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Mezym forte 20 tablets

Product Code: Mezym forte 20 tablets
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What is Mezim Forte  and what it is used for
What is Mezim Forte ?
Mezim forte is a medicine that contains substances (enzymes) from porcine pancreas (pancreatic powder, also called pancreatin) that promote digestion.

What is Mezim forme ?
Mezim forte . is used to replace digestive enzymes in indigestion due to reduced or absent pancreatic function (exocrine pancreatic insufficiency).

2. What you need to know before you take Mezim forte
Do not take Mezim forte

if you are allergic (hypersensitive) to pancreatin, pork products, azorubine (E122) or any of the other ingredients of this medicine (see section 6);
if you suffer from acute pancreas inflammation or acute chronic inflammation of the pancreas during the active phase of the disease. Sometimes, however, it is advisable to use the drug in the diet with a diet (light meal) if the digestive tract continues.
Warnings and precautions
Talk to your doctor or pharmacist before using Mezim Forte 

if you notice you have complaints like intestinal obstruction (eg abdominal pain, lack of intestinal function, nausea, vomiting). Intestinal obstruction is a known complication in patients with cystic fibrosis;
this drug contains active enzymes that, when released into the oral cavity, e.g. chewing the tablet may result in damage to the mucous membrane of the mouth (eg, oral mucous membrane wounds). It is therefore necessary to take into consideration the Mezimforme to adopt goals.
Other medicines and Meziforte 
Tell your doctor or pharmacist if you are taking, have recently taken, or are likely to be taking other medicines.
The absorption of folic acid (the passage of folic acid into the blood) may be reduced by taking medicinal products containing pancreatin, which means that additional folic acid may be required.
The effect of oral glucose lowering drugs (oral antidiabetic medicines) acarbose and miglitol may be reduced by the simultaneous intake of Meziforte 

Pregnancy and breastfeeding
If you are pregnant or are breast-feeding, think you may be pregnant or plan to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.
There is insufficient data on the use of Mezim Forte  in pregnant women. There are only insufficient data from animal studies on pregnancy, development of the unborn child, childbirth and development after childbirth. The potential risk to humans is unknown. If you are pregnant or breast-feeding, you should not take Mezim forte , unless your doctor thinks that taking is absolutely necessary.

Driving and using machines
Mezim forte  does not have or has an insignificant effect on the ability to drive or use machines.

Mezim forte  contains lactose and azorubine.
This medicinal product contains lactose. If your doctor has told you that you have an intolerance to some sugars, talk to your doctor before taking this medicine.
This medicinal product contains azorubin (E122), which may cause allergic reactions.

3. How to take Mezim forte 
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.

The recommended dose is:
2-4 tablets Mezim forte  feeding (equivalent to 20,000 - 40,000 lipase units per meal).
Dosimetry of Mezim Forte 10000 Ph. Eur. U. is determined by the severity of the existing digestive disorder. The required dose may be even higher. Larger dose increases can only be performed under medical supervision and are intended to improve symptoms (eg fatty stools, abdominal pain).
A daily enzyme dose of 15,000-20,000 units of lipase per kilogram of body weight should not be exceeded. Especially in patients with cystic fibrosis, the dose of enzymes should not be higher than that required for sufficient fat absorption.

Use in children and adolescents
Dosage in children should be determined by a physician.

Application method
Tablets Mezim forte  should be swallowed whole with plenty of liquid (water or juice) during meals. Note that tablets should be swallowed whole, as chewing effects of Mezim forte 10000 decreases, and the enzymes contained may, after release, damage the lining of the oral cavity. Then take a large amount of liquid (water or juice).
Duration of treatment
The duration of treatment is unlimited. The duration of use of Mezim Forte  corresponds to the duration of the disease and is determined by a physician. Please talk to your doctor if you do not feel better or if you feel worse.
Please consult your doctor or pharmacist if you feel that Mezim forte is too strong or too weak.

If you take more than the required dose of Mezim Forte 
Then drink plenty of water and talk to your doctor or pharmacist. Extremely high doses of pancreatin, especially in patients with cystic fibrosis, can lead to an increase in blood uric acid (hyperuricemia) and urine (hyperuricosuria).

If you forget to take Mezim forte 
Do not take a double dose to make up for the missed tablet and continue treatment as recommended.

If you stop taking Mezim Forte 
If you stop taking Mezim Forte  Early or if you discontinue treatment, the symptoms of indigestion may reappear. Talk to your doctor.

If you have any other questions about the use of this medicine, talk to your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them.

Important side effects or signs that you need to be aware of and appropriate measures you should take
If you are affected by any of the side effects listed above, do not take more and if possible immediately consult a doctor. He will consider further treatment.

Very rare side effects (may affect less than 1 in 10,000 patients):

diarrhea, abdominal discomfort, abdominal pain, nausea, vomiting;
immediate skin allergic reactions such as skin rash, urticaria, sneezing, tearing, shortness of breath due to narrowing of the airways (bronchospasm), difficulty in breathing;
allergic reactions of the digestive system;
narrowing of the small intestine / area of appendix and descending colon is described in patients with cystic fibrosis when high doses of pancreatin are administered. This narrowing may result in intestinal obstruction (see "Warnings and Precautions" section);
if you experience any unusual stomach or gastrointestinal discomfort or changes in your complaints, a precautionary measure should be reviewed by your doctor to rule out the possibility of damage to the bowel. This particularly affects patients taking daily more than 10,000 units of lipase per kilogram of body weight.
Adverse reactions of unknown frequency (can not be estimated from the available data):

in patients with cystic fibrosis, especially with high doses of pancreatin, increased urinary excretion of uric acid may occur. Therefore, if you are a cystic fibrosis patient, your doctor should monitor the urinary excretion of uric acid to avoid urate stones.
Azorubine may cause allergic reactions.

If any of the side effects gets serious, tell your doctor or pharmacist. This includes all possible side effects not listed in this leaflet.

5. How to store Mesim Forte 
Keep out of the reach of children!
Do not use this medicine after the expiry date which is stated on the carton and blister after EXP. The expiry date refers to the last day of that month.

Storage conditions:
Store below 30 ° C.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of your unnecessary medicines. These measures will help to protect the environment.

6. Package Contents and Additional Information
What is Mezim Forte 
The active substance is:
1 gastro-resistant tablet contains 125 mg pancreatic powder (porcine pancreas powder) with the following activity:

Lipase - 10000 Ph. Eur. Units / Tablet;
Amylase - not less than 7500 Ph. Eur. Units / Tablet;
Proteases - not less than 375 Ph. Eur. Units / Tablet.
The other ingredients are:
Core: lactose monohydrate, microcrystalline cellulose, crospovidone, colloidal anhydrous silica, magnesium stearate (Ph.Eur.) (Vegetable).
Wrap: hypromellose, methacrylic acid copolymer - ethyl acrylate (1: 1 dispersion), 30%, triethyl citrate, talc, simethicone emulsion consisting of simethicone, methyl cellulose, sorbic acid (Ph. Eur), water; macrogol 6000, carmellose sodium, polysorbate 80 (vegetable), azorubine (coloring agents E122), titanium dioxide, sodium hydroxide.

What does Mezim forte  and what the package contains
Mezimforte 10000 Ph. Eur. U. are pink, round, slightly rounded tablets with gush-edged edges


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