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Pimecrolimus

Generic Name: pimecrolimus topical (pi MEK roe LYE mus TOP ik al)
Brand Name: Elidel
Physician reviewed pimecrolimus topical patient information - includes pimecrolimus topical description, dosage and directions.
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Drug Information:
Pimecrolimus is an immunosuppressant. It works by decreasing your body's immune system to help slow down the growth of atopic dermatitis (eczema) on your skin. Pimecrolimus topical (for the skin) is used to treat severe atopic dermatitis (eczema) when other medications have not worked well. Pimecrolimus may also be used for purposes not listed in this medication guide. You should not use pimecrolimus if you are allergic to it, or if you have a bacterial or viral skin infection (including herpes or chicken pox). Learn more

Pimecrolimus Side Effects

Pimecrolimus topical Side Effects

In Summary

Commonly reported side effects of pimecrolimus topical include: application site reaction and localized burning. Other side effects include: local irritation and local pruritus. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to pimecrolimus topical: topical cream

Warning

Topical route (Cream)

Long-term safety of topical calcineurin inhibitors has not been established, and rare cases of malignancy (eg, skin and lymphoma) have been reported in patients treated with topical calcineurin inhibitors including pimecrolimus. Avoid continuous long-term use in any age group and apply to limited areas affected by atopic dermatitis. Not indicated for use in children less than 2 years of age.

Along with its needed effects, pimecrolimus topical may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking pimecrolimus topical:

More common

  • Abdominal or stomach pain
  • body aches or pain
  • burning, itching, redness, skin rash, swelling, or soreness at the application site
  • change in hearing
  • chills
  • cold or flu-like symptoms
  • congestion (ear or nasal)
  • cough producing mucus
  • diarrhea
  • difficulty with breathing or shortness of breath
  • dryness or soreness of the throat
  • earache or pain in the ear
  • ear drainage
  • fever
  • general feeling of discomfort or illness
  • headache
  • hoarseness
  • itching
  • joint pain
  • loss of appetite
  • loss of voice
  • muscle aches and pains
  • nausea
  • pain
  • redness
  • runny nose
  • shivering
  • sneezing
  • sweating
  • swelling
  • tenderness
  • tender, swollen glands in the neck
  • tightness in the chest
  • trouble with swallowing
  • trouble with sleeping
  • unusual tiredness or weakness
  • voice changes
  • vomiting
  • warmth on the skin
  • wheezing

Less common

  • Blistering, crusting, irritation, itching, or reddening of the skin
  • blurred vision or other change in vision
  • eye pain
  • fast heartbeat
  • hives
  • itchy, raised, round, smooth, skin-colored bumps found on just one area of the body that are oozing, thick, white fluid
  • irritation
  • joint pain, stiffness or swelling
  • rash
  • redness of the eye
  • redness of the skin
  • sensitivity of the eyes to light
  • skin rash on the face, scalp, or stomach
  • swelling of the eyelids, face, lips, hands, or feet
  • tearing
  • troubled breathing or swallowing

Incidence not known

  • Black, tarry stools
  • change in size, shape, or color of existing mole
  • cough
  • dizziness
  • itching, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • large, hive-like swelling on the face
  • mole that leaks fluid or bleeds
  • new mole
  • small, red skin lesion, growth, or bump usually on the face, ears, neck, hands, or arms
  • sores that will not heal
  • weight loss
  • yellow eyes and skin

Some side effects of pimecrolimus topical may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Burning, itching, and pain in hairy areas
  • pus at the root of the hair

Less common

  • Blemishes on the skin
  • bloody nose
  • burning or stinging of the skin
  • difficulty having a bowel movement (stool)
  • flushing; redness of skin; unusually warm skin at site
  • heavy bleeding
  • painful cold sores or blisters on the lips, nose, eyes, or genitals
  • pimples
  • redness or swelling in the ear
  • vaginal pain and cramps

Incidence not known

  • Burning, stinging, itching, or mild discomfort of the eye (after applying the cream to the eyelids or near the eyes)
  • feeling of warmth (with alcohol use)
  • redness of the face, neck, arms, and occasionally, upper chest (with alcohol use)

For Healthcare Professionals

Applies to pimecrolimus topical: topical cream

Dermatologic

Common (1% to 10%): Folliculitis, acne

Uncommon (0.1% to 1%): Furuncle, impetigo, herpes simplex, herpes zoster, skin papilloma, molluscum contagiosum, urticaria

Rare (less than 0.1%): Rash, angioedema, skin discoloration (e.g., hypopigmentation, hyperpigmentation)

Gastrointestinal

Common (1% to 10%): Gastroenteritis, sore throat, diarrhea, nausea

Uncommon (0.1% to 1%): Tonsillitis, upper abdominal pain, vomiting, toothache

Genitourinary

Common (1% to 10%): Dysmenorrhea

Hypersensitivity

Very rare (less than 0.01%): Anaphylaxis

Immunologic

Common (1% to 10%): Influenza

Uncommon (0.1% to 1%): Molluscum contagiosum, staphylococcal infection, chickenpox

Local

Very common (10% or more): Application site burning (26%), application site reactions (i.e., irritation, pruritus erythema) (14.6%)

Common (1% to 10%): Application site irritation

Uncommon (0.1% to 1%): Application site disorders (i.e., rash, pain, paresthesia, desquamation, dryness, edema)

Musculoskeletal

Common (1% to 10%): Back pain, arthralgia

Nervous system

Common (1% to 10%): Headache

Metabolic

Rare (less than 0.1%): Alcohol intolerance (in most cases, flushing, rash, burning, itching, or swelling occurred shortly after the intake of alcohol)

Oncologic

Postmarketing reports: Cutaneous and other types of lymphoma, skin cancers

Other

Common (1% to 10%): Pyrexia

Uncommon (0.1% to 1%): Ear infection, otitis media

Ocular

Common (1% to 10%): Conjunctivitis

Uncommon (0.1% to 1%): Eye infection

Respiratory

Common (1% to 10%): Influenza, nasopharyngitis, upper respiratory infection, cough, asthma, rhinitis, bronchitis

Uncommon (0.1% to 1%): Sinus congestion, pharyngitis, nasal congestion, tonsillitis, sinusitis, dyspnea, epistaxis, pneumonia, viral upper respiratory tract infection, pharyngolaryngeal pain

Editorial References and Review

Medically reviewed by BestRx Medical Team Last updated on 1/1/2020.

Source: Drugs.com Pimecrolimus