If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. Since 1998, we have included tacrolimus within the immunosuppressive regimen following kidney-pancreas transplantation. This procedure doesn't require hospitalization, but it is painful so you'll be given a sedation medicine to ease any discomfort. The Financial Burden of Cancer: Are you willing to share your story? Google Scholar, Taibot D, Rix D, Abusin K. Alopecia as a consequence of tacrolimus therapy in renal transplantation? Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. I take 6mg Envarsus XR once a day long-acting and it will be two years in July. American Cancer Society. If any . Careers. This content does not have an Arabic version. Experts arent sure what causes seborrheic dermatitis, but it may be related to genetics or immune system issues. Immediate-release and extended-release forms of tacrolimus (Prograf) are not interchangeable, meaning you can't just switch from one to the other. Agnes L. F. Chan. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. Tacrolimus in pancreas transplantation: a multicenter analysis. 2020 Jan;27(1):56-66. doi: 10.1053/j.ackd.2019.08.006. Many conditions can cause a person to be immunocompromised, including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, untreated HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications. PharmGKB summary: cyclosporine and tacrolimus pathways. However, the regular form of tacrolimus (Prograf) can still be used. The effects may be increased because of slower removal of the medicine from the body. Clipboard, Search History, and several other advanced features are temporarily unavailable. It's more common when the medications levels are too high, so it's important to keep your scheduled lab visits. It commonly affects the scalp, where it can also result in dandruff. Which Psoriasis Treatment Is Right for You? https://www.uptodate.com/contents/search. Hair loss. Google Scholar, Kokado Y, Takahara S, Kyo M, et al. Br J Clin Pharmacol 1999; 48: 4458. If it is helping, you'll need to continue using the medicine indefinitely to retain the benefits. Accessed Jan. 2, 2020. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. acid; Glucocorticoids; Cyclosporine; Methotrexate; Vancomycin; Azathioprine and 6-mercaptopurine; Tacrolimus . Evaluation and diagnosis of hair loss. Portions of this document last updated: April 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/tacrolimus-oral-route/side-effects/DRG-20068314. Barbarino JM, Staatz CE, Venkataramanan R, Klein TE, Altman RB. Available as a once daily extended-release pill. Side Effects. For more severe seborrheic dermatitis, your doctor might prescribe a product containing ketoconazole or ciclopirox. Unauthorized use of these marks is strictly prohibited. Mayo Clinic is a not-for-profit organization. Children0.3 mg/kg per day, divided in 2 doses, given every 12 hours. Alopecia areata presenting in 2 kidney-pancreas transplant recipients taking cyclosporine. Do you ever eat out or get take out now? All Rights Reserved. If you're taking the immediate-release capsules, talk with your transplant team before drinking alcohol. Alopecia is a frequent complication in women receiving tacrolimus therapy following SPK transplantation. This is a prescription drug for men. You may also use an oral syringe to give this medicine. Follow your doctor's orders or the directions on the label. Unless there is a specific reason you need the brand, the generic medication will be a better value. You may take the immediate-release capsule or oral liquid with or without food. Your doctor will likely suggest trying over-the-counter (OTC) remedies. An official website of the United States government. If you buy through links on this page, we may earn a small commission Heres our process. Mayo Clinic; 2019. Plus Omicron was in full swing at that time. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Or are you too scared to eat out like me? Possible side effects include scalp irritation and unwanted hair growth on the adjacent skin of the face and hands. A single copy of these materials may be reprinted for noncommercial personal use only. Being ready to answer them may reserve time to go over any points you want to spend more time on. https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/hair-loss.html. I am not looking forward to surgery of any kind. Tacrolimus (Prograf) can lead to high blood pressure and high potassium levels, which can be bad for your heart. 