[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-508196-105":59,"doc-detail-508196-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","advice-to-help-patients-with-the-pert-medicine-supply-disruption","Advice to Help Patients with the PERT Medicine Supply Disruption","","Advice outlines what PERT (pancreatic enzyme replacement therapy) is, the impact of UK medicine supply disruptions, and practical steps for patients to manage the shortage. It explains how to request prescriptions in time, keep prescriptions with usual pharmacies for ordering, avoid stockpiling, and use local pharmacies or online stock checkers. Guidance also covers alternatives, dosing support, supply regulation to one-month quantities, meal timing, and medication interactions to improve digestion and reduce malabsorption symptoms.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/advice-to-help-patients-with-the-pert-medicine-supply-disruption/508196/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/advice-to-help-patients-with-the-pert-medicine-supply-disruption/508196.png","ImageObject",300,407,{"name":92,"@type":93},"Jake","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What should I do when my PERT prescription is due during the supply disruption?","Question",{"text":113,"@type":114},"Request your prescription as soon as your previous one has been dispensed, and check with your GP because some automated systems may reject early repeat requests.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How can I help my usual pharmacy obtain PERT if it is out of stock?",{"text":118,"@type":114},"Leave your prescription with your usual pharmacy while they attempt to obtain stock. Even if it is out of stock, ask them to order it anyway so the order is logged for when the next shipment arrives.",{"name":120,"@type":111,"acceptedAnswer":121},"When should I contact a healthcare professional about malabsorption symptoms?",{"text":122,"@type":114},"Contact your dietitian, nurse specialist, or doctor if you experience signs such as pale/oily/greasy stool, bloating, full quickly, or consistent weight loss.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},508196,1791378838,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":39,"preview_page_count":4},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Advice to Help Patients with the PERT Medicine Supply Disruption  \nWhat is PERT?  \n• Pancreatic enzyme replacement therapy (PERT) is prescribed for people with pancreatic exocrine insufficiency (PEI) commonly caused by pancreatic cancer, pancreatitis, or cystic fibrosis (CF) . PERT capsules are taken with food to help replace the enzymes the pancreas would normally make. PERT helps food be digested and then the body absorbs all the calories and nutrients from it. If someone with PEI is unable to take enough PERT, they are at risk of not absorbing nutrients and becoming malnourished. The brands of PERT that are commonly available on the NHS and are affected by a supply disruption are Creon® , Nutrizym® , and Pancrex® .  \nWhat is the issue?  \n• Supply disruptions in the UK mean some people prescribed PERT are unable to obtain it or are experiencing difficulties or delays in accessing it. The supply chain to community pharmacies is erratic and stock is not readily available everyday, so there may be a delay in your pharmacy obtaining the medication you need. Because less stock than usual is available in the UK it has made routine supply more challenging.  \nAdvice for patients  \nWe understand the anxiety the current supply disruptions are causing and are working to help everyone who needs PERT to get the medications they need. Below is some guidance to help you manage the current shortage.  \n• We recommend placing your prescription requests as soon as your previous one has been dispensed. Check with your GP that it is appropriate for you to do this because of the supply disruption-some automated systems will reject a request if it is requested again too soon.  \n• We recommend leaving your prescription with your usual pharmacy while they attempt to obtain stock. Even if it is out of stock ask them to order it anyway so the order is logged and can be filled when the next shipment of PERT arrives in the UK.  \n• Whilst the supply disruption is ongoing, please do not stockpile these medicines, as this will worsen the shortage for everyone.  \n• It may be necessary to call community pharmacies in your area or use online stock checkers on pharmacy websites to check stocks of PERT if your usual pharmacy is not able to obtain despite giving it time.  \n• You may be prescribed with an alternative PERT to your usual brand due to the shortages. Your pharmacist or dietitian can guide on the doses of the alternative PERT if you are unsure.  \n• The Department of Health and Social Care has recommended that only a 1-month supply is provided at a time to try and regulate supplies, so you may need to collect your prescriptions more frequently.  \n• Taking PERT throughout your meal rather than all at once at the start middle or end improves how well it digests your food and drinks.  \n• Swallow capsules with a cold drink and keep the capsules at room temperature, so they aren’t damaged by high temperatures.  \n• Taking other medicines called proton pump inhibitors (omeprazole/ pantoprazole/ lansoprazole) or H2-receptor antagonists (Famotidine/ Nizatidine) will reduce the acid in your stomach and make PERT more efficient. This means you may find a lower dose of PERT effective. If you are not on one of these medicines speak to your specialist team at your next hospital appointment or contact your GP.  \n• Contact your dietitian, nurse specialist or doctor if you are struggling with symptoms of malabsorption such as pale/oily/greasy poo, or bloating/getting full quickly when you eat , or are consistently losing weight.  \nWhat next?  \n• Healthcare professionals in Cheshire and Merseyside are continuing to work together to try and ensure everyone who needs PERT obtains a supply. We are exploring solutions to ensure patients have ongoing access to the medicines they need.  \n• Our efforts are directed at trying to support local community pharmacies to obtain a PERT supply for you where possible. If you are an adult with cystic fibrosis under the care of Liverpool","cbCainJxUCJXbwYu","https://ap.wps.com/l/cbCainJxUCJXbwYu","pdf",163163,"English","# What is PERT?\n# What is the issue?\n# Advice for patients\n# What next?\n# Useful contacts\n# More information from the national bodies","[{\"question\":\"What should I do when my PERT prescription is due during the supply disruption?\",\"answer\":\"Request your prescription as soon as your previous one has been dispensed, and check with your GP because some automated systems may reject early repeat requests.\"},{\"question\":\"How can I help my usual pharmacy obtain PERT if it is out of stock?\",\"answer\":\"Leave your prescription with your usual pharmacy while they attempt to obtain stock. Even if it is out of stock, ask them to order it anyway so the order is logged for when the next shipment arrives.\"},{\"question\":\"When should I contact a healthcare professional about malabsorption symptoms?\",\"answer\":\"Contact your dietitian, nurse specialist, or doctor if you experience signs such as pale/oily/greasy stool, bloating, full quickly, or consistent weight loss.\"}]","Advice to Help Patients with the PERT Medicine Supply Disruption | PDF",1791212735]