Cystic fibrosis pocket guide Dosing


New-born infants: 0.25g–0.5g with each feed.


Child and adult: 0.5g–2g swallowed dry or mixed with water or milk before each snack or meal, adjusted according to response /symptoms.


Route Additional prescribing information PO


• Refer to a dietitian with experience in the management of CF for dosing advice • Fibrosing colonopathy has been reported in patients with CF taking more than 10000 units of lipase/kg/day • Hyperuricosuria and hyperuricaemia reported rarely with high doses • Enzyme efficiency may be increased by the use of a gastric acid-suppressing drug, such as a PPI or H2


-receptor antagonist


• Crushing/chewing enteric coated preparations, or mixing with food or fluid with pH >5.5, can damage the enteric coating • Care should be taken to ensure that no product is retained in the mouth, which may cause irritation


• Irritation of the anus may be treated with the use of a barrier cream


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