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Active substance

Pancreatin

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Pancreatic enzyme replacement. Registered in Georgia: 2 human medicines. Forms: capsule, coated tablet.

Dose and use

Doses

We have no dose with a cited source for this substance yet.

Before use

Safety information

No sourced safety entry is currently shown. This does not mean the substance is risk-free.

Latin name
Pancreatin
Georgian name
პანკრეატინი
Authorisation status
Human medicine, cascade use
No veterinary authorisation was found in any register checked. Veterinary use is off-label, under the prescribing cascade.
Registered in Georgia
2 of 2 forms
Products
Mezym Forte
Human medicines in Georgia
Cronenz, Kreon, Krezam, Mezym forte, Pankraza
Human medicines with this substance in the Georgian register of medicines (Ministry of Health), checked on 18 Oct 2026. They are human medicines, not veterinary products; strengths and forms differ.
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration2

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

Mezym Forte 10 000 Ph. Eur. lipase units, Coated tablet

gastro-resistant tablet, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Potential pancreatic-enzyme replacement for confirmed exocrine pancreatic insufficiency using the exact intact Mezym Forte 10 000 human gastro-resistant tablet
Not rateable
No numerical score assigned
vetman assessment

Mezym Forte

10 000 Ph. Eur. lipase units, gastro-resistant tablet, human medicine
Assessed clinical scopeDog · Potential pancreatic-enzyme replacement for confirmed exocrine pancreatic insufficiency using the exact intact Mezym Forte 10 000 human gastro-resistant tablet · By mouth
Care settingVeterinarian-directed lifelong EPI management with every-meal therapy, response monitoring, cobalamin assessment and concurrent-disease review
vetman score Not rateable No numerical score assigned
Evidence confidence: Medium Georgia: Yes, human · № რ-045692, რ-045696 · Verified on 22 Oct 2026 Off-label use
Not rateable

Pancreatic enzyme replacement is effective for canine EPI, but no study establishes an intact Mezym Forte 10 000 tablet dose, dissolution, target-animal safety or outcome. The canine RCT used a different enteric-coated capsule opened and mixed with food, while current guidance gives a powder dose in teaspoons. Neither formulation or dose unit can be transferred to the whole-only Mezym tablet, so numerical product axes would be invented.

The exact human product and its enzyme activities are well documented, and the veterinary therapeutic class is legitimate. The unresolved issue is product-level transfer: whole-only Mezym tablets cannot inherit efficacy or dose from powder, opened micropellet capsules, raw pancreas or unidentified products.

Important safety and use flags

  • No exact intact-tablet dog/cat efficacy, dissolution, dose-ranging, repeated-use safety or clinical-outcome study was found. A veterinary class effect does not by itself create a Mezym product score.
  • Mezym Forte 10 000 is a human medicine and is not authorised as a veterinary product. Georgian/EU human registration and current pharmacy availability do not establish veterinary benefit, safety or dose.
  • Use only for confirmed exocrine pancreatic insufficiency. Nonspecific diarrhoea, weight loss, appetite change or dyspepsia requires diagnosis; this is not empirical digestive support or treatment for acute pancreatitis.
  • Do not crush or chew the tablet. The exact label requires it to be swallowed whole because released enzymes can injure oral mucosa and chewing can reduce efficacy.
  • Do not transfer the powder teaspoon regimen or the canine RCT regimen: the trial opened a different enteric-coated capsule and mixed its contents with food, and explicitly cautioned against extrapolation to other extracts.
  • No dog/cat Mezym dose is published here. Human 2–4-tablet directions, lipase units, powder teaspoons and unspecified feline tablet use cannot be converted into one another without product-specific validation.
  • Assess and correct cobalamin deficiency, especially in cats, and investigate concurrent intestinal, pancreatic, hepatic or endocrine disease when response is incomplete. Enzyme replacement alone may not resolve signs.
  • Monitor body weight and condition, faecal consistency/frequency and clinical response; titrate only within a veterinarian-selected validated formulation. Poor response should trigger diagnostic and formulation review, not automatic Mezym escalation.
  • Stop and reassess for oral injury, vomiting, diarrhoea, abdominal pain, constipation/obstruction or hypersensitivity. Human high-dose fibrosing-colonopathy and hyperuricosuria warnings are cautions, not target-animal incidence estimates.
  • Pregnancy, lactation, breeding, juvenile use and long-term exact-product safety in dogs and cats are not established. Use requires a patient-specific benefit-risk decision and an alternative with a validated veterinary regimen should be preferred when available.
Assessment sources
  1. Mezym 10 000 Georgian SmPC2022
  2. Mezym 10 000 Georgian leaflet2022
  3. Mezym 10 000 market audit2026
  4. Mezym 10 000 Georgian retail2026
  5. Merck veterinary EPI guidance2025
  6. Canine enteric-coated enzyme RCT2012
  7. Canine long-term enzyme response1998
  8. Merck pancrelipase pharmacology2024
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Cat Potential pancreatic-enzyme replacement for confirmed exocrine pancreatic insufficiency using the exact intact Mezym Forte 10 000 human gastro-resistant tablet
Not rateable
No numerical score assigned
vetman assessment

