ZENPEP

Take this medication by mouth with a glass of water. Follow the directions on the prescription label. Take with food. Do not crush or chew the contents of the capsule. If you or your child have trouble swallowing, you may open the capsule and sprinkle the contents on soft foods that do not require chewing such as applesauce, pureed bananas, or pears. Swallow the mixture right away followed with water or juice. Do not store the mixture. If you are giving this medication to an infant, you may sprinkle the contents directly into your child's mouth. Give the medication right before each feeding of formula or breast milk. Do not mix capsule contents directly into formula or breast milk. Make sure the medication is swallowed completely and that no medication is left in the mouth. Take your doses at regular intervals. Do not take your medication more often than directed.
A special MedGuide will be given to you by the pharmacist with each prescription and refill of delayed-release capsules (Creon, Zenpep, or Pancreaze). Be sure to read this information carefully each time.
Talk to your care team about the use of this medication in children. While this medication may be prescribed for children for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

Visit your care team for regular check-ups. Talk to your care team before you change brands of this medication. Each brand has different amounts of enzymes.
You may need to be on a special diet while taking this medication. Also, ask your care team how much water you need to drink.
This medication may increase your chance of having a rare bowel disorder. The risk of having this condition may be reduced by following the dosing directions that your care team gives you. Call your care team right away if you have any unusual or severe stomach pain.
This medication may increase blood uric acid levels, for example, worsening of gout, or painful, swollen joints. Call your care team right away if you have any of these symptoms.
Be careful if you open the capsule. This medication can irritate the lungs if you breathe it in. Also, do not hold the medication in your mouth or chew it. This may cause mouth sores.
This medication may affect blood sugar levels. If you have diabetes, check with your care team before you change your diet or the dose of your diabetic medication.
Patients should inform their care team if they wish to become pregnant or think they might be pregnant.

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 25 degrees C (59 and 77 degrees F). Do not refrigerate. Protect from moisture. Throw away any unused medication after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.