Has your doctor prescribed a gel for you or your child to apply to their face? Is it called Sirolimus? If so, this article will be very important to you. Sometimes, when we get a new medicine, it is normal for us to have a little fear and some concerns. So today, let's talk very simply about this Sirolimus gel, how to use it, and what things to be careful about.
What is Sirolimus gel?
Simply put, sirolimus is a topical gel that is used to treat facial angiofibromas, a genetic condition that causes facial swelling.
Imagine, this condition called ``tuberous sclerosis'' causes small red bumps to develop around the nose and cheeks of some people, especially children. It is to control and reduce those bumps that doctors recommend this sirolimus gel.
Things to tell your doctor before using this medicine
Before you start using this medication, it is very important to talk openly with your doctor. Especially if you have any of the conditions listed below.
- If you have high blood cholesterol levels .
- If you are currently suffering from an infection (such as fever, cold, cough).
- If you have recently received a vaccine or are scheduled to receive one in the future.
- If you have an allergy to sirolimus or any other medicine, food, or dye.
- If you are pregnant or trying to get pregnant.
- If you are a breastfeeding mother .
Giving this information to your doctor will greatly help him treat you safely and accurately.
How exactly do you use this medicine?
This is very simple, but it is important to follow it exactly.
1. For skin application only: This is for external use only. Do not take by mouth for any reason.
2. Wash your hands: Wash your hands thoroughly with soap before and after applying the medicine.
3. Apply it to the right area: Do not apply this to healthy skin. Apply a thin layer only to the areas of the bumps that your doctor has told you to treat. Do not apply it to a large area of skin.
4. Be careful with your eyes: Do not let this gel get in your eyes, mouth, or inside your nose. If you accidentally get it in your eyes, immediately rinse your eyes thoroughly with clean water.
5. At the right time, in the right amount: Take it at the same time every day, as your doctor tells you. Do not take more than the prescribed amount.
6. Do not apply bandages: Do not cover the treated skin with a plaster, bandage or wrap.
7. When given to children: This medicine can sometimes be prescribed to children as young as 6 years old. However, there are special precautions for it. Therefore, follow the doctor's instructions exactly.
What to do if you take too much medicine?
If you think you have accidentally taken too much of this medicine, call the National Poisons Information Centre at the Colombo National Hospital immediately. Or, go to the nearest hospital Emergency Department (ETU) immediately.
Things to keep in mind when using the medicine
There are several things we need to pay attention to when using this medicine.
Be careful about your cholesterol levels.
This medication can increase the levels of bad cholesterol and fats (such as triglycerides) in the blood of some people. Therefore, your doctor will order blood tests to check your cholesterol levels.
Protect yourself from infections
While taking sirolimus, your body's ability to fight infections may be slightly reduced. If you develop fever, chills , sore throat, or other symptoms of a cold , do not self-medicate and call your doctor right away. Try to stay away from people who are sick.
Sun protection
This medicine may make your skin more sensitive to the sun than before. So avoid going out in the sun as much as possible. If you do go out, wear clothing that covers your skin and use a good sunscreen . Do not use sun lamps or tanning beds.
Important facts about pregnancy and fertility
This is very important: Do not get pregnant while taking this medicine and for 12 weeks after stopping the medicine. It can cause serious harm to the baby in the womb. Therefore, be sure to use reliable birth control during this time. If you have any suspicion that you are pregnant, inform your doctor immediately.
Also, this medicine may temporarily affect fertility in women and men. If you have any concerns about this, talk to your doctor.
What are the possible side effects?
Like any medicine, this can cause side effects. Although not everyone gets them, watch out for the symptoms below.
| Side effects and their nature | |
|---|---|
| Side effects that should be reported to your doctor immediately | |
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue, throat, difficulty breathing or swallowing. |
| Breathing difficulties | Dry cough, difficulty breathing, or wheezing. |
| Signs of infection | Fever, chills , cough, sore throat, non-healing wounds, pain when urinating. |
| Side effects that usually do not require medical attention (but tell your doctor if they persist) | |
| Minor skin changes | Acne, inflammation, itching, crusting, dryness or redness of the skin where the medicine is applied. |
| Redness of the eyes | Redness of the eyes. |
Other things that may interact with this medicine (Interactions)
It's also important to tell your doctor about any other medications, vitamins, or herbal products you're taking, as some can interact with sirolimus gel. Some examples include:
- Some antibiotics
- Medications for fungal infections
- Medicines for HIV infection
- Cyclosporine
- Medicines such as Verapamil and Diltiazem
- Grapefruit juice
- Vaccines
This list is not complete, so tell your doctor about everything you take.
How should I store the medicine?
- Keep in the refrigerator.
- Protect from light.
- Keep out of reach of children and pets.
Take-Home Message
- Sirolimus gel is a medication that should only be used on the advice of a doctor.
- Wash your hands thoroughly before and after applying this. Apply it thinly only to the areas with bumps.
- Protect yourself from the sun while taking the medication. Use a good sunscreen.
- If you develop a fever, cough, difficulty breathing, or severe allergic symptoms, tell your doctor immediately.
- Most important: Avoid becoming pregnant while taking the pill and for 12 weeks after stopping. A reliable method of birth control is essential.
- If you have any further questions about this medicine, don't hesitate to ask your doctor.
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