TACROLIMUS (ta KROE li mus) is used to decrease the immune system's response to a transplanted organ.
Take this medicine by mouth with a full glass of water. If you take the medicine with food, always take it with food. Do not take the medicine with grapefruit juice. Follow the directions on the prescription label. Take your medicine at regular intervals. You must take the medicine at the same time each day. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
burning or tingling in the hands or feet
changes in vision
difficulty breathing, wheezing
fast or irregular heartbeat
feeling faint or lightheaded, falls
fever, chills or any other sign of infection
increased thirst or hunger
loss of appetite
pain or difficulty passing urine
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
swelling of the feet or legs, unusual or sudden weight gain
unusually weak or tired
Do not take this medicine with any of the following medications:
certain medicines for fungal infections like fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole
This medicine may also interact with the following medications:
alcohol and medicines that contain alcohol
antiviral medicines for HIV or AIDS
certain antibiotics like aminoglycosides, chloramphenicol, clarithromycin, erythromycin, rifabutin, rifampin, troleandomycin
certain calcium channel blockers like diltiazem, nicardipine, nifedipine, verapamil
certain medicines for fungal infections like amphotericin B, caspofungin, clotrimazole
certain medicines for seizures like carbamazepine, phenobarbital, phenytoin
certain medicines for stomach problems like antacids, cimetidine, famotidine, lansoprazole, metoclopramide, omeprazole
certain supplements that contain schisandra sphenanthera extracts
other medicines that prolong the QT interval (cause an abnormal heart rhythm)
St. John's wort
steroid medicines like prednisone, cortisone, methylprednisone
If you miss a dose, take it as soon as you can, and call your doctor or health care professional. Call your doctor or health care professional if you vomit after a dose.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
heart disease or heart failure
high blood pressure
immune system problems
an unusual or allergic reaction to tacrolimus, lactose, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Visit your doctor or health care professional for regular checks on your progress. You will need frequent blood checks.
If you get a cold or other infection while receiving this medicine, call your doctor or health care professional. Do not treat yourself. The medicine may decrease your body's ability to fight infections.
Talk to your doctor about your risk of cancer. You may be more at risk for certain types of cancers if you take this medicine.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.