Protopic 0.1% Ointment

Brand LEO
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Protopic 0.1% Ointment is an ointment with Tacrolimus (as tacrolimus monohydrate) 0.1% w/w declared as its active content. It is supplied in a pack size of 10g.

This is a non-prescription product and can be purchased without a prescription. Only product, safety and handling details are published on this page.

An online consultation with a DoctorOnCall doctor or pharmacist is available for this product, and a registered pharmacist reviews each order before dispatch to Malaysia or Singapore. Follow the directions on the label and on the leaflet inside the pack.

Directions for Use

Apply a thin layer of Protopic 0.1% Ointment to the affected areas of skin twice daily, gently rubbing it in until fully absorbed, and continue treatment until the skin clears; once clear, your doctor may advise reducing to a maintenance regimen of two applications per week to prevent flare-ups, and hands should be washed after application unless the hands themselves are being treated.

Dosage

The typical dose for adults and adolescents (16 years and above) is a thin layer of Protopic 0.1% Ointment applied twice daily to affected areas until clearance, with your doctor guiding any adjustment to frequency for maintenance therapy; do not apply more often or in a thicker layer than prescribed.

Storage Instructions

Store Protopic 0.1% Ointment below 25°C to 30°C in a dry place away from direct sunlight, and keep it out of the sight and reach of children.

Side Effects

  • Headache
  • Nausea or vomiting
  • Increased blood sugar levels
  • Risk of infections
  • Tremors or shakiness
  • High blood pressure
  • Fatigue or weakness
  • Skin irritation (with topical use)

Contraindications

  • Known hypersensitivity to tacrolimus or any other ingredient in the ointment
  • Use on skin with an active, untreated bacterial, viral, or fungal infection
  • Use under occlusive dressings or bandages unless specifically advised by your doctor
  • Conditions associated with a weakened immune system, or a personal history of skin malignancy, without specific doctor approval
  • Use on Netherton’s syndrome or other conditions with significantly impaired skin barrier, due to increased systemic absorption risk

Drug / Food Interactions

  • Alcohol may cause facial flushing or skin warmth when combined with Protopic 0.1% Ointment
  • Concurrent use of other topical treatments on the same area should only be done under medical advice
  • Phototherapy (UV light treatment) is not recommended while using tacrolimus, as combined use may increase skin cancer risk
  • Live vaccines should be discussed with your doctor before administration during treatment

Quick Tips

  • Apply only a thin layer — more product does not improve results and may increase side effects
  • Minimise sun exposure and use sunscreen or protective clothing on treated areas, as tacrolimus can increase photosensitivity
  • Avoid using occlusive dressings or bandages over treated skin unless directed by your doctor
  • Do not apply to skin with active infection until it has been treated and cleared
  • Attend follow-up appointments so your doctor can monitor your skin’s response and adjust the regimen as needed
  • Wash your hands after application unless your hands are the area being treated

Ingredients / Active Ingredients

  • Tacrolimus (as tacrolimus monohydrate) 0.1% w/w
  • White soft paraffin
  • Paraffin oil
  • Propylene carbonate and other standard ointment excipients

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Not Advisable

Generally not recommended while breastfeeding.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Relevant Information

Protopic 0.1% Ointment is intended for patients whose eczema is not adequately controlled with, or who cannot use, standard topical corticosteroids, and its steroid-free mechanism makes it particularly suited to delicate areas like the face and neck where long-term steroid use raises thinning concerns. As a prescription immunomodulator, ongoing doctor follow-up is part of safe, effective treatment, and DoctorOnCall’s doctors remain available for review through further online consultations as needed.

Frequently Asked Questions

Product Specifications

BrandLEO
ClassificationNon-prescription
Ingredients / Active IngredientsTacrolimus
Weight10g
Shelf LifeProtopic 0.1% Ointment is generally stable for around 2 to 3 years from the date of manufacture when unopened, so always check the expiry date printed on the tube or carton before use.

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Important Medical Information

💊 Recommended Dosage:

The typical dose for adults and adolescents (16 years and above) is a thin layer of Protopic 0.1% Ointment applied twice daily to affected areas until clearance, with your doctor guiding any adjustment to frequency for maintenance therapy; do not apply more often or in a thicker layer than prescribed.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to tacrolimus or any other ingredient in the ointment
  • Use on skin with an active, untreated bacterial, viral, or fungal infection
  • Use under occlusive dressings or bandages unless specifically advised by your doctor
  • Conditions associated with a weakened immune system, or a personal history of skin malignancy, without specific doctor approval
  • Use on Netherton’s syndrome or other conditions with significantly impaired skin barrier, due to increased systemic absorption risk
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Headache
  • Nausea or vomiting
  • Increased blood sugar levels
  • Risk of infections
  • Tremors or shakiness
  • High blood pressure
  • Fatigue or weakness
  • Skin irritation (with topical use)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.