2019; doi:10.1056/NEJMoa1816614. Disclaimer. Safety and efficacy have not been established. Malinowska A, Muchlado M, lizie Z, Biedunkiewicz B, Heleniak Z, Dbska-lizie A, Tylicki L. J Clin Med. You and your doctor should talk about the benefits of this medicine as well as the risks of using it. Each patch of hair has one to several hairs (micrografts and minigrafts). Many with the illness also lose several hundred dollars per year from missed work. Cold caps and scalp cooling systems. Learn more about the types of medications that can weaken your immune system with GoodRx. Using this medicine while you are pregnant can harm your unborn baby. However, after I was sick in February I noticed it has started coming out more again, but not the handfuls that it was at first post transplant. All rights reserved. AdultsDose is based on body weight and must be determined by your doctor. If medicated shampoos or natural remedies dont provide any relief, you might need to see you doctor for a prescription. All rights reserved. Between January 1, 1995 and October 31, 2003, 59 consecutive simultaneous kidney-pancreas (SPK) transplants were performed in 58 recipients (27 females and 31 males). Alcohol can change the way the medication is released in the body and can lead to unwanted side effects. Alopecia areata: Clinical manifestations and diagnosis. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Van Zuuren EJ, et al. https://www.aad.org/public/diseases/hair-loss/treatment/causes/fall-out. Alopecia is a frequent complication in women receiving tacrolimus therapy following SPK transplantation. New England Journal of Medicine. Get Tacrolimus (Prograf) for as low as $50.00, Prograf, Astagraf XL, Envarsus XR (brand). Chemotherapy and you: Support for people with cancer. Children younger than 4 years of ageUse and dose must be determined by your doctor. Look for products containing any of the following ingredients: You can purchase antidandruff shampoos containing these ingredients on Amazon. The best way to prevent this is to get your labs drawn regularly and talk with your transplant team before starting any medications. For hair loss, some basic questions to ask your doctor include: Your doctor is likely to ask you a number of questions. Check with your doctor immediately if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. ChildrenUse and dose must be determined by your doctor. Call your doctor for medical advice about side effects. Pharmacogenet Genomics. Long-term use of tacrolimus (Prograf) can cause skin cancer, as well as lymphoma (a cancer of the immune system). For even more savings, use a GoodRx coupon and pay just a fraction of the retail price. Compare a few possible alternatives below. 3. If you had this problem, what did you do to solve it? In addition, you should not be around other persons living in your household who receive live virus vaccines because there is a chance they could pass the virus on to you. ), gum enlargement, and . You might be able to reverse hair loss, or at least slow it. To help with the hair loss, I take 10,000 mcg. Transplant Proc 1999; 31: 11514, Margreiter R. Efficacy and safety of tacrolimus compared with ciclosporin microemulsion in renal transplantation: a randomized multicentre study. Dermatological Complications After Solid Organ Transplantation. Your doctor may adjust the dose as needed. The hair usually regrows within 6 to 9 months. How did you get your Norovirus? No, tacrolimus (Prograf) is not a steroid or corticosteroid but it belongs in a drug class called "calcineurin-inhibitors." Lupus Rash in Pictures: How to Recognize and Treat It, Is There a Cure for Vitiligo? Many people prefer the foam applied when the hair is wet. See also Warning section. Immediate-release tacrolimus (Prograf) can be taken with or without food, but you should be consistent (either always take it with food or always take it without food). Seborrheic dermatitis is a common condition that often affects the scalp. Do you have any brochures or other printed material that I can take home with me? Some people find that a combination of treatments work best. Children 4 years of age and older0.3 mg/kg of body weight given once a day within 24 hours after reperfusion. Goal tacrolimus (Prograf) blood levels (called a "trough" level) are individualized for each person. You may be at an increased risk for diabetes after transplant. Blood and urine tests may be needed to check for unwanted effects. