I was ordered Protopic 0.1% for probably Lichen in the mouth. The leaflet says do not use on mucous membranes. What should I do?
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Anna Lewandowska Pharmacist, Editor
5 months ago
Use this medicine exactly as your doctor has told you.
Protopic 0.1% (tacrolimus) has a beneficial and helpful effect in the local treatment of oral mucosal lesions in the case of diseases such as: bullous lesions, oral mucosal lichen planus, Sutton's aphthae.
For mucosal lesions, Protopic 0.1% 2–3× daily is used, depending on the severity of the lesions. Its effectiveness is similar to glucocorticoid preparations, but it can be used for a longer period of time, up to 6 weeks. It can also be used briefly (2-3 days) when changes and symptoms recur.
A small number of patients experience an increase in pain/burning sensation at the beginning of treatment during the first 1-2 days, which later subsides. The patient should be warned of the possibility of this side effect.
We wrote more about it here:
https://www.gdziepolek.pl/artykuly/leczenie-off-label-poza-wskazaniami
If you have doubts about this situation, it is always worth consulting a doctor who can provide more personalized advice. If you are not able to take advantage of the advice, I attach a link to the online teleconsultation:
https://www.gdziepolek.pl/telekonsultacja/
The availability of Protopic 0.1% in pharmacies in Polish can be checked at the following address:
https://www.gdziepolek.pl/produkty/64891/protopic-masc/apteki