What should I watch for?
Visit your doctor for regular check ups. Talk to your doctor before you change brands of this medicine. Each brand has different amounts of enzymes.
You may need to be on a special diet while taking this medicine. Also, ask your doctor how much water you need to drink.
This medicine may increase your chance of having a rare bowel disorder. The risk of having this condition may be reduced by following the dosing directions that your healthcare professional gives you. Call your healthcare professional right away if you have any unusual or severe stomach pain.
This medicine may increase blood uric acid levels, for example, worsening of gout, or painful, swollen joints. Call your healthcare professional right away if you have any of these symptoms.
Be careful if you open the capsule. This medicine can irritate the lungs if you breathe it in. Also, do not hold the medicine in your mouth or chew it. This may cause mouth sores.
This medicine may affect blood sugar levels. If you have diabetes, check with your doctor or health care professional before you change your diet or the dose of your diabetic medicine.
Women should inform their doctor if they wish to become pregnant or think they might be pregnant.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Skin rash or hives
With very high doses
Blood in the urine
swelling of the feet or lower legs
With powder dosage form or powder from opened capsules
if breathed in
tightness in the chest
if held in the mouth
Irritation of the mouth
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
flushed, dry skin
fruit-like breath odor
unexplained weight loss
cool, pale skin
excess air or gas in the stomach or intestines
feeling of fullness
frequent bowel movements
loss of consciousness
Incidence not known
Difficulty having a bowel movement
difficulty with moving
muscle aching or cramping
muscle pains or stiffness
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.