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Creon 40000 Capsules

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Document: leaflet MAH BRAND_PLPI 33723-0025 change

Ref: LTT0025/150216/1 /F

Creon 40000 Capsules

(pancreatin)

Patient Information Leaflet

Your medicine is called Creon 40000 capsules but will be referred to as Creon 40000 throughout this leaflet.

Important things you SHOULD know about Creon 40000

*    Creon 40000 is a pancreatic enzyme supplement for people whose bodies do not make enough enzymes to digest their food.

*    Take the number of capsules as prescribed by your doctor or dietician.

*    Take Creon 40000 with a meal or a snack and drink plenty of water.

*    Do not take Creon 40000 if you are allergic to pork or any pig product.

*    If you experience severe abdominal pain while taking Creon 40000, contact your doctor immediately.

*    Most people do not have problems taking Creon 40000 but side effects can occur. (see section 4)

Please read the rest of this leaflet carefully before you start taking

these capsules.

It includes other important information on the safe and

effective use of this medicine that might be especially important for you.

How to find the information you need

1.    About Creon 40000

What Creon 40000 is and how it works.

2.    Before you take Creon 40000

Who can take Creon 40000?

Can you take Creon 40000 if you are pregnant or breast feeding? Driving or operating machinery.

3.    How to take Creon 40000

How much Creon 40000 you should take.

When you should take Creon 40000.

How you should take Creon 40000.

What to do if you take too much Creon 40000.

What to do if you forget a dose.

4.    Possible side effects

Abdominal symptoms (such as abdominal pain).

Side effects and what to do if you get them.

5.    How to store Creon 40000

How and where to keep your capsules.

6.    Further Information

The ingredients in Creon 40000.

More information about cystic fibrosis and pancreatitis.

This medicine has been prescribed for you personally. Don't offer it to other people, even if their symptoms seem to be the same as yours.

^ About Creon 40000

What is Creon 40000

*    Creon 40000 is a high strength pancreatic enzyme supplement.

*    Pancreatic enzyme supplements are used by people whose bodies do not make enough of their own enzymes to digest their food.

*    Creon 40000 granules contain a mixture of the natural enzymes which are used to digest food.

*    The enzymes are taken from pig pancreas glands.

How does Creon 40000 work?

The enzymes in Creon 40000 work by digesting food as it passes through the gut. So, you must take Creon 40000 at the same time as eating a meal or a snack. This will allow the enzymes to mix thoroughly with the food.

[a Before you take Creon 40000

Do not take Creon 40000 if:

*    You are allergic to pork or any pig product, or to any of the other ingredients (see section 6).

If the above applies to you do not take Creon 40000. Talk to your doctor or dietician again.

When you need to take special care with Creon

A rare bowel condition called “fibrosing colonopathy”, where your gut is narrowed, has been reported in patients with cystic fibrosis taking high dose pancreatin products.

If you have cystic fibrosis and take in excess of 10, 000 lipase units per kilogram per day and have unusual abdominal symptoms or changes in abdominal symptoms tell your doctor.

Talk to your doctor if:

*    you are pregnant or trying to get pregnant (Creon 40000 can be used while breast feeding)

Please tell your doctor, dietician, or pharmacist if you think that you should not take Creon 40000 for any other reason.

If you drive or use machines

It is unlikely that Creon 40000 will affect your ability to drive or operate tools or machines.

[3) How to take Creon 40000

How much Creon 40000 to take

*    Always follow your doctor or dietician’s advice on how many capsules to take.

*    If your doctor advises you to increase the number of capsules you take, you should do so slowly. If you still have fatty stools or abdominal pain, talk to your doctor or dietician.

When to take Creon 40000

*    Always take Creon 40000 at the same time as eating a meal or a snack and drink plenty of water (see section 1).

How to take Creon 40000

*    Swallow the capsules whole or

*    Open the capsules and mix the granules (without crushing) with acidic liquid (e.g. apple, orange or pineapple juice) or soft food

(e.g. apple sauce or yoghurt). Swallow the mixture straight away, without chewing.

*    Drink plenty of liquid every day.

*    Mixing with non-acidic food or liquid, crushing or chewing of the pellets may cause irritation in your mouth or change the way Creon works in your body.

