Active IngredientsLipases, amylases, and proteases Possible Side Effects: If any of the following serious side effects occur, stop giving Epizyme and seek emergency veterinary medical attention: an allergic reaction difficulty breathing swelling of the lips tongue or face hives. Precautions: Discontinue use in animals with symptoms of sensitivity. Directions:EPIZYME powder is added to moistened dog food canned or dry. Thorough mixing is necessary to bring the enzymes into close contact with the food particles. Allow this mixture to sit for five minutes before feeding. Incubation at room temperature for 15-20 minutes before feeding appears to enhance the digestive process. Frequent feeding, at least 3 times daily is important. Epizyme Pancreatic Powder 8 oz. I do not receive this product or any others in exchange for this article, I do get a commission for readers clicking the buy now links which helps to differ the cost of hosting this blog and I sincerely hope this article site helps you with your search for Vet Approved Rx products.