TACROLIMUS OINTMENT 0.1%

85/100 · Critical

Manufactured by Encube Ethicals, Inc.

Tacrolimus Ointment 0.1% Reports High Incidence of Serious Adverse Events

181,625 FDA adverse event reports analyzed

Last updated: 2026-05-12

About TACROLIMUS OINTMENT 0.1%

TACROLIMUS OINTMENT 0.1% is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Encube Ethicals, Inc.. Based on analysis of 181,625 FDA adverse event reports, TACROLIMUS OINTMENT 0.1% has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for TACROLIMUS OINTMENT 0.1% include OFF LABEL USE, DRUG INEFFECTIVE, PRODUCT USE IN UNAPPROVED INDICATION, DRUG INTERACTION, ACUTE KIDNEY INJURY. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for TACROLIMUS OINTMENT 0.1%.

AI Safety Analysis

Tacrolimus Ointment 0.1% has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 181,625 adverse event reports for this medication, which is primarily manufactured by Encube Ethicals, Inc..

The most commonly reported adverse events include Off Label Use, Drug Ineffective, Product Use In Unapproved Indication. Of classified reports, 90.8% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High percentage of serious adverse events (90.8%) indicates significant safety concerns.

Multiple reports of kidney and respiratory issues suggest potential organ toxicity. Drug ineffectiveness and product use issues are common, indicating potential misuse.

Patients taking Tacrolimus Ointment 0.1% should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Tacrolimus ointment can cause drug interactions, particularly with other immunosuppressants, leading to increased drug levels and potential toxicity. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Tacrolimus Ointment 0.1% received a safety concern score of 85/100 (high concern). This is based on a 90.8% serious event ratio across 117,525 classified reports. The score accounts for 181,625 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

