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Hi......I just wanted to give my two cents worth on Creon. We started our

son on

Creon just 10 days ago, and to our family, it is a miracle!! His

digestive problems

are already much better, and the severe chronic constipation he had is much

much better! As I said, just my two cents worth. Creon-10 is definitely a

" wonder drug " for us. in Alabama

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Louie,

That is interesting that the GI brought up the Creon. I was given a research

study that addresses the generic vs Creon brand enzymes. My insurance did not

have Creon on the formulary either. However, when I continued to complain of

pain with eating and nausea, etc., my doctor said she had just seen a report

stating that the generic Creon was not as effective in some pts. My doctor

wrote a Rx for Creon (DAW) which stands for Dispense As Written. Merck Medco

is now filling my Creon Rx without any questions. I think they work better,

for me anyway. You know how the mind thing is, though, I might just think I

they work better. Either way, guess it doesn't matter, I take Creon Brand

Enzymes and I have less nausea and less greasy output.

I could not locate the article I have on line. It is reprinted from US

Pharmacist, January 2002. I did find a Position Statement written by some

Pharmacists regarding this issue. They can be read at:

http://www.rx4cf.org/whitepapers.htmlhttp://www.rx4cf.org/whitepapers.ht\

ml

I do want to say that I don't feel comfortable with their title they use

calling the use of generic pancreatic Enzyme Supplementation as 'illegal.'

The truth of the matter is that there is no FDA regulation of these products.

It is unfortunate that this article isn't available online, because it

explains on a biochemical level the problems that are caused when there is a

disproportionate quantity of Lipase: Amylase. The position statement papers

don't explain this as well.

To date I don't think anyone has had a problem with an insurance company

denying filling a Rx for Creon when the doctor write (Do not substitute) at

the bottom of the Rx.

One more reminder to everyone: Amylase is secreted in the saliva. Every

effort should be made to utilize the saliva to assist with food digestion.

When I drink fluid I always take a sip and hold in my mouth for a second

before swallowing. I also try to chew very slowly. Most of you know that for

almost a year I suffered with sever dry mouth syndrome. Besides causing tooth

deterioration, the dry mouth meant that I did not have the saliva and

subsequently did not have that added boost of Amylase for food digestion.

It is just amazing how inter / intra-related everything is.

Karyn

Karyn E. , RN

Founder / Executive Director

Pancreatitis Association International

Corp. Office: Indps, IN, USA 1-

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Louie,

That is interesting that the GI brought up the Creon. I was given a research

study that addresses the generic vs Creon brand enzymes. My insurance did not

have Creon on the formulary either. However, when I continued to complain of

pain with eating and nausea, etc., my doctor said she had just seen a report

stating that the generic Creon was not as effective in some pts. My doctor

wrote a Rx for Creon (DAW) which stands for Dispense As Written. Merck Medco

is now filling my Creon Rx without any questions. I think they work better,

for me anyway. You know how the mind thing is, though, I might just think I

they work better. Either way, guess it doesn't matter, I take Creon Brand

Enzymes and I have less nausea and less greasy output.

I could not locate the article I have on line. It is reprinted from US

Pharmacist, January 2002. I did find a Position Statement written by some

Pharmacists regarding this issue. They can be read at:

http://www.rx4cf.org/whitepapers.htmlhttp://www.rx4cf.org/whitepapers.ht\

ml

I do want to say that I don't feel comfortable with their title they use

calling the use of generic pancreatic Enzyme Supplementation as 'illegal.'

The truth of the matter is that there is no FDA regulation of these products.

It is unfortunate that this article isn't available online, because it

explains on a biochemical level the problems that are caused when there is a

disproportionate quantity of Lipase: Amylase. The position statement papers

don't explain this as well.

To date I don't think anyone has had a problem with an insurance company

denying filling a Rx for Creon when the doctor write (Do not substitute) at

the bottom of the Rx.

One more reminder to everyone: Amylase is secreted in the saliva. Every

effort should be made to utilize the saliva to assist with food digestion.

When I drink fluid I always take a sip and hold in my mouth for a second

before swallowing. I also try to chew very slowly. Most of you know that for

almost a year I suffered with sever dry mouth syndrome. Besides causing tooth

deterioration, the dry mouth meant that I did not have the saliva and

subsequently did not have that added boost of Amylase for food digestion.

It is just amazing how inter / intra-related everything is.

Karyn

Karyn E. , RN

Founder / Executive Director

Pancreatitis Association International

Corp. Office: Indps, IN, USA 1-

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Hi Karyn,

Thanks for the information. It's an interesting article which I just got

done reading. For now, I going to stay an the generic Lipram, because it

does seem to be working fine on me. I don't have any malabsorbant problems

with it and so far it is helping. But, I will remember to have the doctor

write Brand Necessary, if it quite working for me.

Thanks again, for your help.

Take care,

Louie in WV

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Hi all,

I have a question about enzymes. I do not remember precisely what was on the

script my GI wrote for me when I started enzymes. I took the script to my

pharmacy and of course they filled with a generic. The generic is called

pangestyme UL 20 of which I take 3 with each meal plus 3 right before I go

to bed. Is pangestyme a generic Creon? Anyone else take pangestyme? I was

slow to adopt enzymes because of some strange concern I had about loading up

on something I seem to make too much of when I have an attack. However, you

all, by speaking of your experiences, have shown me the value of enzymes and

I now take them religiously. And having done so I have managed to finally

push my diet forward to include oatmeal and small bland food portions like

white rice. My main source of nourishment is still ensure but now I can

actually CHEW some food! Thank you all for sharing...it made a direct impact

in my life.

Any thoughts on pangestyme?

Thanks,

Bert

-----

Bert Bolin

Idiopathic recurrent pancreatitis

Need to chat? Yahoo Messenger: l10nx, http://l10nx.net/

Info and Support: Pancreatitis Association International:

http://pancassociation.org

may you be free if but for awhile from the pain

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Hi Bert,

I am not sure exactly what pangestymeis. I believe it is a Microencapsulated

enteric coated generic formulation of Creon, though. That just means they are

capsule of tiny beads that are coated with a material that won't breakdown

until it comes in contact with food.

The patients that are most sensitive to any alteration in the exact

concentrations of these enzymes are sick Cystic Fibrosis patients. You can

monitor that by any change in nausea when eating or weight loss.

I am glad that you have found the information on the board helpful

Karyn E. , RN

Founder / Executive Director

Pancreatitis Association International

Corp. Office: Indps, IN, USA 1-

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Guest guest

Hi Bert,

I am not sure exactly what pangestymeis. I believe it is a Microencapsulated

enteric coated generic formulation of Creon, though. That just means they are

capsule of tiny beads that are coated with a material that won't breakdown

until it comes in contact with food.

The patients that are most sensitive to any alteration in the exact

concentrations of these enzymes are sick Cystic Fibrosis patients. You can

monitor that by any change in nausea when eating or weight loss.

I am glad that you have found the information on the board helpful

Karyn E. , RN

Founder / Executive Director

Pancreatitis Association International

Corp. Office: Indps, IN, USA 1-

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