Viokace® Tablets for Exocrine Pancreatic Insufficiency

Viokace is a prescription pancreatic enzyme medicine for adults with exocrine pancreatic insufficiency caused by chronic pancreatitis or pancreatectomy. It supports digestion when your pancreas cannot make enough enzymes. Available with US delivery from Canada, you can also explore Viokace without insurance options here.

What Viokace Is and How It Works

Viokace® contains pancrelipase, a mix of lipase, protease, and amylase derived from porcine sources. The treatment aids fat, protein, and carbohydrate breakdown so nutrients can be absorbed. These tablets are not enteric coated, so they must be taken together with a proton pump inhibitor as directed by your prescriber. That acid suppression helps protect the enzymes and allows them to work in the small intestine.

Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

This medicine is taken with meals and snacks. It works locally in the gut and is not intended to treat pain from pancreatitis. Use the lowest effective dose that controls steatorrhea, bloating, and poor weight gain, following the official label and your prescriber’s guidance.

Who It’s For

The treatment is indicated for adults with exocrine pancreatic insufficiency due to chronic pancreatitis or surgical removal of the pancreas. Pancrelipase tablets help replace the enzymes your pancreas cannot provide. It is not approved for pediatric patients or for cystic fibrosis management. People with known hypersensitivity to porcine proteins should avoid this medicine. If you have questions about your diagnosis, you can review information on Exocrine Pancreatic Insufficiency or discuss your case with your clinician.

Dosage and Usage

Dosing is individualized based on body weight, the fat content of meals, and symptom response. Typical adult therapy starts at a low lipase dose with meals and snacks, then is adjusted by your prescriber. Only take it with food. Swallow tablets whole; do not crush, chew, or hold in the mouth to avoid mucosal irritation. Some adults may use Pancrelipase 20880 units to reach meal targets, depending on the regimen your prescriber sets. Snacks usually use about half the mealtime amount. A proton pump inhibitor is used in combination for this non–enteric coated product.

Additional label-aligned tips: take doses evenly split across each meal, drink water with the tablets, and keep doses with any oral nutritional supplements if directed. Do not exceed the maximum daily lipase units per the official label and clinician direction. If you are uncertain how to adjust for a high-fat meal, defer to your prescriber or the FDA-approved prescribing information.

Strengths and Forms

This therapy is supplied as non–enteric coated oral tablets. A commonly used presentation is Pancrelipase 10440 units per tablet, and a higher-strength tablet is also available. Availability can vary by partner pharmacy and manufacturer batch.

Missed Dose and Timing

If you miss a dose with a meal, take it as soon as you remember while still eating. If the meal has ended, skip the missed amount and resume at the next meal or snack. Do not double up. Keep a simple routine by pairing your tablets with the first bites of food and setting reminders on your phone or pill organizer.

Storage and Travel Basics

Keep Viokace tablets dry and in the original tightly closed container with the desiccant. Store at room temperature as directed on the label. Protect from moisture and heat. Do not transfer tablets to pill boxes for long periods since humidity can degrade enzymes. Keep out of reach of children.

For travel, carry the original labeled bottle in your hand luggage. Bring a copy of your prescription and a brief note about your diagnosis if you expect screening questions. Keep tablets with your meals and snacks so dosing is not missed on long flights. Partner pharmacies use temperature-controlled handling when required, but standard storage after dispensing follows the label at typical room conditions.

Benefits

This medicine replaces pancreatic enzymes to support digestion. With consistent use and a proton pump inhibitor, it may reduce oily stools, cramping, gas, and bloating associated with malabsorption. Many patients report steadier weight maintenance and improved stool consistency once a stable regimen is reached. Tablet form can be convenient for adults who prefer an option that pairs with acid suppression therapy.

Side Effects and Safety

• Stomach pain or cramps
• Nausea or vomiting
• Constipation or diarrhea
• Gas and bloating
• Headache
• Perianal irritation

Serious or rare risks include fibrosing colonopathy at high doses, mucosal irritation if tablets are chewed or crushed, allergic reactions to porcine proteins, and increased uric acid. Viral safety controls are used in sourcing, but porcine origin carries theoretical risks noted in labeling. Stop the medicine and seek care for symptoms of severe allergy such as hives, swelling, or trouble breathing. If you take insulin or sulfonylureas for diabetes, low blood sugar is not caused by enzymes themselves, but changes in nutrition status can affect glucose control, so monitoring is prudent.

Drug Interactions and Cautions

Use a proton pump inhibitor concurrently as directed for this non–enteric coated enzyme product. Tell your healthcare professional about all medicines and supplements you take. Inform your prescriber if you have gout, hyperuricemia, or a history of intestinal strictures. Safety data in pregnancy and breastfeeding are limited; your prescriber will weigh potential benefits and risks. Do not switch among different enzyme brands without medical guidance, as strengths and dosage forms are not interchangeable unit-for-unit.

What to Expect Over Time

When taken correctly with meals and snacks, the therapy may gradually improve stool consistency and reduce steatorrhea. Your prescriber may adjust the dose based on weight, symptoms, and dietary fat intake. Keeping a brief food and symptom log can help fine-tune the regimen. Adherence, regular PPI use, and consistent meal timing usually support more reliable digestion.

Compare With Alternatives

Several pancreatic enzyme products are available. Delayed-release capsule options such as Creon are enteric coated and do not require concurrent acid suppression. Other brands like Pancreaze or Zenpep may be discussed with your prescriber. For a broad overview of how capsule products differ, see Creon Versus Other. If your condition stems from ongoing inflammation, background reading on Chronic Pancreatitis may also be helpful.

Pricing and Access

Canadian pharmacy pricing may offer meaningful savings compared to typical U.S. cash rates. You can review the Viokace price on this page and compare package sizes before sending your prescription. Ships from Canada to US is available for eligible orders when you proceed through checkout. To see ways people approach budget questions, this article may help: Exploring The Cost Of Creon. If you are looking for current offers, check our Promotions page for any sitewide deals.

Availability and Substitutions

Supply can vary. If a requested strength or count is temporarily unavailable, your prescriber may recommend an alternative pancreatic enzyme or a different tablet count that fits your regimen. Buy pancrelipase only with a valid prescription, and follow your clinician’s brand and dose instructions rather than substituting on your own.

Patient Suitability and Cost-Saving Tips

Adults with confirmed exocrine pancreatic insufficiency who can take a proton pump inhibitor may be candidates for this treatment. People with pork protein allergy, suspected bowel obstruction, or a history of fibrosing colonopathy should discuss risks first. Ask your prescriber whether a nutrition consult would help optimize fat intake and dosing.

Practical ways to manage costs include requesting multi-month quantities when appropriate, aligning refill dates with clinic follow-up, and using reminder tools so doses are not missed. Some patients look for a Viokace coupon, but availability changes; checking this page and comparing package sizes often provides similar value. For general GI-related choices, you can browse our Gastrointestinal selection or filter by origin via Canada.

Questions to Ask Your Clinician

• Starting dose plan: how many units per meal and snack
• PPI pairing: which product, dose, and timing
• Diet guidance: daily fat targets and meal planning tips
• Signs of underdosing: what to track in a symptom log
• When to adjust: triggers to call the clinic about changes
• Safety checks: risks if I miss doses or change brands

Authoritative Sources

For full prescribing details, see the FDA label on DailyMed and manufacturer resources:

• FDA DailyMed
• Manufacturer Information
• Health Canada Drug Product Database

Ready when your prescription is? Complete checkout for temperature-controlled handling when required and prompt, express shipping with US shipping from Canada. This content is educational and does not replace advice from your healthcare professional.