Pimecrolimus
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Deepika Beereddy, MBBS [2]
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Black Box Warning
Title
See full prescribing information for complete Boxed Warning.
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Overview
Pimecrolimus is an analgesic that is FDA approved for the treatment of atopic dermatitis. There is a Black Box Warning for this drug as shown here. Common adverse reactions include sensation of burning of skin, risk for viral infection, headache, fever.
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
Atopic dermatitis, Second-line therapy
- ELIDEL® (pimecrolimus) Cream, 1% is indicated as second-line therapy for the short-term and non-continuous chronic treatment of mild to moderate atopic dermatitis in non-immunocompromised adults and children 2 years of age and older, who have failed to respond adequately to other topical prescription treatments, or when those treatments are not advisable.
- ELIDEL Cream, 1% is not indicated for use in children less than 2 years of age.
- Dosing Information
- Apply a thin layer of ELIDEL (pimecrolimus) Cream, 1% to the affected skin twice daily. The patient should stop using ELIDEL Cream, 1% when signs and symptoms (e.g., itch, rash and redness) resolve and should be instructed on what actions to take if symptoms recur.
- If signs and symptoms persist beyond 6 weeks, patients should be re-examined by their health care provider to confirm the diagnosis of atopic dermatitis.
- Continuous long-term use of ELIDEL Cream, 1% should be avoided, and application should be limited to areas of involvement with atopic dermatitis.
- The safety of ELIDEL Cream, 1% under occlusion, which may promote systemic exposure, has not been evaluated. Avoid use of ELIDEL Cream, 1% with occlusive dressings.
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
There is limited information regarding Off-Label Guideline-Supported Use of Pimecrolimus in adult patients.
Non–Guideline-Supported Use
There is limited information regarding Off-Label Non–Guideline-Supported Use of Pimecrolimus in adult patients.
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding FDA-Labeled Use of Pimecrolimus in pediatric patients.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
Condition1
- Developed by:
- Class of Recommendation:
- Strength of Evidence:
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Pimecrolimus in pediatric patients.
Non–Guideline-Supported Use
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Pimecrolimus in pediatric patients.
Contraindications
- Condition1
Warnings
Title
See full prescribing information for complete Boxed Warning.
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- Description
Precautions
- Description
Adverse Reactions
Clinical Trials Experience
There is limited information regarding Clinical Trial Experience of Pimecrolimus in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Postmarketing Experience
There is limited information regarding Postmarketing Experience of Pimecrolimus in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Drug Interactions
- Drug
- Description
Use in Specific Populations
Pregnancy
- Pregnancy Category
- Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Pimecrolimus in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Pimecrolimus during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Pimecrolimus with respect to nursing mothers.
Pediatric Use
There is no FDA guidance on the use of Pimecrolimus with respect to pediatric patients.
Geriatic Use
There is no FDA guidance on the use of Pimecrolimus with respect to geriatric patients.
Gender
There is no FDA guidance on the use of Pimecrolimus with respect to specific gender populations.
Race
There is no FDA guidance on the use of Pimecrolimus with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Pimecrolimus in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Pimecrolimus in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Pimecrolimus in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Pimecrolimus in patients who are immunocompromised.
Administration and Monitoring
Administration
- Oral
- Intravenous
Monitoring
There is limited information regarding Monitoring of Pimecrolimus in the drug label.
- Description
IV Compatibility
There is limited information regarding IV Compatibility of Pimecrolimus in the drug label.
Overdosage
Acute Overdose
Signs and Symptoms
- Description
Management
- Description
Chronic Overdose
There is limited information regarding Chronic Overdose of Pimecrolimus in the drug label.
Pharmacology
There is limited information regarding Pimecrolimus Pharmacology in the drug label.
Mechanism of Action
Structure
Pharmacodynamics
There is limited information regarding Pharmacodynamics of Pimecrolimus in the drug label.
Pharmacokinetics
There is limited information regarding Pharmacokinetics of Pimecrolimus in the drug label.
Nonclinical Toxicology
There is limited information regarding Nonclinical Toxicology of Pimecrolimus in the drug label.
Clinical Studies
There is limited information regarding Clinical Studies of Pimecrolimus in the drug label.
How Supplied
Storage
There is limited information regarding Pimecrolimus Storage in the drug label.
Images
Drug Images
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Package and Label Display Panel
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Patient Counseling Information
There is limited information regarding Patient Counseling Information of Pimecrolimus in the drug label.
Precautions with Alcohol
- Alcohol-Pimecrolimus interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
Brand Names
Elidel
Look-Alike Drug Names
- A® — B®[1]
Drug Shortage Status
Price
References
The contents of this FDA label are provided by the National Library of Medicine.
- ↑ "http://www.ismp.org". External link in
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