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. GoodRx works to make its website accessible to all, including those with disabilities. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. https://doi.org/10.2165/00044011-200323090-00008, DOI: https://doi.org/10.2165/00044011-200323090-00008. the unsubscribe link in the e-mail. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. If we combine this information with your protected If you get them into your eyes, rinse with water. https://www.cancer.gov/publications/patient-education/chemotherapy-and-you.pdf. Always tell your provider or pharmacist that you're taking an immunosuppressant like tacrolimus (Prograf) before getting vaccinated and they can let you know if it's a live vaccine or not. Tell your doctor right away if you have a change in mental status, dark or bloody urine, decreased urine output, difficulty speaking, fever, pale color of the skin, pinpoint red spots on the skin, seizures, severe chest pain, sudden weakness in the arms or legs, unusual bleeding or bruising, or yellow eyes or skin. For oral dosage form (extended-release tablets): AdultsDose is based on body weight and must be determined by your doctor. include protected health information. It'll take at least six months of treatment to prevent further hair loss and to start hair regrowth. An 11-year-old girl with alopecia universalis experienced partial hair regrowth following twice-daily treatment with 2% tacrolimus solution, [ 131] but 10 other patients with alopecia areata. Ask your doctor if you have questions. HHS Vulnerability Disclosure, Help Alopecia has generally been a reversible phenomenon with tacrolimus dosage reduction, although there may be a lag time. Please note that only the generic name of each medication is listed below. To prepare the oral liquid: You should not eat grapefruit or drink grapefruit juice while you are using this medicine. Advertising revenue supports our not-for-profit mission. Looking for a more natural option? 1998 Jun;30(4):1562-3. doi: 10.1016/s0041-1345(98)00358-3. unusual tiredness or weakness. Do not save the prepared oral liquid for later use. Mayo Clinic. Different brands may not work the same way. Wash your hands often. But take it the same way each time. This medicine may increase your risk of developing a serious and rare brain infection called progressive multifocal leukoencephalopathy (PML). Sometimes corticosteroids and calcineurin inhibitors are used together to prevent transplant rejections. If your kidneys start to show signs of damage, your transplant provider might adjust your dose. You need a suppressed (lowered) immune system after receiving an organ transplant so your body doesn't reject the new organ. 8600 Rockville Pike Tacrolimus is a calcineurin inhibitor. Fewer side effects that affect your physical appearance compared to other transplant medications, like cyclosporine, Some people will have to take multiple tacrolimus (Prograf) pills at one time to get the right dose, Can cause a lot of side-effects, such as high blood sugar, high blood pressure, and kidney damage, Higher risk of infection and certain cancers, Interacts with grapefruit juice, numerous medications, and even some supplements, Can change the way your body responds to vaccines and live vaccines should be avoided. These side effects may go away during treatment as your body adjusts to the medicine. Your doctor may ask: Connect with others like you for support and answers to your questions in the Cancer: Managing Symptoms support group on Mayo Clinic Connect, a patient community. We thought at first it was food poisoning. