Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Protopic (Tacrolimus-topical).
Infections: Before you start treatment with tacrolimus topical ointment, you should be free of infections. Long-term use of Protopic (Tacrolimus-topical) may increase the risk of developing infections.
Kidney function: If you are applying tacrolimus topical ointment over a large part of your body, it may be absorbed through the skin, which can affect kidney function. If you have reduced kidney function or Kidney Disease, discuss with your doctor how Protopic (Tacrolimus-topical) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Protopic (Tacrolimus-topical), and whether any special monitoring is needed.
Skin Cancer and other cancers: Although rare, there have been reports of skin cancer and lymphoma in people using tacrolimus topical ointment. The relationship between long-term use of Protopic (Tacrolimus-topical) and certain types of skin cancers or lymphomas has not been established. Discuss any concerns you have with your doctor.
Skin reaction: During the first few days of treatment with Protopic (Tacrolimus-topical), you may experience skin reactions (e.g., burning sensation, stinging, soreness). This is normal and usually goes away after a short period of time.
Sun exposure: If you use tacrolimus topical ointment, protect yourself from too much sun exposure. Use a sunscreen with a sun protection factor (SPF) of at least 30, wear hats and long-sleeved clothing, and avoid the sun during its strongest times (between 10 am and 4 pm). Avoid tanning beds and other ultraviolet (UV) A or B treatments while using Protopic (Tacrolimus-topical).
Pregnancy: Protopic (Tacrolimus-topical) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using Protopic (Tacrolimus-topical), contact your doctor immediately.
Breast-feeding: Protopic (Tacrolimus-topical) passes into breast milk. If you are a breast-feeding mother and are using tacrolimus topical ointment, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using tacrolimus topical ointment have not been established for children under 2 years of age. Children aged 2 to 15 years should use the 0.03% strength of tacrolimus ointment only.