Pregnancy & Lactation: Risk data not available
What is Tacrolimus Topical?
Tacrolimus topical (for the skin) is used short-term to treat moderate to severe eczema in adults and children at least 2 years old.
This medicine is not for use in people who have a weak immune system.
Tacrolimus may also be used for purposes not listed in this medication guide.
Warnings
You should not use tacrolimus if you are allergic to it.
Tacrolimus ointment in 0.03% or 0.1% strengths may be used by adults and children 16 years and older. Only the 0.03% strength should be used on a child 2 to 15 years old.
Tell your doctor if you have ever had:
- skin cancer (melanoma);
- a bacterial or viral skin infection (including herpes or chickenpox);
- Netherton's syndrome (a genetic skin disorder); or
- a weak immune system (caused by disease or by using certain medicines).
A small number of people using tacrolimus, or another similar medication have developed skin cancer or lymphoma. However, it is not known if tacrolimus causes cancer. Ask your doctor about your risk.
Tell your doctor if you are pregnant, plan to get pregnant, or breastfeeding before starting this medicine.
How should I use Tacrolimus Topical
Use Tacrolimus Topical (Protopic) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Use this medicine only on skin that is affected by eczema. Avoid applying to an area that may be affected with skin cancer.
Do not take by mouth. Topical medicine is for use only on the skin.
Wash your hands before and after applying this medicine, unless you are using it to treat a hand condition.
Use only a small amount of medicine. Apply a thin layer and rub in gently.
Right after applying tacrolimus, you may need to use a moisturizing cream or lotion to keep your skin from getting too dry. Ask your doctor about which cream or lotion to use.
Do not cover treated skin with a bandage unless your doctor tells you to.
Do not bathe, shower, or swim right after applying tacrolimus topical. Water may wash off the medicine.
Tacrolimus topical is not for long-term use. Stop using this medicine when symptoms of eczema clear up, unless your doctor has told you otherwise. You may need to take a short break from using tacrolimus topical if you need to repeat this treatment.
Call your doctor if:
- your symptoms get worse or do not improve after 6 weeks;
- you get viral infections more easily, such as chickenpox or herpes (cold sores or shingles); or
- your symptoms return after treatment with tacrolimus ointment.
Store tightly closed at room temperature, away from moisture and heat.
Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply two doses at one time.
Tacrolimus Topical side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
- severe pain, burning, itching, or stinging;
- new or worsened skin symptoms (warts, unusual rash or skin lesions, blistering or oozing);
- a mole that has changed in size or color; or
- symptoms of a viral skin infection--cold sores around your mouth, skin sores or blisters, scabs, itching, tingling.
Common side effects may include:
- burning, stinging, itching, or tingling of treated skin (especially during the first few days of treatment);
- viral skin infection;
- your skin being more sensitive to hot or cold temperatures;
- acne, redness or crusting around your hair follicles;
- upset stomach;
- headache, muscle pain;
- runny or stuffy nose; or
- fever, chills, body aches, sore throat, cough, swollen glands.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Tacrolimus Topical?
Avoid getting this medicine in your eyes or mouth. Rinse with water if this medicine gets in your eyes or mouth.
Avoid sunlight, tanning beds, and phototherapy treatments with ultraviolet light. Wear loose clothing over treated skin. Ask your doctor before using sunscreen on treated skin.
Do not share this medicine with another person, even if they have the same symptoms you have.
Avoid using other medications on the areas you treat with tacrolimus topical unless your doctor tells you to.
Drinking alcohol while using this medicine can cause flushing (sudden warmth, redness, or tingly feeling) on your skin or face.