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Tacrolimus 0.1% Ointment. As an ointment, tacrolimus is used in the treatment of dermatitis (eczema), in particular atopic dermatitis, if topical corticosteroids and moisturisers fail in helping. [17] [18] It suppresses inflammation in a similar way to steroids, and is equally as effective as a mid-potency steroid.
Avoiding sun exposure and the use of sunscreens (not containing zinc oxide as this is toxic to dogs [10] [11]) is important. Topical therapy includes corticosteroid and tacrolimus [12] use. Oral vitamin E or omega-3 and omega-6 fatty acids are also used.
Tacrolimus (trade names Prograf, Astagraf XL, Envarsus XR) is a product of the bacterium Streptomyces tsukubensis. It is a macrolide lactone and acts by inhibiting calcineurin . The drug is used primarily in liver and kidney transplantations, although in some clinics it is used in heart, lung, and heart/lung transplantations.
Triamcinolone acetonide is also used in veterinary medicine as an ingredient in topical ointments and in topical sprays for control of pruritus in dogs. [28] A series of injections with triamcinolone acetonide or another corticosteroid may reduce keloid size and irritation. It is used as a preinductor and/or inductor of birth in cows.
Tacrolimus 0.1% Topical immunosuppressants like pimecrolimus and tacrolimus may be better in the short term and appear equal to steroids after a year of use. [ 66 ] Their use is reasonable in those who do not respond to or are not tolerant of steroids.
Pimecrolimus is an immunosuppressant drug of the calcineurin inhibitor class used in the treatment of atopic dermatitis (eczema). It is available as a topical cream. It was developed and formerly marketed by Novartis under the trade name Elidel.