TACROLIMUS - TOPICAL
(tack-row-LEE-muss)
COMMON BRAND NAME(S):
Protopic
USES:
This medicine is an immunosuppressant used topically to treat itching and swelling associated with a certain skin condition (atopic dermatitis).
HOW TO USE:
Wash your hands before and after applying this medication. Apply a thin layer
of medication to the affected area of skin twice daily or as directed by your
doctor. Rub the medication into the skin gently and completely. This medication
is for use on the skin only. When applying this medication after a shower or
bath, make sure your skin is completely dry. Do not bathe, shower, or swim immediately
after applying the medication. This could wash it off of the treated area. It
is very important to continue using this medication for at least 7 days after
your condition starts to improve. Consult your doctor or pharmacist. Do not
cover the treated area with plastic or waterproof bandages unless directed to
do so by your doctor. Only the weakest strength product should be used in children
2 to 15 years old. Use of this medication in children less than 2 years of age
is not recommended.
SIDE EFFECTS:
Skin burning, itching, or redness may occur. If any of these effects persist
or worsen, notify your doctor. Tell your doctor immediately if any of these
serious side effects occur: acne, headache, unusual fatigue, nasal congestion.
Tell your doctor immediately if any of these unlikely but serious side effects
occur: upset stomach, appearance of any skin infections or sores (e.g., chicken
pox, shingles, lip sores, tumors, or warts). Tell your doctor immediately if
any of these highly unlikely but very serious side effects occur: muscle pain,
swollen glands (especially in the neck, under the arms, or in the groin area).
In the unlikely event you have an allergic reaction to this drug, seek immediate
medical attention. Symptoms of an allergic reaction include: rash, itching,
swelling, dizziness, breathing trouble. If you notice other effects not listed
above, contact your doctor or pharmacist.
PRECAUTIONS:
Tell your doctor your medical history, especially of: any skin infections, viral
infections (e.g., herpes, mononucleosis), cancer, allergies (especially drug
allergies). This medication may make you more sensitive to the sun. Avoid prolonged
sun exposure, use a sunscreen, and wear protective clothing when outdoors. Avoid
sunlamps and tanning beds. This medication should be used only when clearly
needed during pregnancy. Discuss the risks and benefits with your doctor. This
medication passes into breast milk and may have undesirable effects on a nursing
infant. Consult your doctor before breast-feeding.
DRUG INTERACTIONS:
Tell your doctor of all prescription and nonprescription medication you may
use, especially of: other skin products, cimetidine, macrolide antibiotics (e.g.,
clarithromycin, erythromycin), St John's wort, azole antifungals (e.g., itraconazole,
ketoconazole), protease inhibitors (e.g., indinavir, ritonavir), calcium channel
blockers (e.g., diltiazem, verapamil). Do not start or stop any medicine without
doctor or pharmacist approval.
OVERDOSE:
If overdose is suspected, contact your local poison control center or emergency
room immediately. This medicine may be harmful if swallowed. Symptoms of overdose
may include tremor, diarrhea, blurred vision, dizziness, and nausea.
NOTES:
Do not share this medication with others.
MISSED DOSE:
If you miss a dose, use it as soon as you remember. If it is near the time of
the next dose, skip the missed dose and resume your usual dosing schedule. Do
not double the dose to catch up.
STORAGE:
Store at room temperature between 77 degrees F (25 degrees C), with brief storage
between 59 and 86 degrees F (15-30 degrees C) permitted away from light and
moisture.