Tacrolimus Ointment is a prescription medication used to treat moderate to severe atopic dermatitis (eczema) in adults. It contains the active ingredient tacrolimus, which helps to reduce inflammation and itching. Protopic ointment is available as an ointment in 2 strengths and can be applied up to twice daily.
Once moderate to severe atopic dermatitis is cleared or almost cleared after up to 6 weeks of treatment of a flare, and if you are experiencing frequent flares (i.e. 4 or more per year), it may be possible to prevent flares from coming back or prolong the time you are free from flares by using Tacrolimus 0.1% ointment twice weekly.
In atopic dermatitis, an over-reaction of the skin’s immune system causes skin inflammation (itchiness, redness, dryness). Protopic alters the abnormal immune response and relieves the skin inflammation and the itch.
Tacrolimus Ointment 0.1% is the generic of Protopic Ointment
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The price of Tacrolimus Ointment is £38.50
You can buy Tacrolimus Ointment at Dock Pharmacy Essex UK, UK Online Pharmacy.
No, you need a prescription from a doctor, vet or any licensed prescriber to buy Tacrolimus Ointment.
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Always use this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
• Apply Tacrolimus as a thin layer to affected areas of your skin.
• Protopic may be used on most parts of the body, including the face and neck and in the creasesof your elbows and knees.
• Avoid using the ointment inside your nose or mouth or in your eyes. If the ointment gets on any of these areas, it should be thoroughly wiped off and/or rinsed off with water.
• Do not cover the skin being treated with bandages or wraps.
• Wash your hands after applying Protopic unless your hands are also being treated.
• Before applying Protopic after a bath or shower, be sure your skin is completely dry.
Usually, treatment is started with Tacrolimus 0.1% ointment twice a day, once in the morning and once in the evening, until eczema has cleared.
What you need to know before you use Tacrolimus
Do not use Tacrolimus
• If you are allergic to tacrolimus or any of the other ingredients of this medicine (listed in section
6) or to macrolide antibiotics (e.g. azithromycin, clarithromycin, erythromycin).
Warnings and precautions
Talk to your doctor before using Tacrolimus:
• If you have liver failure.
• If you have any skin malignancies (tumours) or if you have a weakened immune system
(immuno-compromised) whatever the cause.
• If you have an inherited skin barrier disease such as Netherton’s syndrome, lamellar
ichthyosis (extensive scaling of the skin due to a thickening of the outer layer of the skin), or if
you suffer from generalised erythroderma (inflammatory reddening and scaling of the entire
skin).
2
• If you have a cutaneous Graft Versus Host Disease (an immune reaction of the skin which is a
common complication in patients who have undergone a bone marrow transplant).
• If you have swollen lymph nodes at initiation of treatment. If your lymph nodes become
swollen during treatment with Protopic, consult your doctor
• If you have infected lesions. Do not apply the ointment to infected lesions.
• If you notice any change to the appearance of your skin, please inform your physician.
• Based on the results of long term studies and experience, a link between Tacrolimus ointment treatment and the development of malignancies has not been confirmed, but definitive
conclusions cannot be drawn.
• Avoid exposing the skin to long periods of sunlight or artificial sunlight such as tanning beds. If
you spend time outdoors after applying Protopic, use a sunscreen and wear loose fitting clothing
that protects the skin from the sun. In addition, ask your doctor for advice on other appropriate
sun protection methods. If you are prescribed light therapy, inform your doctor that you are
using Protopic as it is not recommended to use Protopic and light therapy at the same time.
• If your doctor tells you to use Protopic twice weekly to keep your atopic dermatitis cleared,
your condition should be reviewed by your doctor at least every 12 months, even if it remains
under control. In children, maintenance treatment should be suspended after 12 months, to
assess whether the need for continued treatment still exists.
• It is recommended to use Protopic ointment at the lowest possible strength, at the lowest
frequency and for the shortest possible duration necessary. This decision should be based on
your doctor’s assessment of how your eczema responds to Protopic ointment
Children
• Protopic 0.1 % ointment is not approved for children younger than 16 years of age.
Therefore it should not be used in this age group. Please consult your doctor.
• The effect of treatment with Protopic on the developing immune system in children, especially
the young, has not been established.
Other medicines, cosmetics and Protopic
Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.
You may use moisturising creams and lotions during treatment with Protopic but these products
should not be used within two hours of applying Protopic.
The use of Protopic at the same time as other preparations to be used on the skin or while taking oral
corticosteroids (e.g. cortisone) or medicines which affect the immune system has not been studied.
Protopic with alcohol
While using Protopic, drinking alcohol may cause the skin or face to become flushed or red and feel
hot.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask
your doctor or pharmacist for advice before using this medicine.
Protopic contains butylhydroxytoluene (E321)
Protopic contains butylhydroxytoluene (E321), which may cause local skin reactions (e.g. contact
dermatitis), or irritation to the eyes and mucous membranes.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Very common (may affect more than 1 in 10 people):
• burning sensation and itching
These symptoms are usually mild to moderate and generally go away within one week of using Tacrolimus.
Common (may affect up to 1 in 10 people):
• redness
• feeling of warmth
• pain
• increased skin sensitivity (especially to hot and cold)
• skin tingling
• rash
local skin infection regardless of specific cause including but not limited to: inflamed or
infected hair follicles, cold sores, generalised herpes simplex infections
• facial flushing or skin irritation after drinking alcohol is also common
Uncommon (may affect fewer than 1 in 100 people):
• acne
Following twice-weekly treatment application site infections have been reported in adults.
Rosacea (facial redness), rosacea-like dermatitis, lentigo (presence of flat brown spots on the skin),
oedema at the application site and herpes eye infections have been reported during post-marketing
experience.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine.
Yellow Card Scheme
Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or
Apple App Store
What Tacrolimus contains
• The active substance is tacrolimus monohydrate.
One gram of Tacrolimus 0.1% ointment contains 1.0 mg tacrolimus (as tacrolimus monohydrate).
• The other ingredients are white soft paraffin, liquid paraffin, propylene carbonate, whitebeeswax, hard paraffin, butylhydroxytoluene (E321) and all-rac-α-tocopherol.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the tube and carton after EXP. The
expiry date refers to the last day of that month.
Do not store above 25ºC.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help protect the environment.
Click here for the Patient Information leaflet of Protopic 0.1% Ointment
Please read before using the product
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Treatment of moderate to severe atopic dermatitis
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