The sizes of doses are appointed according to the needs of the patient, they depend on the composition of the food consumed, as well as the degree of digestion disorders. The medicine should be taken with food or immediately after it.
The capsule must be swallowed whole, without chewing, then drink it with water or eat a light snack. To take the medicine was easier (for the elderly and children), it is allowed to open the capsule and add its contents to the liquid food, which does not need to be chewed. For this, apple puree or liquid having a weakly acid / neutral medium (such as a crushed apple or yogurt) is suitable. Eat a similar mixture should be immediately after adding granules from the capsule.
During the use of the pannasinorm, it is important to drink enough fluids, especially when there is an increased loss of it. Lack of fluid can increase the manifestation of constipation.
Doses for the treatment of cystic fibrosis.
General rules for the use of drugs for substitution therapy with the use of pancreatic enzymes: a child's initial dose (less than 4 years) is 1000 U / kg with each meal. Children older than 4 years should take 500 units / kg with each meal.
The size of the daily maintenance dosage often does not exceed the level of 10000 U / kg or 4000 U / g of fat consumed.
Doses in the treatment of other types of exocrine pancreatic insufficiency.
Dosage sizes are selected individually, taking into account the fat composition of consumed food, as well as the degree of digestive process disorder.
The initial dosage is 10,000-25,000 units, which should be taken with each basic meal. But it can not be ruled out that some people need stronger doses to get rid of fatty feces, as well as maintaining the necessary nutritional status.
The generally accepted medical practice assumes that with food it is necessary to use a minimum of 20,000-50000 units. Admission together with basic food intake (breakfast, lunch or dinner) can be 25,000-80000 units of medicine, and in the case of an additional light snack during the day should be equal to half of the individual dosage used.