{"product_id":"pangrol-20-000-enteric-coated-tablets-100-pc","title":"PANGROL 20,000 enteric-coated tablets 100 pc","description":"\u003ch1\u003e\u003cspan style=\"text-decoration: underline;\"\u003e\u003cstrong\u003ePangrol® 20,000 film-coated tablets\u003c\/strong\u003e\u003c\/span\u003e\u003c\/h1\u003e\n\u003cp\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eActive substance: Pancreas powder (pork)\u003c\/span\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eApplication:\u003c\/span\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eTo replace digestive enzymes in digestive disorders (maldigestion) due to insufficient or missing function of the pancreas (exocrine pancreatic insufficiency).\u003c\/span\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eNote: contains lactose.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 class=\"a-h4 u-no-margin u-font-weight--bold\"\u003e\u003cspan\u003ePANGROL Active ingredients\u003c\/span\u003e\u003c\/h3\u003e\n\u003cdiv class=\"o-ProductAdditionalInformation u-clearfix\"\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003ePork Pancreas Powder 160-222.22 mg\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003ch3 class=\"a-h4 u-no-margin u-font-weight--bold\"\u003e\u003cspan\u003eAuxiliary materials\u003c\/span\u003e\u003c\/h3\u003e\n\u003cdiv class=\"o-ProductAdditionalInformation u-clearfix\"\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eLactose-1 water 55.57-133.34 mg\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eCellulose, microcrystalline\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eCrospovidone\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eSilica, finely divided\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eMagnesium stearate (vegetable)\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eHypromellose\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eMethacrylic acid-ethyl acrylate copolymer (1: 1) dispersion 30%\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eTriethyl citrate\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003etalc\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eSimeticon emulsion 30%\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eMacrogol 6000\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eCarmellose sodium\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003ePolysorbate 80 (vegetable)\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eVanilla flavor\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eBergamot flavor\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eTitanium dioxide\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eSodium hydroxide for pH adjustment.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL Indication \/ application\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eThis preparation is a medicine that contains digestive substances (enzymes) from the pancreas of pigs (pancreas powder, also called pancreatin).\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eIt is used to treat indigestion caused by decreased or missing function of the pancreas.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL dosage\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eAlways take the preparation exactly as your doctor has told you.\u003cspan\u003e \u003c\/span\u003eCheck with your doctor or pharmacist if you are not sure.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan\u003edosage\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eThe recommended dose is:\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003e1 - 2 tablets per meal (corresponding to 20,000 to 40,000 Ph.-Eur. Units of lipase per meal).\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eThe dosage depends on the severity of the indigestion, so the required dose can be higher.\u003cspan\u003e \u003c\/span\u003eThe dose should only be increased under medical supervision and aimed at improving symptoms (e.g. fatty stools, abdominal pain).\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eA daily enzyme dose of 15,000 to 20,000 units of lipase per kilogram of body weight should not be exceeded.\u003cspan\u003e \u003c\/span\u003eEspecially in patients with cystic fibrosis, the enzyme dose should not be higher than necessary for adequate fat intake.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eThe doctor should decide on the dosage in children.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eDuration of application\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eThe duration of the application is not subject to any restriction.\u003cspan\u003e \u003c\/span\u003eIt depends on the course of the disease and is determined by the doctor.\u003cspan\u003e \u003c\/span\u003eIf you don't feel better or feel worse, contact your doctor.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003ePlease talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eIf you take more than you should\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eDrink plenty of water and talk to your doctor or pharmacist.\u003cspan\u003e \u003c\/span\u003eExtremely high doses of pancreatic powder can lead to an increase in uric acid in the blood (hyperuricemia) and urine (hyperuricosuria), especially in cystic fibrosis patients.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eIf you forget to take a dose\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eDo not take a double dose to make up for a forgotten dose, but continue with the treatment as recommended.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eIf you stop taking it\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eIf you end or interrupt treatment prematurely, you must expect that your symptoms can return.\u003cspan\u003e \u003c\/span\u003eConsult your doctor.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eIf you have any further questions on the use of the medicinal product, ask your doctor or pharmacist.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL way\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eSwallow the medicine whole with plenty of liquid, preferably around the middle of the meal.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003ePlease ensure that the tablets are swallowed whole, as the drug loses its effectiveness when chewed and the enzymes contained can damage the mucous membrane if released in the oral cavity.\u003cspan\u003e \u003c\/span\u003eYou should drink plenty of fluids (water or juice).