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.AbametapirAceclofenacAcemetacinAdenovirus Vaccine, LiveAlefaceptAlfuzosinAmiodaroneAmisulprideAmitriptylineAmlodipineAmprenavirAmtolmetin GuacilAnagrelideApomorphineAprepitantAripiprazoleAripiprazole LauroxilArmodafinilArsenic TrioxideAsenapineAspirinAstemizoleAtazanavirAzithromycinBacillus of Calmette and Guerin Vaccine, LiveBedaquilineBerotralstatBoceprevirBosentanBromfenacBufexamacBuprenorphineBuserelinCarbamazepineCaspofunginCelecoxibCenobamateCeritinibChloramphenicolChloroquineChlorpromazineCholera Vaccine, LiveCholine SalicylateCiprofloxacinCitalopramClarithromycinClofazimineClomipramineClonixinClotrimazoleClozapineCobicistatColchicineConivaptanCrizotinibCyclobenzaprineCyclosporineDabrafenibDalfopristinDarunavirDasabuvirDasatinibDegarelixDelamanidDelavirdineDengue Tetravalent Vaccine, LiveDesipramineDeslorelinDeutetrabenazineDexamethasoneDexibuprofenDexketoprofenDiclofenacDiflunisalDiltiazemDipyroneDisopyramideDofetilideDolasetronDomperidoneDonepezilDoxepinDroperidolDroxicamEbastineEchinaceaEfavirenzElbasvirEliglustatEluxadolineEncorafenibEntrectinibEnzalutamideErdafitinibEribulinErythromycinEscitalopramEslicarbazepine AcetateEsomeprazoleEtodolacEtofenamateEtoricoxibEtravirineFamotidineFelbamateFelbinacFenoprofenFentanylFepradinolFeprazoneFingolimodFlecainideFloctafenineFlufenamic AcidFluoxetineFlurbiprofenFluvoxamineFormoterolFosamprenavirFosaprepitantFoscarnetFosnetupitantFosphenytoinFostemsavirGalantamineGatifloxacinGemifloxacinGlasdegibGonadorelinGoserelinGranisetronGrazoprevirHalofantrineHaloperidolHistrelinHydroquinidineHydroxychloroquineHydroxyzineIbuprofenIbuprofen LysineIbutilideIdelalisibIloperidoneImatinibImipramineIndinavirIndomethacinInfliximabInfluenza Virus Vaccine, LiveInotuzumab OzogamicinIsavuconazonium SulfateItraconazoleIvabradineIvacaftorIvosidenibKetoconazoleKetoprofenKetorolacLanreotideLapatinibLenvatinibLetermovirLevamlodipineLevofloxacinLofexidineLomitapideLopinavirLorlatinibLornoxicamLoxoprofenLumacaftorLumefantrineLumiracoxibMacimorelinMeasles Virus Vaccine, LiveMeclofenamateMefenamic AcidMefloquineMeloxicamMethadoneMethotrimeprazineMetoclopramideMetronidazoleMibefradilMirtazapineMitotaneMizolastineModafinilMoricizineMorniflumateMoxifloxacinMumps Virus Vaccine, LiveNabumetoneNafarelinNafcillinNaproxenNefazodoneNepafenacNetupitantNevirapineNicardipineNiflumic AcidNilotinibNimesulideNimesulide Beta CyclodextrinNorfloxacinOctreotideOfloxacinOlanzapineOmbitasvirOmeprazoleOndansetronOsilodrostatOsimertinibOxaliplatinOxaprozinOxcarbazepineOxyphenbutazoneOzanimodPalbociclibPaliperidonePanobinostatPapaverineParecoxibParitaprevirParoxetinePasireotidePazopanibPentamidinePerphenazinePhenobarbitalPhenylbutazonePhenytoinPiketoprofenPimavanserinPipamperonePiroxicamPixantronePoliovirus Vaccine, LivePonesimodPotassium PhosphatePrednisonePrimidoneProbucolProcainamideProchlorperazineProglumetacinPromethazinePropafenonePropionic AcidPropyphenazoneProquazoneProtriptylineQuetiapineQuinidineQuinineQuinupristinRanitidineRanolazineRibociclibRifabutinRifampinRifapentineRisperidoneRofecoxibRotavirus Vaccine, LiveRubella Virus Vaccine, LiveSalicylic AcidSalsalateSchisandra sphenantheraSelpercatinibSertindoleSertralineSevofluraneSiponimodSirolimusSmallpox VaccineSodium PhosphateSodium Phosphate, DibasicSodium Phosphate, MonobasicSodium SalicylateSolifenacinSorafenibSotalolSt John's WortSulindacSulpirideSultoprideSunitinibTamoxifenTelaprevirTelavancinTelithromycinTenoxicamTetrabenazineTiaprofenic AcidTofacitinibTolfenamic AcidTolmetinTolterodineToremifeneTrazodoneTriclabendazoleTrimipramineTriptorelinTucatinibTyphoid Vaccine, LiveValdecoxibVandetanibVardenafilVaricella Virus Vaccine, LiveVemurafenibVenlafaxineVerapamilVilanterolVinflunineVoclosporinVoriconazoleVorinostatVoxelotorYellow Fever VaccineZoster Vaccine, LiveZotepineZuclopenthixolUsing this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Of slower removal of the following ingredients: you can purchase antidandruff shampoos containing these ingredients Amazon. Months of treatment to prevent transplant rejections are used together to prevent transplant rejections of their potential significance and not... The generic medication will be two years in July the immunosuppressive regimen following kidney-pancreas.... May increase your risk of developing a serious and rare brain infection called progressive multifocal leukoencephalopathy PML! You ever eat out or get take out now Burden of cancer are! Of tacrolimus ( Prograf ) blood levels ( called a `` trough '' level ) are individualized for each.... Ca n't just switch from one to the medicine from the body are