Skip to main content

Creon Dosage

Generic name: PANCRELIPASE AMYLASE 15000[USP'U], PANCRELIPASE LIPASE 3000[USP'U], PANCRELIPASE PROTEASE 9500[USP'U]
Dosage form: capsule, delayed release pellets
Drug class: Digestive enzymes

Medically reviewed by Drugs.com. Last updated on Feb 28, 2024.

2.1 Important Dosing Information

CREON is a mixture of enzymes including lipases, proteases, and amylases. CREON dosing is based on lipase units.

  • Use either an actual body weight or fat ingestion-based dosing scheme.
  • Start at the lowest recommended dosage and individualize the dosage based on clinical symptoms, the degree of steatorrhea present, and the fat content of the diet. Changes in dosage may require an adjustment period of several days.
  • Do not exceed 2,500 lipase units/kg/meal, 10,000 lipase units/kg/day, or 4,000 lipase units/g fat ingested/day in adult and pediatric patients greater than 12 months of age without further investigation [see Warnings and Precautions (5.1)].
  • The total daily dosage in adult and pediatric patients greater than 12 months of age should reflect approximately three meals plus two or three snacks per day. With each snack, administer approximately half the prescribed CREON dose for a meal.
  • Do not substitute other pancreatic enzyme products for CREON. When switching from another pancreatic enzyme product to CREON, monitor patients for clinical symptoms of exocrine pancreatic insufficiency and titrate the dosage as needed.

2.2 Recommended Dosage

Adult and Pediatric Patients Greater than 12 Months of Age

The recommended oral initial starting dosage is:

  • 500 lipase units/kg/meal for adult and pediatric patients 4 years of age and older.
  • 500 to 1,000 lipase units/kg/meal for adult patients with chronic pancreatitis or pancreatectomy.
  • 1,000 lipase units/kg/meal for pediatric patients greater than 12 months to less than 4 years of age.

If signs and symptoms of malabsorption persist, increase the dosage. Titrate to either 2,500 lipase units/kg/meal, 10,000 lipase units/kg/day, or 4,000 lipase units/gram of fat ingested/day. Higher dosages may be administered if they are documented to be effective by fecal fat measures or an improvement in signs or symptoms of malabsorption including measures of nutritional status.

Pediatric Patients Birth to 12 Months of Age

The recommended oral dosage is 3,000 lipase units per 120 mL of formula or per breast-feeding.

2.3 Preparation and Administration Instructions

Instruct adult and pediatric patients greater than 12 months of age, or their caregivers, of the following:

  • Take CREON during meals and snacks. If a dose is missed, take the next dose with the next meal or snack.
  • Swallow capsules whole.
  • For patients who are unable to swallow intact capsules, carefully open the capsules and sprinkle the entire contents on a small amount of acidic soft food with a pH of 4.5 or less (e.g., applesauce, bananas, plain Greek yogurt). Consume the entire mixture immediately.
  • Do not crush or chew CREON capsules or capsule contents.
  • Consume sufficient liquids (water or juice) to ensure complete swallowing of CREON [see Warnings and Precautions (5.2)].

Instruct caregivers of pediatric patients birth to 12 months of age of the following:

  • Immediately prior to each breast-feeding session or each administration of 120 mL of formula, carefully open one CREON capsule (containing 3,000 USP units of lipase) and administer the entire contents using one of the following two methods:
    • Sprinkle on a small amount of acidic soft food with a pH of 4.5 or less (e.g., applesauce, bananas, plain Greek yogurt) being careful not to crush the capsule contents. The entire mixture should be given to the infant immediately.
    • Sprinkle the capsule contents directly into the infant’s mouth.

  • Immediately administer additional breast milk or formula after CREON to ensure complete swallowing of the capsule contents.
  • Do not mix CREON capsule contents directly into a bottle of breast milk or formula.
  • Do not crush CREON capsule contents, and visually inspect the infant’s mouth to ensure that no drug is retained in the mouth [see Warnings and Precautions (5.2)].
  • If a dose is missed, administer the next dose with the next feeding.

Frequently asked questions

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.