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What is important to know about pancrealipase/Viokase?

a) Indications and contraindications
b) Patient education and monitoring parameters
c) Dosage adjustments and administration timing
d) Drug interactions and expected outcomes

1 Answer

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Final answer:

Pancrealipase/Viokase is an enzyme replacement therapy used for various digestive disorders, with proper administration and dosage adjustments being crucial for effectiveness. It has few drug interactions and is contraindicated in those with hypersensitivity to pork proteins.

Step-by-step explanation:

Pancrelipase, marketed under various brand names such as Viokase, is an enzyme replacement therapy used primarily in treating conditions such as pancreatitis, cystic fibrosis, and other disorders that result in the pancreas producing insufficient digestive enzymes. It aids digestion by helping break down fats, proteins, and carbohydrates.

Indications and Contraindications

Pancrelipase is indicated for individuals who have a deficiency in pancreatic enzymes due to conditions such as chronic pancreatitis or cystic fibrosis. Contraindications include hypersensitivity to pork proteins, as pancreatic enzyme products are often derived from porcine sources.

Patient Education and Monitoring Parameters

Patients using pancrelipase should be informed about taking the medication with meals to ensure proper digestion. Monitoring should include signs of effective digestion versus malabsorption to adjust dosages as necessary.

Dosage Adjustments and Administration Timing

Dosage is tailored to the individual based on the severity of enzyme deficiency and the effectiveness of the medication. It is critical to administer pancrelipase at the start of a meal or snack to optimize the digestion process.

Drug Interactions and Expected Outcomes

There are few drug interactions with pancrelipase, but it's important to consult with a healthcare provider about all medications being taken. Expected outcomes include a reduction in malabsorption symptoms and improved nutritional status.

The digestive roles of the liver, pancreas, and gallbladder include the production of bile, pancreatic juice (containing enzymes and buffers), and the storage and concentration of bile, respectively. These secretions are critical in the absorption of nutrients. The liver's histology, particularly the arrangement of hepatocytes and bile ducts, supports its extensive metabolic functions.

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