krease tablet - Pancreatin (NA) + Dimethicone (NA) medicine

Barozyme Liquid: Complete Guide to Uses, Dosage, and Safety

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🏭 TTK Healthcare Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate to well-established for pancreatic enzyme replacement; limited for dimethicone in some indications.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of the face, lips, or throat
  • Severe abdominal pain that does not go away
  • Blood in vomit or stool
  • Persistent vomiting or diarrhea leading to dehydration
  • Signs of hyperuricemia such as joint pain or swelling
  • Yellowing of the skin or eyes (jaundice)
  • Decreased urine output or dark urine

If experiencing severe symptoms, call emergency services immediately.

What is krease tablet used for?

This medicine is a combination of pancreatin and dimethicone used to aid digestion and relieve bloating and gas. Pancreatin replaces missing digestive enzymes, while dimethicone helps expel trapped gas.

  • Generic Name: Pancreatin (NA) + Dimethicone (NA)
  • Manufacturer: TTK Healthcare Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 krease tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पाचन में सहायता के लिए इस्तेमाल की जाती है। इसमें पैंक्रिएटिन और डाइमेथिकोन होते हैं। पैंक्रिएटिन भोजन को पचाने में मदद करता है, जबकि डाइमेथिकोन पेट की गैस और सूजन को कम करता है। यह उन लोगों के लिए उपयोगी है जिन्हें पाचन एंजाइमों की कमी है या जो अक्सर गैस और अपच से परेशान रहते हैं।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट में असुविधा, दस्त या कब्ज शामिल हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी प्रतिक्रिया जैसे त्वचा पर चकत्ते, खुजली, चेहरे या गले में सूजन, या सांस लेने में कठिनाई हो सकती है। यदि कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। दवा को भोजन के साथ लें। यदि आपको गाउट, किडनी की समस्या, या उच्च यूरिक एसिड है, तो डॉक्टर को बताएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें। ठंडी और सूखी जगह पर स्टोर करें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 krease tablet Uses & Benefits

[{"condition":"Exocrine pancreatic insufficiency","description":"This medicine provides supplemental pancreatic enzymes to help digest food and absorb nutrients in conditions like chronic pancreatitis, cystic fibrosis, or after pancreatic surgery.","evidence":"Well-established"},{"condition":"Functional dyspepsia","description":"It helps relieve symptoms of indigestion such as bloating, fullness, and discomfort after meals by aiding digestion and reducing gas.","evidence":"Moderate"},{"condition":"Flatulence and bloating","description":"Dimethicone in this medicine reduces gas bubbles, providing relief from abdominal bloating and flatulence.","evidence":"Well-established for dimethicone"},{"condition":"Steatorrhea","description":"In pancreatic insufficiency, this medicine helps reduce fat in stools by improving fat digestion and absorption.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Post-prandial abdominal distension","description":"Sometimes used to relieve bloating after large meals, though not a primary indication.","evidence":"Limited"},{"condition":"Infant colic","description":"Dimethicone is sometimes used for infant colic, but evidence is limited and it should only be used under pediatric guidance.","evidence":"Limited"}]

Primary treatment for: Exocrine pancreatic insufficiency

Also treats: Functional dyspepsia, Flatulence, Bloating, Steatorrhea

📋 Drug Information

Generic Name(s)Pancreatin (NA) + Dimethicone (NA)
Brand Namekrease tablet
ManufacturerTTK Healthcare Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from direct sunlight. Do not freeze. Keep the container tightly closed.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine with meals to maximize its digestive benefits.
2
Shake the bottle well before each use to ensure even distribution of enzymes.
3
Use the measuring cup provided; household spoons may give inaccurate doses.
4
If you have gout or high uric acid, inform your doctor before starting this medicine.
5
Do not stop taking this medicine abruptly without consulting your doctor, especially if you have pancreatic insufficiency.
6
Report any signs of allergic reaction, such as rash or swelling, immediately.
7
Keep a record of your symptoms to help your doctor assess the effectiveness.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Bloating and gas
This medicine is commonly prescribed for this.
Likely Use
✅
Fatty stools
This medicine helps with fat digestion in pancreatic insufficiency.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionPancreatin enzymes are not absorbed systemically; they act locally in the gastrointestinal tract. Dimethicone is not absorbed orally and is excreted unchanged in feces.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismPancreatin enzymes are proteins and are likely degraded in the gastrointestinal tract. Dimethicone is not metabolized and is excreted unchanged.
Half-LifeNot established from the available information.
ExcretionPancreatin enzymes are excreted in feces after acting in the gut. Dimethicone is excreted unchanged in feces.
BioavailabilityNot established from the available information.
Onset of ActionThe onset of action for digestive enzyme supplementation is typically within 30 to 60 minutes after ingestion, coinciding with meal digestion. Dimethicone may provide relief from bloating within a few hours.
Peak Plasma TimeNot applicable as the active ingredients act locally and are not absorbed into the bloodstream.
Duration of ActionThe duration of action depends on the presence of food in the gastrointestinal tract. Enzyme activity lasts as long as there is substrate to digest, usually a few hours. Dimethicone's effect lasts until gas bubbles are expelled.