OFF LABEL USE11,721 reports
DRUG INEFFECTIVE8,325 reports
PRODUCT USE IN UNAPPROVED INDICATION5,811 reports
DRUG INTERACTION5,358 reports
ACUTE KIDNEY INJURY5,055 reports
DIARRHOEA4,309 reports
TRANSPLANT REJECTION3,978 reports
CYTOMEGALOVIRUS INFECTION3,843 reports
PYREXIA3,681 reports
COVID 193,631 reports
TOXICITY TO VARIOUS AGENTS3,490 reports
PNEUMONIA3,338 reports
DEATH3,264 reports
RENAL IMPAIRMENT2,733 reports
SEPSIS2,711 reports
POST TRANSPLANT LYMPHOPROLIFERATIVE DISORDER2,699 reports
CONDITION AGGRAVATED2,502 reports
NAUSEA2,325 reports
THROMBOTIC MICROANGIOPATHY2,296 reports
RESPIRATORY FAILURE2,258 reports
ANAEMIA2,157 reports
BLOOD CREATININE INCREASED2,114 reports
VOMITING2,087 reports
SEPTIC SHOCK2,042 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME2,030 reports
RENAL FAILURE1,986 reports
URINARY TRACT INFECTION1,930 reports
NEUTROPENIA1,908 reports
DYSPNOEA1,848 reports
HEADACHE1,838 reports
LEUKOPENIA1,825 reports
INFECTION1,818 reports
IMMUNOSUPPRESSANT DRUG LEVEL INCREASED1,785 reports
FATIGUE1,782 reports
HYPERTENSION1,735 reports
RASH1,696 reports
KIDNEY TRANSPLANT REJECTION1,688 reports
THROMBOCYTOPENIA1,642 reports
PANCYTOPENIA1,612 reports
POLYOMAVIRUS ASSOCIATED NEPHROPATHY1,611 reports
CYTOMEGALOVIRUS VIRAEMIA1,549 reports
DRUG LEVEL INCREASED1,494 reports
PRURITUS1,492 reports
ABDOMINAL PAIN1,456 reports
EPSTEIN BARR VIRUS INFECTION1,414 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION1,401 reports
GRAFT VERSUS HOST DISEASE1,388 reports
BK VIRUS INFECTION1,340 reports
WEIGHT DECREASED1,270 reports
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME1,208 reports
ASPERGILLUS INFECTION1,185 reports
BRONCHOPULMONARY ASPERGILLOSIS1,182 reports
NEPHROPATHY TOXIC1,172 reports
ASTHENIA1,155 reports
COUGH1,152 reports
PAIN1,152 reports
FEBRILE NEUTROPENIA1,134 reports
PNEUMOCYSTIS JIROVECII PNEUMONIA1,118 reports
TREMOR1,104 reports
CYTOMEGALOVIRUS INFECTION REACTIVATION1,063 reports
PLEURAL EFFUSION1,053 reports
CHRONIC KIDNEY DISEASE1,051 reports
ACUTE GRAFT VERSUS HOST DISEASE1,049 reports
PRODUCT USE ISSUE1,044 reports
HYPOTENSION1,040 reports
TREATMENT FAILURE1,027 reports
COMPLICATIONS OF TRANSPLANTED KIDNEY1,026 reports
DIABETES MELLITUS1,022 reports
MALAISE1,013 reports
DISEASE PROGRESSION993 reports
DISEASE RECURRENCE964 reports
ACUTE RESPIRATORY DISTRESS SYNDROME961 reports
STAPHYLOCOCCAL INFECTION946 reports
CHRONIC GRAFT VERSUS HOST DISEASE923 reports
MATERNAL EXPOSURE DURING PREGNANCY921 reports
DECREASED APPETITE913 reports
NOCARDIOSIS906 reports
HYPERKALAEMIA902 reports
FUNGAL INFECTION897 reports
FOETAL EXPOSURE DURING PREGNANCY872 reports
KLEBSIELLA INFECTION870 reports
EXPOSURE DURING PREGNANCY868 reports
ARTHRALGIA861 reports
DRUG RESISTANCE858 reports
TRANSPLANT DYSFUNCTION856 reports
PSEUDOMONAS INFECTION853 reports
ENTEROCOCCAL INFECTION833 reports
HAEMOGLOBIN DECREASED830 reports
DERMATITIS ATOPIC814 reports
ESCHERICHIA INFECTION809 reports
ADENOVIRUS INFECTION807 reports
NEUROTOXICITY805 reports
KAPOSI^S SARCOMA794 reports
ERYTHEMA792 reports
ACUTE GRAFT VERSUS HOST DISEASE IN SKIN770 reports
PROTEINURIA766 reports
DEHYDRATION763 reports
BACTERAEMIA760 reports
DRUG INTOLERANCE752 reports
LIVER TRANSPLANT REJECTION750 reports

Key Safety Signals

  • Acute kidney injury and renal impairment are frequently reported.
  • Respiratory failure and pneumonia are significant concerns.
  • Drug ineffectiveness and product use in unapproved indications are common.

Patient Demographics

Adverse event reports by sex: Male: 57,238, Female: 43,605, Unknown: 602. The most frequently reported age groups are age 57 (2,136 reports), age 58 (2,094 reports), age 59 (2,046 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 117,525 classified reports for TACROLIMUS OINTMENT 0.1%:

  • Serious: 106,695 reports (90.8%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 10,830 reports (9.2%)
Serious 90.8%Non-Serious 9.2%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male57,238 (56.4%)
Female43,605 (43.0%)
Unknown602 (0.6%)

Reports by Age

Age 572,136 reports
Age 582,094 reports
Age 592,046 reports
Age 552,043 reports
Age 652,032 reports
Age 602,026 reports
Age 632,019 reports
Age 611,976 reports
Age 641,969 reports
Age 621,934 reports
Age 561,889 reports
Age 681,793 reports
Age 521,766 reports
Age 671,742 reports
Age 661,729 reports
Age 541,680 reports
Age 511,679 reports
Age 531,674 reports
Age 501,670 reports
Age 691,552 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Tacrolimus ointment can cause drug interactions, particularly with other immunosuppressants, leading to increased drug levels and potential toxicity.

