Dosage should be adjusted according to the severity of the exocrine pancreatic enzyme deficiency. The number of capsules or capsule strength given with meals and/or snacks should be estimated by assessing which dose minimizes steatorhea and maintains good nutritional status. Dose increases if required, should be made slowly, with careful monitoring of response and symptomatology. It is important to ensure adequate hydration of patients at all times while dosing Pancrelipase capsules. In some patients with pancreatic enzyme deficiency, satisfactory responses have been achieved with dosages (expressed in U.S.P. units of lipase) similar to the ones stated below. However, dosages should be adjusted according to the response of the patient.
Children 7 to 12 years: 4,000 to 12,000 units (more if necessary) with each meal and with snacks.
Children 1 to 6 years: 4,000 to 8,000 units with each meal and 4,000 units with snacks.
Children under 1 year: Dosage for children under 6 months of age has not been established. Children 6 months to 1 year have responded to 2,000 units of lipase per meal.
The assessment of the end points in children is aided by charting growth curves.
Adults: 4,000 to 20,000 units (more if necessary) with each meal and with snacks.