What should I tell my doctor before taking ZENPEP?

Before taking ZENPEP, tell your doctor about all your medical conditions, including if you

are allergic to pork (pig) products.
have a history of blockage of your intestines, or scarring or thickening of your bowel wall (fibrosing colonopathy)
have gout, kidney disease, or high blood uric acid (hyperuricemia)
have trouble swallowing capsules
have any other medical condition
are pregnant or plan to become pregnant. It is not known if ZENPEP will harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant.
are breast-feeding or plan to breast-feed. It is not known if ZENPEP passes into your breast milk. You and your doctor should decide if you will take ZENPEP or breastfeed.
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and dietary or herbal supplements. Know the medicines you take. Keep a list of them and show it to your doctor and pharmacist when you get a new medicine.

How should I take ZENPEP? Take ZENPEP exactly as your doctor tells you.

Do not take more capsules in a day than the number your doctor tells you. (total daily dose).
Always take ZENPEP with a meal or snack. If you eat a lot of meals or snacks in a day, be careful not to go over your total daily dose.
Do not crush or chew the ZENPEP capsules or its contents, and do not hold the capsule or contents in your mouth. Crushing, chewing or holding the ZENPEP Capsules in your mouth may cause irritation in your mouth or change the way ZENPEP works in your body.
Giving ZENPEP to children and adults

Swallow ZENPEP capsules whole and take them with enough liquid to swallow them right away.
If you have trouble swallowing capsules, open the capsules and sprinkle the beads on a small amount of acidic food such as applesauce, pureed bananas or pears. Ask your doctor about other foods you can mix with ZENPEP.
If you sprinkle ZENPEP on food, swallow it right after you mix it. Do not store ZENPEP that is mixed with food.
Swallow the ZENPEP and food mixture right away followed with water or juice. Make sure the medicine is swallowed completely.
If you forget to take ZENPEP, call your healthcare professional or wait until your next meal and take your usual number of capsules. Do not make up for missed doses. Take your next dose at the usual time.
Giving ZENPEP to infants (children up to 12 months):

Give ZENPEP right before each feeding of formula or breast milk.
Do not mix ZENPEP capsule contents directly into formula or breast milk.
Open the capsules and sprinkle the contents on a small amount of applesauce, pureed bananas or pears. These foods should be the kind found in baby food jars that you buy at the store, or other food recommended by your doctor. You may also sprinkle the contents directly into your child’s mouth.
If you sprinkle the ZENPEP on food, give the ZENPEP and food mixture to your child right away.
Give your child enough liquid to completely swallow the ZENPEP contents or the ZENPEP and food mixture.
Look in your child’s mouth to make sure that all of the medicine has been swallowed.
What are possible side effects of ZENPEP?

ZENPEP may cause serious side effec