Mezym Forte

10 000 Ph. Eur. lipase units, gastro-resistant tablet, human medicine
Assessed clinical scopeCat · Potential pancreatic-enzyme replacement for confirmed exocrine pancreatic insufficiency using the exact intact Mezym Forte 10 000 human gastro-resistant tablet · By mouth
Care settingVeterinarian-directed lifelong EPI management with every-meal therapy, response monitoring, cobalamin assessment and concurrent-disease review
vetman score Not rateable No numerical score assigned
Evidence confidence: Medium Georgia: Yes, human · № რ-045692, რ-045696 · Verified on 22 Oct 2026 Off-label use
Not rateable

Pancreatic enzyme replacement is central to feline EPI care, but feline cohorts used unspecified powders and tablets and did not identify Mezym, coating, activity ratio or dose. No exact intact-tablet feline efficacy, dissolution, safety or dose study was found; cobalamin and concurrent disease materially affect response. A numerical exact-product score would therefore overstate the evidence.

The exact human product and its enzyme activities are well documented, and the veterinary therapeutic class is legitimate. The unresolved issue is product-level transfer: whole-only Mezym tablets cannot inherit efficacy or dose from powder, opened micropellet capsules, raw pancreas or unidentified products.

Important safety and use flags

  • No exact intact-tablet dog/cat efficacy, dissolution, dose-ranging, repeated-use safety or clinical-outcome study was found. A veterinary class effect does not by itself create a Mezym product score.
  • Mezym Forte 10 000 is a human medicine and is not authorised as a veterinary product. Georgian/EU human registration and current pharmacy availability do not establish veterinary benefit, safety or dose.
  • Use only for confirmed exocrine pancreatic insufficiency. Nonspecific diarrhoea, weight loss, appetite change or dyspepsia requires diagnosis; this is not empirical digestive support or treatment for acute pancreatitis.
  • Do not crush or chew the tablet. The exact label requires it to be swallowed whole because released enzymes can injure oral mucosa and chewing can reduce efficacy.
  • Do not transfer the powder teaspoon regimen or the canine RCT regimen: the trial opened a different enteric-coated capsule and mixed its contents with food, and explicitly cautioned against extrapolation to other extracts.
  • No dog/cat Mezym dose is published here. Human 2–4-tablet directions, lipase units, powder teaspoons and unspecified feline tablet use cannot be converted into one another without product-specific validation.
  • Assess and correct cobalamin deficiency, especially in cats, and investigate concurrent intestinal, pancreatic, hepatic or endocrine disease when response is incomplete. Enzyme replacement alone may not resolve signs.
  • Monitor body weight and condition, faecal consistency/frequency and clinical response; titrate only within a veterinarian-selected validated formulation. Poor response should trigger diagnostic and formulation review, not automatic Mezym escalation.
  • Stop and reassess for oral injury, vomiting, diarrhoea, abdominal pain, constipation/obstruction or hypersensitivity. Human high-dose fibrosing-colonopathy and hyperuricosuria warnings are cautions, not target-animal incidence estimates.
  • Pregnancy, lactation, breeding, juvenile use and long-term exact-product safety in dogs and cats are not established. Use requires a patient-specific benefit-risk decision and an alternative with a validated veterinary regimen should be preferred when available.
Assessment sources
  1. Mezym 10 000 Georgian SmPC2022
  2. Mezym 10 000 Georgian leaflet2022
  3. Mezym 10 000 market audit2026
  4. Mezym 10 000 Georgian retail2026
