"ORLANDO â€” Dupilumab, a new biologic generating excitement in dermatology, can be used in combination with topical corticosteroids to safely control the symptoms of moderate to severe eczema over the long term, including itch, according to new res"...
(tacrolimus) Ointment 0.03%, 0.1%
See BOXED WARNING concerning long-term safety of topical calcineurin inhibitors
PROTOPIC (tacrolimus) Ointment contains tacrolimus, a macrolide immunosuppressant
produced by Streptomyces tsukubaensis. It is for topical dermatologic use only.
Chemically, tacrolimus is designated as [3S[3R*[E(1S*,3S*,4S*)],4S*,5R*,8S*,9E,12R*,14R*,15S*,16R*,18S*,19S*,26aR*]]5,
6,8,11,12,13,14,15,16,17,18,19,24,25,26,26a-hexadecahydro-5,19-dihydroxy3-[2-(4-hydroxy-3-methoxycyclohexyl)-1-methylethenyl]-14,16-dimethoxy-4,10, 12,18-tetramethyl-8-(2-propenyl)-15,19-epoxy-3H-pyrido[2,1-c][1,4] oxaazacyclotricosine-1,7,20,21(4H,23H)-tetrone,monohydrate. It has the following structural formula:
Tacrolimus has an empirical formula of C44H69NO12•H2O and a formula weight of 822.03. Each gram of PROTOPIC Ointment contains (w/w) either 0.03% or 0.1% of tacrolimus in a base of mineral oil, paraffin, propylene carbonate, white petrolatum and white wax.
What are the possible side effects of tacrolimus topical (Protopic)?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Stop using tacrolimus and call your doctor at once if you have a serious side effect such as:
- severe stinging, burning, itching, or soreness where the medicine is applied;
- swollen glands;
- redness or crusting around your hair follicles; or
- signs of a skin infection (redness, swelling, itching, oozing).
Less serious side effects may include:
- mild burning,...
What are the precautions when taking tacrolimus (Protopic)?
Before using tacrolimus, tell your doctor or pharmacist if you are allergic to it; or to other macrolide medications (e.g., sirolimus, erythromycin, clarithromycin, azithromycin); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: swollen lymph nodes (e.g., lymphadenopathy, mononucleosis), use of light therapy (e.g., UVA or UVB), skin or other cancers.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: skin infections (e.g., herpes, shingles), other skin...
Last reviewed on RxList: 12/8/2016
This monograph has been modified to include the generic and brand name in many instances.
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