Pangrol 25000 caps. p / o ksh / sol. 25000 UNITS (fl.) # 20
Package quantity, pcs:
twenty
fifty
Category
Enzymes
Scope of the drug
Gastrointestinal tract
Release form
Capsules
Manufacturer country
Italy
Package quantity, pcs
twenty
Dosage form
opaque hard gelatin capsules of a cylindrical shape with hemispherical ends No. 0: the capsule body is light orange, the capsule cap is yellowish-green.
Capsule contents: enteric-coated cylindrical mini-tablets, light beige in color with a shiny surface.
Structure
Composition for one capsule:
Capsule contents (enteric-coated mini-tablets):
Core:
Active ingredient: Pancreatin - 356.10 mg with minimum activity: lipase 25000 IU, amylase 22500 IU, protease 1250 IU
Excipients: croscarmellose sodium - 11.87 mg, microcrystalline cellulose - 19.77 mg, hydrogenated castor oil - 3.96 mg, anhydrous colloidal silicon dioxide - 1.97 mg, magnesium stearate - 1.97 mg
Shell: methacrylic acid and ethyl acrylate copolymer (1: 1), 30% dispersion - 57.9 mg, triethyl citrate - 5.82 mg, simethicone emulsion 30% (dry weight) - 0.036 mg
talc - 11.63 mg
Capsule:
Body: gelatin - 65.40 mg, titanium dioxide (E 171) - 0.30 mg
iron dye yellow oxide (E 172) - 0.30 mg
iron dye red oxide (E 172) - 0.02 mg
Cap: gelatin - 42,900 mg
titanium dioxide (E 171) - 0.800, mg
quinoline yellow dye (E 104) - 0.300 mg
indigo carmine (E 132) - 0.003 mg.
pharmachologic effect
The active ingredient of the Pangrol® 25000 preparation is pancreatin, which is a powder from the pancreas of pigs.
The enzymes that make up pancreatin help break down fats, carbohydrates and proteins from food.
Pancreatin, having a proteolytic, amylolytic and lipolytic effect, compensates for the enzymatic insufficiency of the pancreas, the gland, improves the functional state of the gastrointestinal tract (GIT), and normalizes the digestive processes.
Pharmacokinetics
Gelatinous capsules of Pangrol® 25000 quickly dissolve in the stomach, releasing enteric-coated (acid-resistant) coated mini-tablets.
Thus, the enzymes remain protected from inactivation in the acidic environment of the stomach.
The release form of the drug provides mixing of mini-tablets with intestinal contents, and uniform distribution of enzymes.
Dissolution of the membrane, mini-tablets and activation of enzymes occurs at neutral or slightly alkaline pH in the small intestine.
Pancreatin is not absorbed in the gastrointestinal tract, excreted in the feces.
Side effects
Possible side effects are listed below in descending frequency of occurrence: often (> 1/100, < 1/10), infrequently (> 1/1000, < 1/100), rarely (> 1/10000, < 1/1000), very rarely (< 1/10000), including isolated messages.
Gastrointestinal disorders:
Often: nausea, vomiting, and bloating.
Gastrointestinal disorders are mainly associated with an underlying disease.
The incidence of the following adverse reactions was lower or similar to those with placebo.
Very often: pain in the abdomen
often: diarrhea.
Skin and subcutaneous tissue disorders:
Rare: rash
pruritus, urticaria - insufficient data to estimate the frequency of cases.
Selling features
Available without a prescription
Special conditions
In patients suffering from cystic fibrosis who received high doses of pancreatin drugs, strictures of the ileum, cecum and colon (fibrosing colonopathy) have been described.
As a precautionary measure, if unusual symptoms appear or the nature of the symptoms of the underlying disease changes, a medical examination is necessary to exclude lesions of the colon, especially if the drug is used at a dose of more than 10,000 lipase units per kg of body weight per day.
The effect of the drug on the ability to drive vehicles and other mechanisms
Pangrol® 25000 does not affect the performance of potentially hazardous species
activities requiring special attention and speed of reaction.
Indications
Name ENG
PANGROL 25000
Clinical and pharmacological group
Enzyme preparation
ATX code
Multienzymes (lipase, protease etc.)