How It Works

This medicine works through two complementary mechanisms. Pancreatin, a mixture of porcine-derived pancreatic enzymes, supplements the body's natural digestive enzymes. Amylase breaks down starches into simpler sugars, lipase breaks down fats into fatty acids and glycerol, and protease breaks down proteins into peptides and amino acids. This improves digestion and absorption of nutrients. Dimethicone is a silicone-based polymer that acts as an antifoaming agent. It reduces the surface tension of gas bubbles in the gastrointestinal tract, causing them to coalesce and be expelled more easily, thereby relieving bloating and flatulence.

Mechanism Steps

1
Enzyme supplementation: Pancreatin provides exogenous amylase, lipase, and protease to the gastrointestinal tract, compensating for deficient endogenous pancreatic enzyme production.
2
Substrate breakdown: These enzymes hydrolyze dietary carbohydrates, fats, and proteins into absorbable components, facilitating nutrient uptake.
3
Gas bubble reduction: Dimethicone lowers surface tension of gas bubbles, causing them to merge into larger bubbles that are easier to pass.
4
Symptom relief: The combined actions reduce bloating, flatulence, and steatorrhea, improving digestive comfort.

💡 How to Take krease tablet

Strength: Liquid oral preparation containing pancreatin and dimethicone. Strength not specified in the available information.

1Shake the bottle well before each use.
2Measure the prescribed dose using the measuring cup or spoon provided.
3Take the medicine with meals or snacks.
4Swallow the liquid directly or mix with a small amount of water if desired.
5Follow your doctor's instructions regarding frequency and duration.
6Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is 1 to 2 teaspoons (5 to 10 mL) taken with meals or as directed by your doctor. The dose may vary depending on the condition being treated and the severity of symptoms. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may use this medicine at the same dose as adults, but should be monitored for any adverse effects. Dose must be individualized by a qualified clinician.
Renal ImpairmentNo specific dose adjustment is established for renal impairment. Consult your doctor.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Consult your doctor.
Maximum Daily DoseThe maximum daily dose is not established from available information. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With meals
Take with meals
Enzymes need to mix with food to aid digestion.
Grapefruit
No specific restriction
No known interaction with this medicine.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of krease tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Abdominal discomfort (Common (5-10%))
Usually resolves as your body adjusts. If severe, contact your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or persistent, seek medical advice.
Constipation (Common (5-10%))
Increase fiber and fluid intake. Consult doctor if it continues.

🚨 Serious Side Effects

Allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face or throat, or difficulty breathing.
Hyperuricemia (Very rare (<0.01%))
Report joint pain or swelling to your doctor. Blood tests may be needed.
Fibrosing colonopathy (Very rare (<0.01%))
Seek medical attention if you have persistent abdominal pain, changes in bowel habits, or blood in stool.

⚠️ Rare Side Effects

Skin rash
Discontinue and consult your doctor if rash develops.
Itching
Consult your doctor if itching is bothersome.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Acarbose Major
Calcium carbonate antacids Moderate
Omeprazole Moderate
Ranitidine Moderate
Iron supplements Minor

🚨 Major Interactions

  • Acarbose
  • Antacids containing calcium carbonate or magnesium hydroxide

⚡ Moderate Interactions

  • Proton pump inhibitors (e.g., omeprazole)
  • H2 blockers (e.g., ranitidine)

🍷 Alcohol Interaction

Alcohol may worsen indigestion and increase stomach irritation. It is advisable to avoid alcohol while taking this medicine, especially if you have pancreatitis or liver disease.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to pancreatin, dimethicone, or any component of the formulation","Acute pancreatitis or acute exacerbation of chronic pancreatitis","Acute abdomen or bowel obstruction","Children with fibrosing colonopathy (for high-dose pancreatin)"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Use with caution in patients with gout or hyperuricemia.","Use with caution in patients with renal impairment.","Use with caution in patients with hepatic impairment.","Consult a doctor if symptoms persist beyond 7 days.","Keep out of reach of children.","Shake well before use.","Do not use if the seal is broken."]

