INTRODUCTION

DIGEMAX TABLET contains Pancreatin which belongs to the group of medicines called Gastrointestinal agents. DIGEMAX TABLET is used to treat exocrine pancreatic enzyme insufficiency (deficient pancreatic enzyme) in affected individuals.

It is also used to treat pancreatitis (swelling of pancreas), flatulence, cystic fibrosis (genetic disorder that affects lungs and digestive system), moderate indigestion in diabetes and irritable bowel syndrome (intestinal disorder). The medicine is also indicated for use as digestive aid, and in pancreas removal.

DIGEMAX TABLET is not recommended to use in patients allergic to pork, and/any other pig product. Before taking DIGEMAX TABLET, inform your doctor if you have kidney problems (such as renal impairment), and/or liver problems (such as hepatic impairment).  

DIGEMAX TABLET should be used with caution during pregnancy and in women planning for pregnancy. It is safe to use in breastfeeding women.

The medicine should be used with caution in children & adolescents (aged below 18 years) and in elderly patients (aged above 65 years) after consulting the doctor.

The most common side effects of taking DIGEMAX TABLET are stomach pain, bloating, nausea, vomiting, diarrhea, and/or constipation. Consult your doctor if any of these symptoms worsen.

USES OF DIGEMAX TABLET

• Treats exocrine pancreatic enzyme insufficiency
• Treats pancreatitis, flatulence, cystic fibrosis, moderate indigestion (in patients with diabetes and irritable bowel syndrome)
• Aids in digestion and pancreas removal

HOW DIGEMAX TABLET WORKS

DIGEMAX TABLET is a pancreatic enzyme supplement which works by breaking down fats, starch, and proteins into simpler constituents in the body thus resulting in easy absorption and thereby treating pancreatic enzyme deficiency and its associated symptoms in affected individuals. 

DIRECTIONS FOR USE

Tablet:

Take DIGEMAX TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Capsule, Minimicrospheres:

Take DIGEMAX TABLET as advised by your physician. Swallow the medicine with a glass of water as a whole or open the capsule and mix the granules (without crushing) in acidic liquid (such as apple/orange/pineapple juice) or soft food (such as apple sauce/yoghurt). Do not crush/chew the medicine and avoid mixing the granules in non-acidic food/liquid (as it may cause irritation in your mouth/alter the effect of the medicine). Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF DIGEMAX TABLET

HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:

Take DIGEMAX TABLET with or just after a meal. Stick to simple meals. Avoid eating oil rich or spicy foods, sugary snacks and drinks. Avoid drinking too much liquid along with your meals, drink slowly in between meals. Talk with your doctor if the condition worsens.

Diarrhea:

Drink plenty of water and stay hydrated. Try to avoid taking any medicine on your own to treat diarrhea. Consult your doctor and inform them if the symptom gets worse.

Constipation:

Try to eat high-fiber foods such as vegetables, cereals, fresh fruit, and drink plenty of water. Involve in regular exercise (going for a daily walk or run) and if this does not help, consult and inform your doctor for receiving alternate treatments for constipation.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug interactions:

Before taking DIGEMAX TABLET, inform your doctor if you are taking, have recently taken, or might take any other medicines.

Overdosage:

If you or anyone else accidentally take too much of DIGEMAX TABLET, consult your doctor immediately or visit the nearby hospital. The symptoms of overdosage may include hyperuricosuria (condition marked by increased excretion of uric acid in urine) and hyperuricemia (high uric acid level in blood).

SYNOPSIS

MORE INFORMATION

• Keep DIGEMAX TABLET out of reach of children
• Do not store DIGEMAX TABLET above 25°C

FAQs ABOUT DIGEMAX TABLET

What is DIGEMAX TABLET used for?

DIGEMAX TABLET is used to treat exocrine pancreatic enzyme insufficiency (deficient pancreatic enzyme) in affected individuals. It is also used to treat pancreatitis (swelling of pancreas), flatulence, cystic fibrosis (genetic disorder that affects lungs and digestive system), moderate indigestion in diabetes and irritable bowel syndrome (intestinal disorder). The medicine is also indicated for use as digestive aid, and in pancreas removal.

