Viokace® Pancrelipase Tablets for Exocrine Pancreatic Insufficiency

What Viokace® Is and How It Works

Viokace is a prescription pancrelipase tablet for adults with exocrine pancreatic insufficiency due to chronic pancreatitis or after pancreatectomy. The tablets are non‑enteric coated and are used with a proton pump inhibitor to protect enzymes in the stomach. Dosing is based on lipase units per meal. Many people compare Viokace cost and options such as Viokace without insurance when planning monthly budgets.

YouDrugstore is a licensed Canadian pharmacy headquartered in Manitoba; prescriptions are reviewed by licensed pharmacists before dispensing.

We work with licensed, vetted international partner pharmacies to offer authentic brand medications, broad selection, and affordable pricing.

Viokace delivers pancreatic enzymes (lipase, protease, and amylase) to aid fat, protein, and carbohydrate digestion. Because the tablets are not acid‑resistant, acid suppression with a PPI is part of therapy. Viokace is indicated for adults; other pancrelipase brands cover pediatric use. Viokace tablets are swallowed whole with meals and snacks. Strengths are labeled by lipase content, such as Viokace 10,440 and Viokace 20,880 units.

Viokace is not a treatment for pain from pancreatitis. It supports nutrient absorption and helps reduce steatorrhea, bloating, and greasy stools caused by enzyme insufficiency. There is no approved Viokace generic in the United States. The active ingredient is pancrelipase of porcine origin.

Dosage and Usage

• Indication: adult exocrine pancreatic insufficiency due to chronic pancreatitis or pancreatectomy. Not indicated for pediatric cystic fibrosis.
• Administration: use with a proton pump inhibitor. Swallow tablets whole. Do not crush, chew, or hold in the mouth.
• When to take: take with each meal and snack. Many prescribers split the dose across the meal.
• Initial dosing: often 500 lipase units/kg/meal; adjust based on response and fat content of meals.
• Usual limits: do not exceed 2,500 lipase units/kg/meal or 10,000 lipase units/kg/day, or 4,000 lipase units/gram of dietary fat.
• Snacks: use about half the meal dose with snacks, per prescriber direction.
• Missed dose: skip if the meal is over; resume with the next meal or snack. Do not double doses.
• Special handling: avoid tablets contacting the mouth; oral irritation can occur if chewed or crushed.

• Store your tablets at 20–25 °C (68–77 °F); short excursions 15–30 °C (59–86 °F) are allowed.
• Keep the bottle tightly closed with the desiccant inside. Protect from moisture and humidity.
• Do not refrigerate or freeze. Keep the container in a dry place away from heat.
• For travel, carry your medication in your hand luggage. Avoid hot cars and direct sunlight.
• Bring enough tablets for the trip, plus extra. Keep them in the labeled original container.
• When flying, keep a copy of your prescription with you for security checks.

Benefits and Savings

Viokace helps replace digestive enzymes and improves fat absorption. Many people see less bloating, fewer oily stools, and more formed bowel movements. Better nutrient absorption can support weight maintenance and improve fat‑soluble vitamin status over time. Tablets may suit adults who need flexibility with acid suppression using a PPI.

Ordering from our Canadian pharmacy can offer 60–80% savings versus typical U.S. retail. If paying Viokace without insurance, choosing higher‑strength tablets can reduce pill burden and may lower per‑month costs. Multi‑month supplies and bulk promotions can also reduce the average price.

Viokace coupon information is posted on our promotions page when available.

We provide discreet packaging and prompt, express shipping. You can set simple reorder reminders in your account to avoid gaps in therapy. Canadian pricing often helps manage Viokace out of pocket costs over the long term.

Side Effects and Safety

• Abdominal pain or cramping
• Gas, bloating, or flatulence
• Diarrhea or constipation
• Nausea or vomiting
• Headache or dizziness
• Oral irritation if tablets are chewed or held in the mouth
• Skin itching or rash (hypersensitivity)

Serious but uncommon risks include fibrosing colonopathy (more likely with very high doses), strictures, intestinal obstruction, and allergic reactions to porcine proteins. Hyperuricemia and gout may occur. Use with caution if you have a history of bowel obstruction or strictures. If taken with insulin or sulfonylureas for diabetes, prescribers may adjust those medicines to reduce hypoglycemia risk.

Onset Time

Digestive symptom relief often begins with the first doses taken correctly with meals. Stools may become less greasy within days as lipase exposure increases in the small intestine. Weight stabilization and improvement in stool fat markers can take several weeks as the dose is optimized and dietary habits are stable.

Many adults reach a stable regimen over 2–4 weeks. Ongoing fine‑tuning may be needed with changes in meal size, fat content, or when the PPI dose is adjusted.

Compare With Alternatives

Creon and Zenpep are enteric‑coated pancrelipase capsules that protect enzymes from stomach acid without a PPI. They are indicated for a broader population, including pediatric cystic fibrosis. Viokace differs because it is a non‑enteric tablet and should be paired with a proton pump inhibitor for acid suppression.

Pancreaze is another delayed‑release pancrelipase capsule. These capsule products may be easier for some patients who prefer not to coordinate a PPI. Your prescriber will choose based on age, diagnosis, acid suppression needs, and prior response.

If you are exploring management of chronic pancreatitis, see our condition page on Chronic Pancreatitis. For background on malabsorption and enzyme replacement, review Pancreatic Enzyme Insufficiency.

Combination Therapy

• Proton pump inhibitor: required with Viokace to prevent enzyme degradation in the stomach.
• Fat‑soluble vitamins (A, D, E, K): often used if deficiencies are present; monitor levels.
• Diabetes medicines after pancreatectomy: insulin or oral agents may need dose changes to limit hypoglycemia.
• Analgesics and antispasmodics: used for chronic pancreatitis pain under medical supervision.
• Nutrition support: dietitian‑guided adjustments in fat intake and meal timing can help.

Patient Suitability and Cost-Saving Tips

Viokace is for adults with exocrine pancreatic insufficiency from chronic pancreatitis or pancreatectomy. It is not indicated for children with cystic fibrosis. Do not use if you have a known allergy to pork proteins. Discuss use if you have a history of bowel obstruction, strictures, gout, or high uric acid.

Pregnant or breastfeeding patients should consult their prescriber. Swallow tablets whole to avoid mouth irritation. Always combine with a proton pump inhibitor as directed. Product details align with the Viokace manufacturer labeling; check the Viokace website for updates.

To manage Viokace cost, consider a larger strength such as Viokace 20880 to reduce tablets per meal when appropriate. There is no Viokace generic; the active ingredient is pancrelipase. Multi‑month supplies can lower the per‑month price. Account settings allow gentle reorder reminders. If paying Viokace no insurance, compare per‑unit pricing across strengths to plan budgets.

Authoritative Sources

Viokace Prescribing Information (AbbVie)

U.S. FDA Approved Label for Viokace

Order Viokace® from Youdrugstore: add to cart, upload your prescription, and we ship with prompt, express shipping.

This page is educational and does not replace guidance from your healthcare professional. Always follow your prescriber’s instructions and the approved product labeling.