep capsules whole and take them with enough liquid to swallow them right away.
If you have trouble swallowing capsules, open the capsules and sprinkle the contents on a small amount of room temperature acidic food, such as applesauce. Ask your healthcare provider about other foods you can mix with Zenpep.
If you sprinkle Zenpep on food, swallow it right after you mix it, and drink enough water or juice to make sure the medicine is swallowed completely.
Do not crush, chew, or hold Zenpep capsules in your mouth.
No significant interactions have been reported with Zenpep at this time. However, always tell your healthcare provider about any medicines you take, including over-the-counter medications, vitamins, and herbal supplements.
The effects of Zenpep during pregnancy and breastfeeding are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
If you miss a dose of Zenpep, call your healthcare provider or wait until your next meal and take your usual number of capsules at your usual time. Do not make up for missed doses or take two doses at once.
Store at room temperature. Protect from heat and moisture.
In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
National Poison Control#: Call 1-800-222-1222
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