🤱 Lactation Safety

It is not known whether pancreatin or dimethicone pass into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose with this medicine is unlikely to cause serious harm due to its local action. However, if you suspect an overdose, seek medical attention immediately. Symptoms may include nausea, vomiting, diarrhea, or abdominal pain. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Shake the liquid well before each use. Measure the dose with a proper measuring device, not a household spoon. Take it with meals or snacks to help digestion. If you have a history of gout, kidney stones, or high uric acid levels, inform your doctor before using this medicine. Do not use this medicine if you are allergic to pancreatin, dimethicone, or any inactive ingredients. If you are pregnant or breastfeeding, consult your doctor before use. Keep out of reach of children. Store in a cool, dry place, away from direct sunlight. Do not freeze. If symptoms persist or worsen, seek medical advice.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine. Monitor for any signs of allergic reaction or gastrointestinal discomfort. Dose adjustment may be needed based on kidney and liver function.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. The safety profile during pregnancy is not well established.

🏥 Post-Surgery Considerations

After surgery, consult your doctor before resuming this medicine, especially if you have had gastrointestinal surgery.

🦷 Dental Procedures

No specific precautions are needed for dental procedures. Inform your dentist about all medicines you are taking.

💚 Lifestyle Tips for Better Results

🏃
Eat smaller, more frequent meals to ease digestion.
🥗
Avoid gas-producing foods like beans, cabbage, and carbonated drinks.
😴
Stay hydrated by drinking plenty of water throughout the day.
💧
Exercise regularly to promote healthy digestion.
🧘
Manage stress through relaxation techniques like yoga or meditation.
🌞
Avoid smoking and limit alcohol intake.

🏋️ Exercise Considerations

No specific exercise restrictions are associated with this medicine. However, if you have abdominal discomfort, avoid strenuous activities until you feel better.

🥗 Diet Recommendations

Include fiber-rich foods like fruits and vegetables.
Limit fatty and fried foods.
Avoid excessive caffeine and alcohol.
Eat slowly and chew food thoroughly.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness or discomfort, avoid these activities until you feel well.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor, especially if you have pancreatic insufficiency. If you experience severe side effects, seek medical advice immediately.

📅 Long-Term Use Effects

Long-term use of this medicine is generally safe when taken as prescribed. However, high doses of pancreatin have been associated with hyperuricemia and, in rare cases, fibrosing colonopathy in children with cystic fibrosis. Regular monitoring of uric acid levels may be advised. If you have kidney or liver disease, periodic check-ups are recommended. Do not use for prolonged periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary modifications

Avoiding trigger foods and eating a balanced diet can help manage digestive symptoms.

Evidence: Well-established
Probiotics

May help improve gut health and reduce bloating, but evidence is mixed.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known with this medicine. Continue routine vaccinations as per schedule.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case of customs checks. Store it in a cool, dry place away from direct sunlight. If traveling across time zones, continue taking it with meals as usual; no specific time adjustment is needed. Do not leave it in a hot car or checked luggage. If you have diabetes, monitor your blood sugar more frequently as travel can affect digestion.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 50-year-old man with chronic pancreatitis experiencing frequent bloating and fatty stools.
He was prescribed this medicine to take with meals. After a few weeks, he noticed significant improvement in digestion and reduction in bloating. He emphasized the importance of taking it consistently with food.
💡 Lesson: Consistent use with meals is key to managing enzyme deficiency and related symptoms.
👤 A 35-year-old woman with functional dyspepsia and frequent gas after eating.
She started this medicine as advised by her doctor. Within days, her bloating and flatulence decreased, and she felt more comfortable after meals. She also made dietary changes to avoid trigger foods.
💡 Lesson: This medicine can provide symptomatic relief, but lifestyle and dietary modifications enhance overall outcomes.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 30 to 60 minutes after ingestion, as it aids in digesting the meal you have eaten. Symptom relief from bloating may be noticed within a few hours.

Q: Can I take this medicine with other medications?

A: It may interact with certain drugs like acarbose and antacids. Always inform your doctor about all medicines you are taking.

Q: Is it safe to take during pregnancy?

A: Consult your doctor before use if you are pregnant or planning pregnancy. The safety is not well established.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for krease tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure all digestive problems.
    Fact: This medicine is specific for enzyme deficiency and gas-related symptoms. It does not treat infections or other causes of indigestion.
  • Myth: It is safe to take indefinitely without medical supervision.
    Fact: Long-term use should be monitored by a doctor, especially in children and those with kidney or liver issues.

🔄 Alternative Options

Generic Alternatives

  • Pancreatin + Dimethicone oral liquid (generic)

Brand Alternatives

  • Barozyme Liquid

📊 Comparison with Similar Medicines

[{"medicine":"Pancreatin + Dimethicone","composition":"Pancreatin and dimethicone","uses":"Enzyme deficiency, bloating, gas","notes":"Combination product"},{"medicine":"Pancrelipase","composition":"Pancrelipase","uses":"Enzyme deficiency","notes":"No antifoaming agent"},{"medicine":"Dimethicone alone","composition":"Dimethicone","uses":"Bloating, gas","notes":"No enzymes"}]

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