Sometimes, things like eczema and rashes on our skin are very annoying, aren't they? Itchy, red, and sometimes swollen... At times like these, your doctor may prescribe a cream called Pimecrolimus. In Sri Lanka, it is available under the brand name Elidel. So, today, let's talk about what exactly this cream is, how to use it, and what things to be careful about.
What kind of medicine is Pimecrolimus?
Simply put, Pimecrolimus is a cream that reduces swelling, redness, itching, or rashes caused by skin conditions, especially eczema. Our body's immune system sometimes becomes overactive, causing these skin problems. So this cream works by controlling the overactive immune system in the skin. This is not a steroid cream.
Things you should tell your doctor before using this cream
Before you start using this cream, you should definitely tell your doctor if you have any of the conditions below.
- If you have a type of lymphoma that affects the skin (`Cutaneous T-cell lymphoma`).
- If you have any weakness or problem with your immune system.
- If you have any other infection, including a viral infection such as chickenpox or herpes.
- If you have large areas of burned or damaged skin.
- If you have a rare skin condition called `Netherton's syndrome`.
- If you have recently undergone or are undergoing radiation therapy.
- If you have an allergic reaction to pimecrolimus or any other medicine, food, or dye.
- If you are pregnant or trying to get pregnant.
- If you are a breastfeeding mother.
How exactly do you use this?
Be aware of these points when using this medicine.
This is a topical medication only . Do not take it by mouth for any reason.
- Wash your hands thoroughly with soap before and after applying the cream. However, if you are applying the medicine to both hands, wash them only before applying.
- Do not let it get into your eyes. If you accidentally get it in your eyes, rinse them thoroughly with clean water.
- Use it as prescribed by your doctor, at the same time every day. Do not use more than the prescribed amount.
- Before applying the medicine, clean the affected area of skin, moisturize it well, and let it dry. Then apply a very thin layer of the cream to the affected area.
- After applying the medicine, do not cover the area with a bandage or anything else. There is no problem in wearing normal clothes.
- Do not shower or let water touch your skin for about an hour after applying the cream. Doing so may wash away the medicine.
- It is also prescribed for children over 2 years of age for some conditions. But your doctor will decide.
What to do if you overdose on medication?
If you think you have taken more medicine than you think, call the National Poisons Information Centre at the Colombo National Hospital immediately. Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
What if I miss a dose of medicine?
If you forget to take a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed dose and take the next dose at the scheduled time. Never take a double dose.
Other things that may interact with this medicine
This cream may interact with some things while you are using it. Therefore, it is very important to tell your doctor about all medications and vitamins you are taking.
| Type | Description and examples |
|---|---|
| Alcohol | Alcohol or medications containing a high percentage of alcohol. |
| Some high blood pressure medications | Calcium channel blockers. For example: diltiazem, nifedipine. |
| Antifungal drugs | Medications such as itraconazole, ketoconazole, and fluconazole. |
| Other medications | Medicines such as Cimetidine and Erythromycin. |
| Vaccines | Some vaccines can cause problems. Talk to your doctor before getting a vaccine. |
Things to keep in mind when applying cream
- Protect yourself from the sun: Your skin may be slightly sensitive to the sun while using this medicine. Therefore, avoid direct sunlight . If you go out, wear clothing that covers your skin, use a good sunscreen , and do not use sun lamps/tanning beds.
- Watch for skin changes: This medicine has been shown to very rarely increase the risk of skin cancer (melanoma or skin cancer). Therefore, check your skin regularly for changes in your existing spots or new spots . If you notice any of these, tell your doctor right away. Don't worry, this is very rare, but it's important to be aware.
- Drinking alcohol: Some people may experience flushing and flushing of the face or skin while taking this medicine. If this happens, tell your doctor.
- Check your progress: It may take some time to see results from using the medicine. So, go to your doctor at the scheduled times as directed.
What are the possible side effects?
Like any medicine, this one can cause some side effects. Some of them are serious, some of them are common.
| Side effect | Description |
|---|---|
| Side effects that should be reported to your doctor immediately | |
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Inflammation/itching at the application site | Inflammation, itching, crusting, or peeling of the skin where the medicine was applied. |
| Skin infections | Skin redness, swelling, a feeling of heat, or pain. |
| Other signs of infection | Fever, chills, cough, or sore throat. |
| Swelling of the ankle | Swelling of lymph nodes in the neck, armpit, or groin. |
| Side effects that usually do not require medical attention (but tell your doctor if they persist) | |
| Headache | General headache. |
| Sensitivity to light | Feeling sensitive to sunlight or bright light. |
| Small blisters | The appearance of small, red blisters containing pus near hair follicles on the skin. |
How do you store and remove the medicine?
Keep out of reach of children and pets . Store at room temperature (between 20-25 degrees Celsius), do not refrigerate. Carefully dispose of expired or no longer needed medication tubes. It is best to ask your doctor about this.
Take-Home Message
- Pimecrolimus is a topical medication. Use it only as directed by your doctor.
- Tell your doctor about any other illnesses you have and any other medications you are taking.
- Protect your skin from the sun while applying this cream. It is very important to use sunscreen.
- Always check your skin for new spots or changes in existing spots. If you have any concerns, tell your doctor immediately.
- Seek immediate medical attention if you experience a severe allergic reaction or other serious side effects.
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