Indications 

Viokace is a prescribed medication administered alongside a proton pump inhibitor (PPI) to enhance food digestion in adult patients with chronic pancreatitis or those who have undergone pancreas removal surgery. 

Viokace belongs to the enzyme medication class and consists of a blend of digestive enzymes derived from pig pancreas, including lipases, proteases, and amylases.  

Viokace functions as a substitute for natural pancreatic enzymes, aiding in the reduction of fatty bowel movements and enhancing nutrition by breaking down fats, proteins, and starches into smaller components that the intestines can absorb. 

Uses and Dosage 

Before starting treatment with Viokace and with every prescription refill, carefully review the medication guide and patient information leaflet provided by your pharmacist. If you have any questions or concerns, contact your doctor or pharmacist for guidance. 

Viokace dosage is prescribed according to the patient’s medical condition, diet, weight, and treatment response. 

Typically, this medication is taken with every meal and snack, along with a PPI medication, as prescribed by the doctor. If you have frequent meals or snacks, ensure you stay within your daily prescribed dose. 

Viokace tablets should be ingested whole, without crushing or chewing, and taken with ample water to prevent any medication residue in the mouth and minimize the risk of mucosal irritation. 

To achieve the best results, adhere to your doctor or nutritionist’s instructions and take this medication consistently as prescribed. 

Inform your doctor if your condition persists or deteriorates, and do not discontinue the medication without their approval. 

Side Effects 

Listed below are the potential adverse effects of Viokace. Immediately tell your doctor if any of these symptoms last or worsen. 

Common Side Effects 

• Nausea 
• Vomiting 
• Bloating 
• Constipation 
• Anal itching 

Serious Side Effects 

• Mouth irritation due to incomplete swallowing of Viokace. 
• Elevated blood uric acid levels leading to exacerbated joint swelling and pain (gout) 

Call your doctor right away if you experience any of the serious side effects above. 

Allergic Reactions 

In rare cases, Viokace may trigger a serious allergic response. Promptly seek medical attention if you observe any indications of an allergic reaction, such as: 

• Skin rash 
• Itching and swelling, particularly in the face, tongue, or throat 
• Severe dizziness 
• Difficulty breathing 

Not all side effects of Viokace are included in this list. Inform your doctor of any additional side effects that may occur. 

Cautions 

Before starting Viokace treatment, notify your doctor of any existing allergies, specifically towards pancrelipase or to pork products. 

Consult your pharmacist for more details about Viokace, as it may contain inactive ingredients that may cause allergic reactions or other complications. 

To ensure Viokace is safe for you, disclose to your doctor your medical background, especially if you have a history of: 

• Gout 
• Kidney disease 
• Elevated blood uric acid levels (hyperuricemia) 
• Intestinal blockage 

Some products may interact with Viokace, including acarbose and miglitol. To reduce the risk of such drug interactions, inform your healthcare providers about all your medications, including prescription and nonprescription drugs, vitamins, and herbal supplements. 

Patients with diabetes should monitor their blood sugar levels regularly while taking Viokace, and inform their doctor of the results. Your doctor may need to adjust your diabetes medication, exercise routine, or dietary plan. 

Viokace should only be used when necessary during pregnancy. Consult your doctor to evaluate the potential risks and benefits before taking this medication. 

The transfer of pancrelipase into breast milk is uncertain. Seek advice from your healthcare provider before nursing.