  5. Merck veterinary EPI guidance2025
  6. Feline EPI 150-cat series2016
  7. Feline EPI routine cohort2021
  8. Merck pancrelipase pharmacology2024
Assessed: 22 Oct 2026No axis or overall score is shown when the available evidence does not support a responsible numerical assessment.
Composition / strength
Pancreatin
Formulation Type
Coated tablet
Administration route
By mouth
Manufacturer
Berlin-Chemie AG (Menarini Group) · Germany
Registration
Georgia Yes, human
In force until 11 Jun 2031
Human (Ministry of Health, RAMA)
№ რ-045692, რ-045696
Verified on: 22 Oct 2026
 EU Yes, human
Verified on: 16 Oct 2026
 UK No
Verified on: 16 Oct 2026
 US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified No dog/cat dose is established for this exact intact tablet. Do not convert the veterinary powder teaspoon regimen, an opened enteric-coated micropellet study capsule, a human 2–4-tablet direction or another pancreatic-enzyme product into a Mezym dose. The exact label requires the tablet to be swallowed whole; chewing or crushing can reduce efficacy and injure oral mucosa.

Mezym Forte 25000, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Off-label pancreatic enzyme replacement for serum-TLI-confirmed exocrine pancreatic insufficiency, alongside meal-linked administration, cobalamin assessment/replacement, diet review and concurrent-disease management
5.2/10
Weak evidence support
vetman assessment

Mezym Forte

25000, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Off-label pancreatic enzyme replacement for serum-TLI-confirmed exocrine pancreatic insufficiency, alongside meal-linked administration, cobalamin assessment/replacement, diet review and concurrent-disease management · By mouth
Care settingVeterinarian-directed long-term home PERT after diagnostic confirmation, with response-guided titration and periodic nutritional/clinical reassessment.
vetman score 5.2/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-041759 · Verified on 16 Oct 2026 Off-label use

A transparent, locally registered human pancreatin capsule with credible canine PERT class value and some enteric-form evidence, but no exact Mezym study or defensible capsule dose. Powdered veterinary PERT remains better supported and easier to titrate.

Regulatory and scientific credibility4.0/10

The exact porcine source, three enzyme activities, gastro-resistant mini-tablet formulation and current Georgian/EU human authorisations are transparent. Veterinary use is unauthorised and no exact-product target-animal assessment or study was located. The formulation-transfer evidence gate caps this axis at 4.0.

Clinical efficacy4.0/10

PERT is standard for confirmed canine EPI, and a blinded 40-dog trial supports an enteric-coated enzyme formulation, but exact Mezym efficacy, equivalence and capsule dose are untested. Current guidance generally favours powder over capsules/enteric products, so benefit is credible but product fit is uncertain.

Safety and tolerability6.5/10

Transparent composition and intact enteric mini-tablets reduce avoidable oral exposure, but exact target-animal repeated safety is absent. Porcine allergy, oral ulceration if chewed, GI intolerance, high-exposure urate effects and uncommon obstruction-like signs require safeguards.

Clinical practicality7.0/10

Meal-linked oral use is workable and the capsule can be opened while mini-tablets remain intact, but the label validates only complete-capsule administration. No accurate partial-capsule method or canine capsule count is established; lifelong response monitoring is required.

Full-course cost-effectiveness-

A current Georgian exact-pack price and validated exact-product veterinary course were not verified; cost is excluded from the denominator.