How DIGEMAX TABLET works?

DIGEMAX TABLET is a pancreatic enzyme supplement which works by breaking down fats, starch, and proteins into simpler constituents in the body thus resulting in easy absorption and thereby treating pancreatic enzyme deficiency and its associated symptoms in affected individuals. 

What are the side effects of DIGEMAX TABLET?

The most common side effects of taking DIGEMAX TABLET are stomach pain, bloating, nausea, vomiting, diarrhea, and/or constipation. Consult your doctor if any of these symptoms worsen.

Does DIGEMAX TABLET cause diarrhea?

Yes, DIGEMAX TABLET causes diarrhea as it is the commonest side effect associated with the use of DIGEMAX TABLET. If such side effects are experienced, then try to eat high-fiber foods (such as vegetables, cereals, fresh fruit, and drink plenty of water) and get involved in regular exercise (such as going for a daily walk/ jog). If this does not help, then consult and inform your doctor for receiving alternate treatments for constipation.

What happens if you take more DIGEMAX TABLET than your required dose?

If you or anyone else accidentally take too much of DIGEMAX TABLET, consult your doctor immediately or visit the nearby hospital. The symptoms of overdosage may include hyperuricosuria (condition marked by increased excretion of uric acid in urine) and hyperuricemia (high uric acid level in blood).

REFERENCES

1. K.D. Tripathi. Antiemetic, Prokinetic and Digestant Drugs. Seventh edition. 2013. Page – 670.

2. Priyanka Venkatesh, Anup Kasi. Pancrelipase Therapy. NIH National Library of Medicine. National Center for Biotechnology Information. StatPearls [Internet].  July 2022.  [Accessed on 18th July 2022] https://www.ncbi.nlm.nih.gov/books/NBK534816/

3. Didier Rémond, Danit R. Shahar, Doreen Gille, Paula Pinto, Josefa Kachal, Marie-Agnès Peyron, Claudia Nunes Dos Santos, Barbara Walther, Alessandra Bordoni, Didier Dupont, Lidia Tomás-Cobos, and Guy Vergères. Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. June 2015. [Accessed on 18th July 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4546438/

4. Abbott Laboratories GmbH. Electronic Medicines Compendium (EMC). [Revised in November 2021] [Accessed 18th July 2022] https://www.medicines.org.uk/emc/files/pil.1167.pdf

5. INNOVATIVE PHARMACEUTICALS PVT LTD. Panzide 300 mg Capsules. [Accessed on 18th July 2022] https://www.innovativepharma.in/product/panzide-300-mg-capsules/

6. Nutraceutical Corporation. Pancreatin Tablets 350 mg. [Accessed on 18th July 2022] https://www.kalvitamins.com/products/pancreatin

7. Daxin Pharma Pvt. Ltd. PANKRIODAX TAB. [Accessed on 18th July 2022] https://daxinpharma.in/product/pankriodax-tab/

8. Hetero Healthcare Limited. PANMATE CAPSULES. [Accessed on 18th July 2022] https://www.heterohealthcare.com/panmate-capsules             

9. NOW Foods. Pancreatin 2000 Capsules. [Accessed on 18th July 2022] https://www.nowfoods.com/products/supplements/pancreatin-2000-capsules

10. Piramal Pharma Solutions. Digeplex-T. [Accessed on 18th July 2022] https://www.digeplex.com/digeplex-as-a-solution/digeplex-range/digeplex-t-tablets/

11. Tidal Laboratories Pvt. Ltd. Enzox Plus. [Accessed on 18th July 2022] https://tidallabs.com/product.htm

12. Western pharmaceutical industries. Dyspa-East. [Accessed on 18th July 2022] https://western-pharmaceutical.com/en/product/dyspa-east/

13. Torrent pharmaceuticals Ltd. ENZAR. [Revised on March 2020] [Accessed on 18th July 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2788.pdf

USEFUL DIAGNOSTIC TESTS

• Blood test
• Stool evaluation test
• Pancreatic Function test