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Can I take Pancreatin and Morphine together?

Guia de interação medicamentosa

Morphine can slow down the movement of your digestive system (constipation), which may make it harder for pancreatin (digestive enzymes) to work effectively at the right time. Conversely, pancreatin is used to help digest food, and if your digestion is significantly slowed by morphine, the timing of your enzyme replacement therapy may need adjustment.

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Por que isso acontece

Morphine is an opioid that reduces gastrointestinal motility (how fast food moves through your gut). Pancreatin relies on being in the right part of the small intestine at the same time as food to help with digestion. By slowing down the stomach and intestines, morphine can cause a mismatch between when the enzymes are released and when the food is ready to be digested.

It is generally fine to take these together, but you should be aware that morphine-induced constipation or slow digestion might affect how well your pancreatin works. If you notice increased symptoms like fatty stools, stomach pain, or bloating while taking morphine, speak to your doctor. Ensure you manage any constipation caused by morphine effectively.

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Respiratory conditions (e.g. COPD, severe asthma)

Morphine can dangerously slow your breathing. You must not take it if you have severe breathing difficulties or are having an acute asthma attack.

Pork allergy

Pancreatin is made from the pancreas of pigs. You must not take it if you have a confirmed allergy to pork or porcine products.

Fibrosing colonopathy

If you experience unusual abdominal pain, swelling, or constipation, contact your doctor immediately. High doses of pancreatin have rarely been linked to a serious bowel condition called fibrosing colonopathy.

Mouth irritation

Do not hold the capsules or powder in your mouth. Pancreatin contains active enzymes that can cause severe irritation and ulcers of the mouth and throat if not swallowed immediately with plenty of water.

Álcool

It is best to avoid or strictly limit alcohol when taking pancreatin. Alcohol can worsen the underlying conditions for which pancreatin is prescribed (such as pancreatitis) and can interfere with how well your body absorbs nutrients.

It is best to avoid or strictly limit alcohol while taking morphine. Combining alcohol with morphine significantly increases the risk of dangerous side effects, such as extreme sleepiness, breathing difficulties, and a potentially fatal overdose. Alcohol can also cause some slow-release morphine tablets to release the medicine too quickly into your system (known as 'dose dumping').

Hot food and drinks

Do not mix pancreatin capsules or powder with very hot food or drinks. Heat can destroy the enzymes in the medicine, making it less effective at helping you digest your food.

Alkaline foods (e.g., milk, yoghurt) - pancreatin

If you open the capsules to sprinkle the granules onto food, do not use alkaline foods like milk or yoghurt. The granules have a protective coating that dissolves in alkaline environments; if this happens in your mouth or throat, it can cause irritation and the medicine will not work properly in your gut. Use acidic food like apple sauce instead.

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Tomando vários medicamentos? Nosso Verificador de Interações de Medicamentos ajuda você a verificar se suas prescrições, medicamentos de venda livre e suplementos são seguros para serem tomados juntos. Basta procurar seus medicamentos para ver possíveis interações e o que fazer sobre elas.

Aviso Legal

Esta informação é apenas para fins educacionais gerais e não deve ser considerada como um substituto para aconselhamento médico profissional. Sempre consulte seu médico, farmacêutico ou outro profissional de saúde qualificado antes de tomar decisões sobre seus medicamentos. As circunstâncias individuais podem variar, e somente um profissional de saúde que conheça seu histórico médico pode fornecer orientações personalizadas.

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Histórico do artigo

As informações nesta página são escritas e revisadas por clínicos qualificados.

  • 25 Jan 2026 | Publicado originalmente
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