Important safety and use flags

  • Human gastro-resistant porcine-pancreatin capsule; all dog/cat use is off-label. Confirm EPI with species-appropriate serum TLI before committing to lifelong PERT.
  • No exact Mezym dog/cat capsule dose is established. Do not convert human one-capsule directions, lipase ceilings, veterinary powder teaspoons or another product’s activity units into a calculator dose.
  • Give with every applicable meal. The capsule may be opened, but the label validates only complete-capsule administration; keep every gastro-resistant mini-tablet intact and never chew, crush or visually divide the contents. No accurate partial-capsule method is established.
  • Avoid with pancreatin, porcine-protein or excipient hypersensitivity. Stop and assess rash, urticaria, facial swelling, bronchospasm/dyspnoea or acute GI hypersensitivity.
  • Exposed pancreatic enzymes can erode oral mucosa. Stop and inspect for oral pain, ulceration or bleeding; do not place loose/crushed material directly in the mouth.
  • Monitor stool quality/volume, appetite, body weight/body condition and vomiting, diarrhoea/constipation or abdominal discomfort. Titrate only with an applicable veterinary plan; non-response requires reassessment, not blind escalation.
  • Assess and replace cobalamin when indicated; review folate, diet and concurrent intestinal, pancreatic, hepatic or diabetic disease. Enzyme replacement alone may not normalise absorption or explain persistent signs.
  • Very high pancreatic-enzyme exposure may cause hyperuricosuria/hyperuricaemia. New severe abdominal pain, vomiting, constipation or obstruction-like signs require prompt assessment rather than continued dosing.
  • Pancreatic powder may reduce folate absorption; review folate status during long-term use. Human-label acarbose/miglitol interaction is relevant only when such therapy is actually present.
  • Exact pregnancy/lactation, breeding, juvenile, long-term and major-comorbidity safety in dogs/cats is not established. Store intact in the supplied moisture-protective pack and prevent human/animal accidental exposure.
Assessment sources
  1. Mezym 25000 exact label2026
  2. Azerbaijan Mezym 250002026
  3. Malta Mezym activities2024
  4. Merck EPI guidance2025
  5. Canine EPI coating2012
  6. Enzyme oral bleeding2002
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Off-label pancreatic enzyme replacement for serum-TLI-confirmed exocrine pancreatic insufficiency, alongside meal-linked administration, cobalamin assessment/replacement, diet review and concurrent-disease management
5.1/10
Weak evidence support
vetman assessment

Mezym Forte

25000, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Off-label pancreatic enzyme replacement for serum-TLI-confirmed exocrine pancreatic insufficiency, alongside meal-linked administration, cobalamin assessment/replacement, diet review and concurrent-disease management · By mouth
Care settingVeterinarian-directed long-term home PERT after diagnostic confirmation, with response-guided titration and periodic nutritional/clinical reassessment.
vetman score 5.1/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-041759 · Verified on 16 Oct 2026 Off-label use

A transparent pancreatin capsule with a plausible feline EPI role, but feline evidence is retrospective, formulation-heterogeneous and does not establish an exact Mezym dose. Prioritise measurable PERT plus cobalamin and concurrent-disease management.

Regulatory and scientific credibility4.0/10

The exact porcine source, three enzyme activities, gastro-resistant mini-tablet formulation and current Georgian/EU human authorisations are transparent. Veterinary use is unauthorised and no exact-product target-animal assessment or study was located. The formulation-transfer evidence gate caps this axis at 4.0.

Clinical efficacy4.0/10

PERT is standard for feline EPI and a 150-cat retrospective series supports treatment plus cobalamin management, but products and doses were heterogeneous and coating was unrecorded. No exact Mezym feline outcome or capsule-dose study exists.

Safety and tolerability6.5/10

Transparent composition and intact enteric mini-tablets reduce avoidable oral exposure, but exact target-animal repeated safety is absent. Porcine allergy, oral ulceration if chewed, GI intolerance, high-exposure urate effects and uncommon obstruction-like signs require safeguards.

