Tacrolimus
- TRADE NAMES: Envarsus XR (Veloxis); FK506; Prograf (Astellas); Protopic (Astellas)
- INDICATIONS: Prophylaxis of organ rejection, atopic dermatitis (topical)
- CLASS: Calcineurin inhibitor, Immunosuppressant, Macrolactam
- HALF-LIFE: ~8.7 hours
Abatacept, Afatinib, Alefacept, Amiodarone, Amprenavir, Atazanavir, Azacitidine, Beta blockers, Betamethasone, Boceprevir, Bosentan, Cabazitaxel, Caspofungin, Ceritinib, Cinacalcet, Cobicistat/Elvitegravir/Emtricitabine/Tenofovir Disoproxil, Crizotinib, Cyclosporine, CYP3A4 inhibitors and inducers, Dabigatran, Dairy products, Danazol, Darunavir, Dasatinib, Delavirdine, Denileukin, Dexlansoprazole, Diclofenac, Docetaxel, Dronedarone, Efavirenz, Elbasvir & Grazoprevir, Eluxadoline, Enzalutamide, Erythromycin, Etoricoxib, Fingolimod, Gefitinib, Grapefruit Juice, Hemophilus B Vaccine, HMG-CoA reductase inhibitors, Ibuprofen, Immunosuppressants, Indinavir, Irbesartan, Itraconazole, Ketoconazole, Leflunomide, Lenalidomide, Letermovir, Lopinavir, Lovastatin, Meloxicam, Mifepristone, Mycophenolate, Nelfinavir, Nifedipine, Olmesartan, Omeprazole, Oxaliplatin, Pazopanib, Pemetrexed, Posaconazole, Potassium, Potassium-sparing diuretics, Pralatrexate, Ribociclib, Rifabutin, Rifampin, Rifapentine, Sevelamer, Simvastatin, Sirolimus, St John's Wort, Telaprevir, Telithromycin, Temsirolimus, Tinidazole, Tipranavir, Tofacitinib, Triamcinolone, Vaccines, Viloxazine, Voriconazole
PREGNANCY CATEGORY: C
Between 25% and 31% of patients who receive tacrolimus are reported to
experience some form of neurotoxic adverse events.
See full prescribing information for complete boxed warning.
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Click on the DRUG REVIEW ARTICLE tab (above) to see a review of new formulations of tacrolimus in the Taylor & Francis journal Expert Opinion on Drug Safety. (Note that non-subscribers to the journal will only be able to see an abstract of the article.)
Page last updated 03/31/2023
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Incidence 
- <1%
- 1-5%
- 5-10%
- 10-15%
- 15-20%
- 20-30%
- >30%
Seriousness
- Hospitalization possible
- Life threatening
- Fatal
Warnings in other populations
- Breast feeding
- Geriatric
- Pediatric
