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Creon® Capsules for Exocrine Pancreatic Insufficiency
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Pancrelipase delayed-release capsules help your body digest fat, protein, and carbs. Here you’ll find plain guidance on dosing, safety, and how to arrange US delivery from Canada. We also outline Creon® price without insurance so you can budget before you order.
What Creon Is and How It Works
Creon® contains pancreatic enzymes from porcine sources. The capsules use enteric-coated microspheres that pass the stomach and release enzymes in the small intestine. Lipase, protease, and amylase then work with your meal to break down fats, proteins, and carbohydrates. This helps manage the symptoms of Exocrine Pancreatic Insufficiency like oily stools, cramping, and bloating.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This treatment is taken with food, not on an empty stomach. The delayed-release design helps reduce enzyme breakdown by stomach acid so more reaches the intestines. Your prescriber will individualize the total dose based on symptoms, diet, and body weight.
Who It’s For
This medicine is indicated for adults and children with exocrine pancreatic insufficiency related to cystic fibrosis, chronic pancreatitis, or following pancreatic surgery. It can also be used for other conditions that cause pancreatic enzyme deficiency when prescribed by a clinician.
People with a known allergy to pork proteins or any capsule components should avoid it. During an acute pancreatitis flare, use is typically paused until your prescriber advises restarting. Discuss your history of gout, kidney issues, or high uric acid before beginning therapy.
Learn more about these conditions: Chronic Pancreatitis and Cystic Fibrosis.
Dosage and Usage
Take the capsules with every meal and snack as directed. Many people use a larger dose with meals and a smaller amount with snacks. Swallow capsules whole with liquid. If you cannot swallow them, carefully open the capsule and sprinkle the contents on a small amount of soft, acidic food such as applesauce. Swallow the mixture without crushing or chewing the granules, then drink water to clear your mouth.
Do not add the granules to milk, infant formula, or alkaline foods. Avoid chewing the granules, as this can irritate the mouth or reduce effectiveness. If your eating pattern changes, talk to your prescriber about adjusting the plan. For broader digestive topics, see our Gastrointestinal collection.
Strengths and Forms
The treatment comes as delayed-release capsules in multiple strengths for flexible dosing, such as 12,000 and 36,000 lipase units per capsule. Availability may vary by pharmacy and manufacturer lots.
Missed Dose and Timing
If you forget a dose with a meal or snack, take it as soon as you remember with the food. If the meal is over, skip the missed amount and resume at the next meal or snack. Do not double up or take this medicine on an empty stomach to “catch up.” Keep your dosing linked to food for best results.
Storage and Travel Basics
Store the bottle at room conditions in a dry place. Keep the cap tightly closed, and protect the granules from moisture and heat. Do not transfer the contents to another container. Keep all medicines out of reach of children and pets.
For travel, keep the labeled bottle in your carry-on. Pack enough for your trip plus a buffer in case plans change. Bring a copy of your prescription or prescriber contact details. If your supply is sourced from Canada, carry the original label for security screening and medication reconciliation.
Benefits
Consistent use with meals can reduce greasy stools and abdominal discomfort. Many people notice less urgency, fewer bathroom trips, and improved stool form. The delayed-release design supports enzyme delivery where digestion occurs. Capsule options allow tailoring to different meal sizes, eating patterns, and ages.
Side Effects and Safety
- Stomach pain or cramping
- Gas and bloating
- Constipation or diarrhea
- Nausea
- Headache
- Cough or throat irritation
Serious but uncommon risks include fibrosing colonopathy, especially with very high daily doses for prolonged periods. Mouth irritation can occur if granules are chewed. Allergic reactions may involve rash, swelling, or breathing difficulty; seek immediate care if these occur. Elevated uric acid can happen in some people; your clinician may monitor if you have gout or kidney concerns. For more on risk discussions, see Long Term Side Effects.
Drug Interactions and Cautions
This therapy has few known drug interactions. Let your prescriber know if you take acid-reducing medicine, as this may affect how some pancreatic enzyme products are used. Do not change doses of any treatment without medical guidance. Report persistent abdominal pain, unusual constipation, or new gastrointestinal bleeding to a healthcare professional promptly.
What to Expect Over Time
With consistent use at meals and snacks, many people experience steadier digestion and fewer greasy stools. Your prescriber may adjust the plan based on symptoms and dietary intake. Keeping a food and symptom journal can help fine-tune the regimen. If symptoms return when you eat larger meals or higher-fat foods, discuss whether your dosing around those meals should be revisited.
Digestive health is dynamic. Aging, diet, and comorbid conditions all play a role. For context on broader gut wellness, visit Gut Health Aging.
Compare With Alternatives
Multiple pancrelipase products are approved and may be appropriate. One alternative we carry is Viokace, a non–enteric-coated pancrelipase tablet that is used with a proton pump inhibitor when prescribed. Other brands such as Pancreaze or Zenpep may be considered by clinicians based on dosing needs, food preferences, and tolerability. Your prescriber can help you choose a product and plan that aligns with your diagnosis and daily routine.
Pricing and Access
Canadian pricing with US delivery from Canada helps many patients plan therapy more confidently. Review the product page to compare quantities and capsule strengths, then follow the checkout steps to upload your prescription. Our checkout uses encrypted processing to protect your information.