Clinical practicality6.5/10

Opening the capsule may help administration, but every gastro-resistant mini-tablet must remain intact and the label validates only complete-capsule administration. No accurate partial-capsule method or feline capsule count exists; lifelong meal-linked treatment plus cobalamin/concurrent-disease monitoring adds burden.

Full-course cost-effectiveness-

A current Georgian exact-pack price and validated exact-product veterinary course were not verified; cost is excluded from the denominator.

Important safety and use flags

  • Human gastro-resistant porcine-pancreatin capsule; all dog/cat use is off-label. Confirm EPI with species-appropriate serum TLI before committing to lifelong PERT.
  • No exact Mezym dog/cat capsule dose is established. Do not convert human one-capsule directions, lipase ceilings, veterinary powder teaspoons or another product’s activity units into a calculator dose.
  • Give with every applicable meal. The capsule may be opened, but the label validates only complete-capsule administration; keep every gastro-resistant mini-tablet intact and never chew, crush or visually divide the contents. No accurate partial-capsule method is established.
  • Avoid with pancreatin, porcine-protein or excipient hypersensitivity. Stop and assess rash, urticaria, facial swelling, bronchospasm/dyspnoea or acute GI hypersensitivity.
  • Exposed pancreatic enzymes can erode oral mucosa. Stop and inspect for oral pain, ulceration or bleeding; do not place loose/crushed material directly in the mouth.
  • Monitor stool quality/volume, appetite, body weight/body condition and vomiting, diarrhoea/constipation or abdominal discomfort. Titrate only with an applicable veterinary plan; non-response requires reassessment, not blind escalation.
  • Assess and replace cobalamin when indicated; review folate, diet and concurrent intestinal, pancreatic, hepatic or diabetic disease. Enzyme replacement alone may not normalise absorption or explain persistent signs.
  • Very high pancreatic-enzyme exposure may cause hyperuricosuria/hyperuricaemia. New severe abdominal pain, vomiting, constipation or obstruction-like signs require prompt assessment rather than continued dosing.
  • Pancreatic powder may reduce folate absorption; review folate status during long-term use. Human-label acarbose/miglitol interaction is relevant only when such therapy is actually present.
  • Exact pregnancy/lactation, breeding, juvenile, long-term and major-comorbidity safety in dogs/cats is not established. Store intact in the supplied moisture-protective pack and prevent human/animal accidental exposure.
Assessment sources
  1. Mezym 25000 exact label2026
  2. Azerbaijan Mezym 250002026
  3. Malta Mezym activities2024
  4. Merck EPI guidance2025
  5. Feline EPI 150-cat series2016
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Pancreatin
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Berlin-Chemie AG (Menarini Group) · Germany
Registration
Georgia Yes, human
In force until 01 Aug 2029
Human (Ministry of Health, RAMA)
In the register: მეზიმ ფორტე 25000, ნაწლავში ხსნადი კაფსულა
№ რ-041759
Verified on: 16 Oct 2026
 EU Yes, human
Verified on: 16 Oct 2026
 UK Not confirmed
Verified on: 23 Oct 2026
 US Not confirmed
Verified on: 23 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified Each capsule contains porcine pancreatic powder 356.1 mg with at least 25,000 Ph. Eur. units lipase, 22,500 units amylase and 1,250 units protease. No exact-product dog or cat capsule dose is established. Give only with a meal under a veterinarian-selected PERT plan. The capsule may be opened, but all mini-tablets must be swallowed intact with liquid; never chew or crush them. Do not convert human one-capsule directions, lipase ceilings, veterinary powder teaspoons or another product’s units into a Mezym calculator dose.

Professional reference for veterinary professionals. Not advertising and not a substitute for the product label/SPC.

For veterinary professionals only. It does not replace clinical judgement or the product label; check the dose in the official label (SPC). vetman is not liable for harm caused by using this information.

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This reference is still growing. Missing a product? Let us know. · Report an error or request an addition · Updated: 23 Oct 2026

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