\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL Side effects\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eAs with all medicines, this medicine can also have side effects, although not everybody receives them.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan\u003ePlease note:\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eIf you notice any of the following side effects, stop taking the product and contact your doctor immediately.\u003cspan\u003e \u003c\/span\u003eThis will then decide on the type of further treatment.\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eVery rare side effects (affects less than 1 in 10,000 people):\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eDiarrhea, abdominal discomfort, abdominal pain, nausea, vomiting\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eimmediate type allergic reactions, e.g.\u003cspan\u003e \u003c\/span\u003eB. rash, hives (urticaria), sneezing, tearing, shortness of breath due to narrowing of the airways (bronchospasm), shortness of breath\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eallergic reactions of the digestive tract\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eIn patients with cystic fibrosis, constrictions of the small intestine \/ appendix region and the ascending colon sections have been described after administration of high doses of pancreatic powder.\u003cspan\u003e \u003c\/span\u003eThese constrictions can sometimes lead to an intestinal obstruction.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eIf unusual gastrointestinal complaints or changes in the symptoms occur, you should have these examined by your doctor as a precautionary measure in order to rule out the possibility of damage to the intestine.\u003cspan\u003e \u003c\/span\u003eThis applies particularly to patients who take more than 10,000 Ph.-Eur. Units of lipase per kilogram of body weight per day.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan\u003eFrequency of side effects not known (cannot be estimated from the available data):\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eIn patients with cystic fibrosis, increased uric acid excretion in the urine can occur, especially when taking high doses of pancreatic powder.\u003cspan\u003e \u003c\/span\u003eTherefore, uric acid excretion in the urine of these patients should be monitored to avoid the formation of uric acid stones.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eIf you get any side effects, talk to your doctor or pharmacist.\u003cspan\u003e \u003c\/span\u003eThis also applies to side effects that are not specified.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL Interactions\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eTaking with other medicines\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eTell your doctor or pharmacist if you are taking, have recently used, or are planning to use any other medicines.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eThe absorption of folic acid (uptake of folic acid into the blood) can be reduced by taking finished medicinal products containing pancreatic powder, so that additional folic acid intake may be necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eThe effect of the blood sugar lowering agents acarbose and miglitol can be reduced by taking the preparation at the same time.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL Contraindications\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eDo not take the medicine\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eif you are allergic to pancreatic powder, pork or any of the other ingredients of this medicine\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you suffer from acute inflammation of the pancreas or have an acute flare-up of chronic inflammation of the pancreas during the fully developed phase of the disease.\u003cspan\u003e \u003c\/span\u003eIn the decay phase during the dietary build-up (light food), however, the administration of the preparation is occasionally useful in the case of persistent digestive disorders.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL pregnancy and breast feeding period\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eAsk your doctor or pharmacist for advice before using any medicine if you are pregnant or breast-feeding, if you suspect you may be pregnant or planning to become pregnant.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eThere is insufficient experience with the use of the drug in pregnant women.\u003cspan\u003e \u003c\/span\u003eThere are insufficient data from animal studies with regard to pregnancy, development of the unborn child, parturition and development of the child after birth.\u003cspan\u003e \u003c\/span\u003eThe potential risk to humans is unknown.\u003cspan\u003e \u003c\/span\u003eIf you are pregnant or if you are breastfeeding, you should not take the preparation unless your doctor considers it absolutely necessary.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003e\u003cspan\u003ePANGROL Patient information\u003c\/span\u003e\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eWarnings and Precautions\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003ePlease talk to your doctor or pharmacist before taking the preparation,\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eif you notice symptoms similar to bowel obstruction (e.g. abdominal pain, lack of bowel movement, nausea, vomiting).\u003cspan\u003e \u003c\/span\u003eBowel obstruction is a known complication in people with cystic fibrosis.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eThis medicine contains active enzymes which if released into the oral cavity (e.g. by chewing) may cause damage to the lining of the mucous membrane (e.g. wounds in the lining of the mouth).\u003cspan\u003e \u003c\/span\u003eTherefore, make sure to swallow the preparation whole.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cspan\u003eDriving and using machines\u003c\/span\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eThe drug has no or negligible influence on the ability to drive and use machines.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e","brand":"Berlin-Chemie AG","offers":[{"title":"Default Title","offer_id":54928562684281,"sku":"04783200","price":73.99,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0903\/0792\/0249\/files\/pangrol-20000-enteric-coated-tablets-100-pc-uk-1.jpg?v=1738775119","url":"https:\/\/ukdorf.co.uk\/products\/pangrol-20-000-enteric-coated-tablets-100-pc","provider":"UKDorf (ELIVERA) Buy online, Reviews Est. 1988 London, UK.","version":"1.0","type":"link"}