Dosage
25000ED
Structure
Composition for one capsule: Contents of the capsule (mini-tablets, enteric coated): Core: Active ingredient: Pancreatin - 356.10 mg with minimum activity: lipase 25000 IU, amylase 22500 IU, protease 1250 IU Excipients: croscarmellose sodium - 11.87 mg, microcrystalline cellulose - 19.77 mg, hydrogenated castor oil - 3.96 mg, anhydrous colloidal silicon dioxide - 1.97 mg, magnesium stearate - 1.97 mg Shell: methacrylic acid and ethyl acrylate copolymer (1: 1), 30% dispersion - 57.9 mg, triethyl citrate - 5.82 mg, simethicone emulsion 30% (dry weight) - 0.036 mg talc - 11.63 mg Capsule: Body: gelatin - 65.40 mg, titanium dioxide (E 171) - 0.30 mg iron dye yellow oxide (E 172) - 0.30 mg iron dye red oxide (E 172) - 0.02 mg Cap: gelatin - 42,900 mg titanium dioxide (E 171) - 0,800, mg quinoline yellow dye (E 104) - 0.300 mg indigo carmine (E 132) - 0.003 mg.
Indications
Replacement therapy for insufficiency of exocrine pancreatic function in adults and children under the following conditions:
chronic pancreatitis
cystic fibrosis
pancreas cancer
conditions after surgical interventions on the pancreas and stomach (complete or partial resection of the organ)
after irradiation of the digestive tract, accompanied by impaired digestion
food, flatulence, diarrhea (as part of combination therapy)
narrowing of the pancreatic duct, for example, due to a tumor or biliary
stones
Schwachman-Diamond syndrome
subacute pancreatitis
other diseases accompanied by exocrine pancreatic insufficiency.
Relative enzyme deficiency in the following conditions and situations:
functional gastrointestinal tract disorders, with acute intestinal infections,
irritable bowel syndrome
the use of indigestible plant or fatty foods
Preparation for X-ray and ultrasound examinations of the abdominal organs.
Storage conditions and periods
At a temperature not higher than 25 degrees.
Expiration date: 2 years
INN / Active ingredient
pancreatin
Contraindications
Acute pancreatitis
exacerbation of chronic pancreatitis
hypersensitivity to porcine pancreatin or other components of the drug.
Specifications
Category
Enzymes
Scope of the drug
Gastrointestinal tract
Release form
Capsules
Manufacturer country
Italy
Package quantity, pcs
twenty
Scope of application
Gastroenterology
Way of introduction
Through the mouth
Vacation conditions
Without recipe
Brand name
Berlin-Chemie
The amount of the dosage form in the primary package
20 pcs.
Primary packaging type
Bottle
Type of consumer packaging
Pack of cardboard
Pharmaco-therapeutic group
Digestive Enzyme Remedy
Anatomical and therapeutic characteristics
A09AA02 Polyenzyme preparations (lipase + protease, etc.)
Dosage form
Enteric capsules
Expiration date in days
730
Dosage (volume) of the substance in the preparation
pancreatin 356.10 mg
Package weight, g
thirty
Mode of application
:
The dose of the drug Pangrol 25000 is selected individually, depending on the severity of the disease, as well as the volume and composition of food intake. < br> Unless otherwise indicated, adults should take 1-2 capsules of Pangrol® 25000 with each meal, swallowing whole (do not chew), drinking plenty of liquid (for example, a glass of water). If it is difficult for a patient to take a whole capsule (for example, in small children or elderly patients), you can pour its contents, for example, into a glass, opening the capsule by separating the cap from the body, and then take the contents (mini-tablets) with some liquid or added to liquid foods that do not require chewing (such as applesauce or fruit juice).Mixture of mini-tablets with food or liquid must not be stored (take immediately after preparation). < br> An increase in the dose of the drug should be carried out only under the supervision of a physician, focusing on the dynamics of symptoms (for example, a decrease in steatorrhea, a decrease in abdominal pain). < br> The daily dose of enzymes, which is 15000-20000 lipase units / kg of body weight, is not recommended to be exceeded. < br> The duration of the course of treatment is established by the doctor and depends on the course of the disease. < br> For children, the dosage regimen and duration of treatment is determined by the doctor depending on the severity of the disease and the composition of the food at the rate of 500 - 1000 lipase units / kg of the child's body weight for each meal. < br> Application for cystic fibrosis < br> The dose of Pangrol 25000 depends on body weight and should be 1000 lipase units / kg at the beginning of treatment for each meal for children under 4 years of age, and 500 lipase units / kg at each meal for children over 4 years of age. The dose of the drug should be selected individually, depending on the severity of the disease, under the control of steatorrhea and support for an optimal diet. In most patients, the dose should be no more than 10,000 lipase units / kg of body weight per day or 4000 lipase units / g of fat consumed.In most patients, the dose should be no more than 10,000 lipase units / kg of body weight per day or 4000 lipase units / g of fat consumed.In most patients, the dose should be no more than 10,000 lipase units / kg of body weight per day or 4000 lipase units / g of fat consumed.
Information on technical characteristics, delivery set, country of manufacture