What You Should Know

If you are taking Tacrolimus Ointment 0.1%, here are important things to know. The most commonly reported side effects include off label use, drug ineffective, product use in unapproved indication, drug interaction, acute kidney injury. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should strictly follow prescribed usage and dosage instructions. Healthcare providers should regularly monitor patients for signs of adverse reactions and adjust treatment as necessary. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is necessary due to the high number of serious adverse events, and healthcare providers should monitor patients closely for signs of organ toxicity and infection.

Frequently Asked Questions

How many adverse event reports has the FDA received for Tacrolimus Ointment 0.1%?

The FDA has received approximately 181,625 adverse event reports associated with Tacrolimus Ointment 0.1%. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Tacrolimus Ointment 0.1%?

The most frequently reported adverse events for Tacrolimus Ointment 0.1% include Off Label Use, Drug Ineffective, Product Use In Unapproved Indication, Drug Interaction, Acute Kidney Injury. By volume, the top reported reactions are: Off Label Use (11,721 reports), Drug Ineffective (8,325 reports), Product Use In Unapproved Indication (5,811 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Tacrolimus Ointment 0.1%.

What percentage of Tacrolimus Ointment 0.1% adverse event reports are serious?

Out of 117,525 classified reports, 106,695 (90.8%) were classified as serious and 10,830 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Tacrolimus Ointment 0.1% (by sex)?

Adverse event reports for Tacrolimus Ointment 0.1% break down by patient sex as follows: Male: 57,238, Female: 43,605, Unknown: 602. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Tacrolimus Ointment 0.1%?

The most frequently reported age groups for Tacrolimus Ointment 0.1% adverse events are: age 57: 2,136 reports, age 58: 2,094 reports, age 59: 2,046 reports, age 55: 2,043 reports, age 65: 2,032 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Tacrolimus Ointment 0.1%?

The primary manufacturer associated with Tacrolimus Ointment 0.1% adverse event reports is Encube Ethicals, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Tacrolimus Ointment 0.1%?

Beyond the most common reactions, other reported adverse events for Tacrolimus Ointment 0.1% include: Diarrhoea, Transplant Rejection, Cytomegalovirus Infection, Pyrexia, Covid-19. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Tacrolimus Ointment 0.1%?

You can report adverse events from Tacrolimus Ointment 0.1% to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Tacrolimus Ointment 0.1%'s safety score and what does it mean?

Tacrolimus Ointment 0.1% has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. High percentage of serious adverse events (90.8%) indicates significant safety concerns.

What are the key safety signals for Tacrolimus Ointment 0.1%?

Key safety signals identified in Tacrolimus Ointment 0.1%'s adverse event data include: Acute kidney injury and renal impairment are frequently reported.. Respiratory failure and pneumonia are significant concerns.. Drug ineffectiveness and product use in unapproved indications are common.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Tacrolimus Ointment 0.1% interact with other drugs?

Tacrolimus ointment can cause drug interactions, particularly with other immunosuppressants, leading to increased drug levels and potential toxicity. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Tacrolimus Ointment 0.1%.

What should patients know before taking Tacrolimus Ointment 0.1%?

Patients should strictly follow prescribed usage and dosage instructions. Healthcare providers should regularly monitor patients for signs of adverse reactions and adjust treatment as necessary.

Are Tacrolimus Ointment 0.1% side effects well-documented?

Tacrolimus Ointment 0.1% has 181,625 adverse event reports on file with the FDA. Multiple reports of kidney and respiratory issues suggest potential organ toxicity. The volume of reports for Tacrolimus Ointment 0.1% reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Tacrolimus Ointment 0.1%?

Regulatory oversight is necessary due to the high number of serious adverse events, and healthcare providers should monitor patients closely for signs of organ toxicity and infection. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to TACROLIMUS OINTMENT 0.1% based on therapeutic use, drug class, or shared indications:

CyclosporinePrednisoneMycophenolate mofetil
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.