Before
Proceeding to the Medial Consultation Form please read
CONTRAINDICATIONS
and WARNINGS
and accept
the Waiver of Liability
In order
for Medical Wellness Center Physicians to provide you with the best care
you need to reply honesty to all questions and you need to understand any
and all risks and side effects associated with Protopic Ointment
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CONTRAINDICATIONS:
Anyone with the following conditions should NOT use Protopic Ointment.
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Do not use
Protopic if you are pregnant or trying to become pregnant as there are
no sufficient studies to determine the safety of tacrolimus (Protopic)
in pregnant woman!
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Do not use
Protopic if you are breastfeeding!
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Do not use
Protopic if you are allergic or hypersensitive to tacrolimus or to any
component of Protopic Ointment: mineral oil, paraffin, propylene carbonate,
white petrolatum and white wax.
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Do not use
Protopic Ointment on infected, weeping or oozing eczema lesions! People
with eczema are prone to infections, especially staph and herpes.
Increased redness, pus-filled bumps (pustules), weeping of lesions are
all early signs of infection. Seek treatment from your physician
to clear infection before commencing Protopic Ointment.
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If eczema lesions
become infected while on Protopic, discontinue use of Protopic and consult
your physician immediately.
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Do not use
Protopic if you suffer from Netherton's Syndrome.
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Do not use
Protopic Ointment if you have acute infectious mononucleosis..
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Protopic 0.1%
ointment is not approved for pediatric use and will not be prescribed to
anyone under age 18.
WARNINGS
& PRECAUTIONS:
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Avoid sun exposure,
sun lamps, tanning booths and UVA and UVB photolight treatment while on
Protopic. Do NOT sunbathe. Do NOT use tanning beds or sun lamps.
Protopic Ointment may enhance ultraviolet carcinogenicity based on animal
studies, although no photoxicity in humans was observed.
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Do not combine
Protopic ointment with any other topical mediations or skin products.
Continue to moisturize as usual, but be sure your moisturizer is completely
absorbed and your skin dry before applying Protopic
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If while on
Protopic treatment one develops lymphadenopathy (swollen lymph glands),
it is imperative that you seek medical attention and determine the cause
of the swollen glands and treat the underlying cause.
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Protopic Ointment
is for external use only!
SIDE EFFECTS:
The
most common side effects of Protopic Ointment may be local symptoms such
as burning, stinging, tingling or itching at the application site.
Although these sensations are uncomfortable, they shouldn't alarm you.
For most individuals, these side effects are mild to moderate and usually
short lasting. Continue to use Protopic because the stinging, burning,
or itching will usually diminish as the lesions heal. Most patients are
no longer bothered by these sensations after the first few days. Less frequently
Protopic use may be associated with an increased risk of chicken pox, shingles,
herpes simplex virus infection, or eczema herpeticum. While using
Protopic, drinking alcohol may cause the skin or face to become flushed
or red and feel hot.
IMPORTANT PATIENT INFORMATION:
Protopic is
only to treat eczema, atopic dermatitis, that has been diagnosed by your
doctor. Eczema is a chronic condition that can be controlled but not cured.
Protopic Ointment is a medical breakthrough because it is a safe and effective
treatment that can be used intermittently on a long-term basis and can
be used externally on any part of the body including hands, face and neck.
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Wash
your hands thoroughly before applying Protopic.
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Eczema
sufferers always have dry skin and using moisturizers is very important.
The moisturizer should be applied to the skin while skin is still moist
after bathing. Before applying Protopic ointment, make sure your
skin is dry and any moisturizers you have applied to your skin are dry
and completely absorbed.
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Apply
a thin layer of Protopic to all areas of your body that your doctor has
diagnosed as eczema. Cover the area completely and rub in gently and completely.
A pea-sized amount usually covers an area about the size of a silver dollar.
Do not apply another type of skin product on top of Protopic Ointment.
Treatment should be continued for one week after clearing of signs and
symptoms of atopic dermatitis.
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Protopic
should be applied twice daily, approximately 12 hours apart.
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Before
applying Protopic Ointment after a bath or shower, be sure your skin is
completely dry.
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Allow
your medication to penetrate thoroughly. Don't swim or bathe immediately
after applying Protopic.
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If
your hands are not being treated, wash them with soap and water after applying
Protopic.
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Do
not cover the skin being treated with bandages, dressings, or wraps. However,
you can wear normal clothing.
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While
using Protopic, wear loose-fitting clothing that protects the affected
area from the sun.
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Avoid
direct sunlight, tanning salons, and phototherapy.
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Use
Protopic ONLY on your skin, Do NOT swallow Protopic.
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Store
Protopic at room temperature (59° to 86°F).
Positive results are
on the way:
Protopic
usually begins to provide relief from the symptoms of eczema within 1 to
3 weeks. Most people usually notice that their skin starts to heal after
the first few weeks of treatment and continues to improve as they keep
using it. Even though your skin looks and feels better, it is important
to keep using Protopic as prescribed for 1 week after clearing of
eczema symptoms. When you stop using the medication,
your eczema may return.
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