Usual Adult Dose of Zenpep for Pancreatic Exocrine Dysfunction:
Initial: lipase 500 units/kg orally per meal.
Maintenance: Lipase 400 to 2500 units/kg orally per meal. Give one-half the usual dose with each snack.
Maximum: Total daily dose should not exceed 10,000 lipase units/kg body weight/day.
Usual Adult Dose of Zenpep for Cystic Fibrosis:
Initial: lipase 500 units/kg orally per meal.
Maintenance: Lipase 400 to 2500 units/kg orally per meal. Give one-half the usual dose with each snack.
Maximum: Total daily dose should not exceed 10,000 lipase units/kg body weight/day.
Usual Adult Dose for Chronic Pancreatitis:
8000 to 36,000 lipase USP orally with each meal.
In patients with pancreatectomy or obstruction of pancreatic ducts, lipase 8000 to 16,000 USP orally taken at 2-hour intervals or as directed by physician.
Usual Pediatric Dose for Pancreatic Exocrine Dysfunction:
Less than 1 year:
2000 to 4000 units per 120 mL of formula, breast milk, or per breast-feeding
Greater than 1 to less than 4 years:
Initial dose: 1000 units/kg/meal
Dosage range: 1000 to 2500 units/kg/meal
Greater than or equal to 4 years:
Refer to adult dosing.
In cystic fibrosis, the powder is given as one-fourth teaspoonful (0.7 g) with meals.
Usual Pediatric Dose for Cystic Fibrosis:
Less than 1 year:
2000 to 4000 units per 120 mL of formula, breast milk, or per breast-feeding
Greater than 1 to less than 4 years:
Initial dose: 1000 units/kg/meal
Dosage range: 1000 to 2500 units/kg/meal
Greater than or equal to 4 years:
Refer to adult dosing.
In cystic fibrosis, the powder is given as one-fourth teaspoonful (0.7 g) with meals.
 Detailed Zenpep dosage information
What happens if I miss a dose?
Take the missed dose with your next meal or snack. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
