Is Tacrolimus ointment the same as gel and safe for lips?
Patient's Query
Hello doctor,
Lately, I have been diagnosed with mucosal lesions and psoriasis by my dermatologist. In fact, I got this since I started to wrestle with psoriatic arthritis. My dermatologist prescribed Tacrolimus 0.1% gel three times per day for at least two weeks. The problem is that all I could find is Tacrolimus 0.1% topical ointment. I would like to know if it is the same thing and if it is safe to use it for lips off-label, even if it is prescribed for eczema and skin underlying conditions. How can I manage this?
Kindly help.
Hello,
Welcome to icliniq.com.
I understand your concern.
Regarding your main question first, yes, Tacrolimus 0.1% ointment and Tacrolimus 0.1% gel contain the same active medication. The difference is only in the base, ointment versus gel, and not in the drug itself. Tacrolimus is most commonly available as an ointment, and we dermatologists routinely substitute the ointment when the gel is not available, so you can use either of them.
Regarding safety on the lips and mucosal areas, Tacrolimus is used for mucosal psoriasis, lip psoriasis, oral psoriasis, genital psoriasis, and other sensitive areas. In fact, we prefer it over topical steroids in these locations because it does not cause skin thinning, atrophy, or mucosal damage, even with repeated use.
When you start using Tacrolimus, you may notice mild burning or tingling. This is a common occurrence and usually resolves within a few days as the skin adjusts.
Apply only a thin layer on the lips. Try to avoid eating or drinking for about 20 to 30 minutes after applying the medicine so it can work properly. Using Tacrolimus for a short period (two to three weeks) is safe.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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