*    Do not hold Creon capsules or its content in your mouth.

*    Do not store the mixture.

How long to take Creon 40000 for

You should take your medicine until your doctor tells you to stop. Many

patients will need to take pancreatic enzyme supplements for the rest of

their lives.

Creon 40000 Capsules

(pancreatin)

Patient Information Leaflet (continued)

If you take too much Creon 40000

Ref: LTT0025/150216/1 /B

H6) Further information

If you take too much Creon 40000, you should drink plenty of water and see

The ingredients in Creon 40000

your doctor immediately.

* The active substance in Creon 40000 is pancreatin.

Each capsule contains gastro-resistant granules of pancreatin

If you forget a dose

400mg, equivalent to 40,000 PhEur units of lipase, 25,000 PhEur

If you forget to take your medicine, wait until your next meal and take your usual number of capsules. Do not try to make up for the number of capsules

units of amylase and 1,600 PhEur units of protease.

that you have missed. Just take your next dose at the usual time.

* The other ingredients are: cetyl alcohol, triethyl citrate, dimeticone

1000, macrogol 4000, hypromellose phthalate, gelatin, sodium

Possible side effects

lauryl sulphate, titanium dioxide (E171), red iron oxides (E172), black iron oxides (E172), yellow iron oxides (E172).

What Creon 40000 looks like and contents of the pack

Like all medicines, Creon 40000 can cause side effects (unwanted effects or

Creon 40000 Capsules are unmarked with a brown cap and a clear

reactions), but not everyone gets them.

body containing light brown gastro-resistant granules.

If you have severe or long-lasting abdominal pain, contact your doctor

Creon 40000 Capsules are available in plastic tubs of 50, 100 or 200

immediately.

capsules.

If you notice any unusual abdominal symptoms while taking Creon 40000

Manufacturer and Licence Holder

- contact your doctor.

This medicine is manufactured by Abbott Products GmbH, Hans-Bockler-Allee 20, D-30173 Hannover, Germany and is

Very common side effects (affect more than 1 in 10 patients):

procured from within the EU. Product Licence Holder: LTT

* stomach pains

Pharma Limited, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 ORE. Repackaged by Lexon (UK)

Common side effects (affect 1-10 patients out of 100):

* diarrhoea

Limited, Redditch, B98 ORE.

*    constipation

*    feeling or being sick

POM PL 33723/0025 Creon 40000 Capsules

* bloating

Revision date: 15/02/16

Uncommon side effects (affect 1-10 patients out of 1000):

* skin reactions, such as a rash

Creon is a registered trademark of Solvay Pharmaceutical GmbH.

During use, some patients have also experienced the following, the

Blind or partially sighted?

frequency of which is unknown:

*    itching with or without a rash

*    allergic reactions (which may be severe).

Is this leaflet hard to see or read? Phone LTT Pharma Limited, Tel: 01527

* severe or long-lasting abdominal pain (Fibrosing colonopathy).

505414 for help.

At extremely high doses, some patients have had high levels of uric acid in their blood and urine.

More information about cystic fibrosis and pancreatitis

You can find out more about Cystic Fibrosis from the following

Reporting of side effects

organisation:

If you get any side effects, talk to your doctor, pharmacist or nurse. This

The CF Trust

includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at

11 London Road, Bromley BR1 1 BY.

www.mhra.gov.uk/yellowcard.

You can find out more about Pancreatitis from the following

By reporting side effects, you can help provide more information on the

organisation:

safety of this medicine.

Pancreatitis Supporters Network PO Box 8938, Birmingham B13 9FW.

How to store Creon 40000

How and where to keep your capsules

*    Keep out of the sight and reach of children.

*    Do not store above 25°C

*    Keep container tightly closed. The enzymes in Creon 40000 are natural

products and their ability to digest food decreases over time. If the container is left in warm conditions (e.g. the glove compartment of a car), the digestive activity decreases faster.

*    Do not take Creon 40000 capsules after the expiry date on the bottle.

*    If the medicine becomes discoloured or shows any other signs of

deterioration, you should seek the advice of your pharmacist who will tell you what to do.

* Medicines should not be disposed of via wastewater or household waste.

Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.