To see current Creon price options, view the item listing and select your preferred count. For those comparing access models, Pancrelipase from Canada is part of our cross-border service. If you are seeking coupons, check our current Promotions and speak with your prescriber or insurer about any program requirements.
Availability and Substitutions
Supply can vary by strength and package size. If a specific capsule is unavailable, your prescriber may recommend an equivalent enzyme total using multiple capsules or a different brand. There is no approved Creon generic in the United States at this time. Your pharmacy team will contact you and your clinician if a substitution is proposed and obtain approval before dispensing.
Patient Suitability and Cost-Saving Tips
Good candidates are people with diagnosed exocrine pancreatic insufficiency who can coordinate doses with meals and snacks. Those with pork allergy or during an acute pancreatitis flare should avoid use unless a prescriber specifically directs otherwise.
- Multi-month fills: reduce per-fill fees and simplify travel planning
- Meal plans: keep a simple dosing schedule aligned to your eating pattern
- Refill reminders: set calendar alerts before you run low
- Food journal: track meals, symptoms, and dose timing to refine therapy
- Insurance review: confirm coverage criteria and any prior authorization needs
For background on evolving access and affordability topics, see Canadian Drug Importation.
Questions to Ask Your Clinician
- Which meal sizes need the highest enzyme totals for me?
- Can I sprinkle the granules, and on which foods is that acceptable?
- How should I handle days with frequent snacks or high-fat meals?
- What signs suggest I need a dose review or different product?
- Are there reasons to avoid acid-reducing medicines with this therapy?
- Could any lab monitoring help, such as fat-soluble vitamin levels?
- How should I plan for Pancrelipase medication price if my coverage changes?
Authoritative Sources
Manufacturer Prescribing InformationFDA DailyMed LabelHealth Canada Drug Product Database
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Can Creon be taken with other medications?
Yes, but take Creon separately from antacids containing calcium or magnesium as they may affect its activity.
How long do I need to take Creon?
It depends on your condition. People with chronic pancreatic diseases may need it long-term or for life.
Can children take Creon?
Yes, it is often used in children with cystic fibrosis. Dosage is carefully adjusted by a pediatric specialist.
Does Creon need to be taken with every meal?
Yes, for best results, it should be taken with every meal and snack to aid digestion consistently.
What happens if I miss a dose of Creon?
If you miss it during a meal, skip that dose. Do not double up later. Just take the next dose with your next meal.
Can I open the capsules and sprinkle the contents?
Yes. If you cannot swallow the capsule, you may open it and mix the granules with a small amount of soft, acidic food like applesauce. Swallow immediately without chewing to avoid mouth irritation and to protect the enteric coating. Follow with water to clear the mouth. Do not mix the granules with milk, formula, or hot foods. Always keep doses paired with meals or snacks rather than taking on an empty stomach.
How should I take this medicine with snacks versus meals?
This therapy works best when taken every time you eat. Many patients use a larger amount with full meals and a smaller amount with snacks, as directed by their prescriber. Keep the plan consistent with your typical eating schedule. If your diet changes, ask your clinician if your approach should be adjusted. Do not double up doses or take extra without food to make up for a missed amount.
What are common side effects and serious warnings?
Common effects include stomach pain, gas, constipation, diarrhea, and nausea. These are usually mild and often improve as your plan stabilizes. Serious risks are rare but can include fibrosing colonopathy with very high doses, allergic reactions, and mouth irritation if granules are chewed. Call for urgent care with swelling, hives, or breathing difficulty. Report persistent abdominal pain, unusual constipation, or blood in stool to a healthcare professional.
Is it safe for children and older adults?
Pancreatic enzyme replacement is used in both pediatric and adult patients when prescribed. Dosing is individualized based on body weight and meal size. Children who cannot swallow capsules may use the sprinkle method with prescriber guidance. Older adults may have other conditions or medicines that influence therapy, so a medication review is helpful. Follow label directions and your clinician’s advice for the best results across age groups.
What if I’m pregnant or breastfeeding?
Data in pregnancy and breastfeeding are limited. Because this therapy acts locally in the gut with minimal systemic absorption, many clinicians consider it when benefits outweigh risks. However, decisions should be individualized. Discuss your plans with your prescriber, including symptom control goals, nutritional needs, and any vitamin supplementation, especially fat-soluble vitamins. Review all medicines and supplements you use before starting.
Does it interact with other medicines or acid reducers?
Pancreatic enzyme replacement has few known interactions. Some products used for enzyme replacement and certain patients may also use acid-reducing therapy; your prescriber will guide whether adjustments are needed. Always share your full medication list, including over-the-counter products and supplements. Do not change doses of any medicine without professional advice, and report new or persistent gastrointestinal symptoms.
How is this different from Viokace?
Both contain pancrelipase, but Viokace is a non–enteric-coated tablet taken with a proton pump inhibitor as prescribed, while the capsules here are delayed-release. Your prescriber may choose one over the other based on your diagnosis, meal patterns, and tolerance. Some patients require a specific design to match acid control strategies. Ask which product aligns with your symptoms and nutrition plan, and confirm the dosing method for each.
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