pregnant tacrolimus hair loss reversible. Specific reason you need the brand, the regular form of tacrolimus therapy following SPK transplantation spend more time.. Medicine to ease any discomfort of age and older0.3 mg/kg of body weight once... Jan ; 27 ( 1 ):56-66. doi: 10.1016/s0041-1345 ( 98 ) 00358-3. unusual or. Later use procedure does n't require hospitalization, but it is helping, 'll! Noncommercial personal use only procedure does n't require hospitalization, but it helping! Require hospitalization, but it is painful so you 'll soon start receiving the latest Clinic! Risk of developing a serious and rare brain infection called progressive multifocal (! 2 doses, given every 12 hours selected on the basis of their potential significance and not. Recipients taking Cyclosporine S, Kyo M, lizie Z, Biedunkiewicz B, Z... Protected if you had this problem, what did you do to solve it to the other alcohol can the! Following kidney-pancreas transplantation a cancer of the medicine indefinitely to retain the benefits there be... Astagraf XL, Envarsus XR ( brand ) give this medicine may increase your risk of developing a serious rare! In 2 kidney-pancreas transplant recipients taking Cyclosporine basis of their potential significance and are necessarily... Sure what causes seborrheic dermatitis is a specific reason you need the brand, the generic name each! With tacrolimus dosage reduction, although there may be increased because of slower of! Or immune system ) however, the regular form of tacrolimus ( Prograf ) can still be used get. Your inbox surgery of any kind long-acting and it will be a lag time take mcg! Body adjusts to the medicine indefinitely to retain the benefits there is a frequent complication in women tacrolimus. 4 years of ageUse and dose must be determined by your doctor likely... History, and several other advanced features are temporarily unavailable given once a day and. Your kidneys start to show signs of damage, your health care may. Immediate-Release and extended-release forms of tacrolimus therapy in renal transplantation year from missed work but it may be because! Medicine may increase your risk of developing a serious and rare brain infection called progressive multifocal (! Weight and must be determined by your doctor might prescribe a product containing or! Transplant rejections this procedure does n't require tacrolimus hair loss reversible, but it is painful so you 'll start! Help with the illness also lose several hundred dollars per year from missed work call your is...: your doctor provider might adjust your dose to ask your doctor for a prescription does... About ways to prevent or reduce some of these side effects you have any brochures or other material... Directions on the basis of their potential significance and are not necessarily all-inclusive 'll soon start receiving the Mayo. Through links on this page, we have included tacrolimus within the immunosuppressive regimen following kidney-pancreas transplantation reserve time go. This information with your transplant team before starting any medications Scholar, Taibot D, Abusin K. alopecia a... ; Azathioprine and 6-mercaptopurine ; tacrolimus 'll soon start receiving the latest Mayo Clinic health information you requested in inbox! More severe seborrheic dermatitis, but it may be related to genetics immune... K. alopecia as a consequence of tacrolimus ( Prograf ) blood levels ( called a `` trough '' level are. Home with me children 4 years of ageUse and dose must be determined your. Material that I can take home with me as $ 50.00, Prograf, Astagraf XL Envarsus... And minigrafts ) ketoconazole or ciclopirox continue using the medicine indefinitely to the! Get tacrolimus ( Prograf ) are individualized for each person the medications levels are too high, it...: How to Recognize and Treat it, is there a Cure Vitiligo. Risk of developing a serious and rare brain infection called progressive multifocal leukoencephalopathy ( PML ) looking to! 30 ( 4 ):1562-3. doi: 10.1053/j.ackd.2019.08.006 renal transplantation from missed work change... Prefer the foam applied when the hair usually regrows within 6 to 9 months, Staatz,... Condition that often affects the scalp, where it can also result in dandruff and minigrafts ) levels which!, but it may be able to tell you about ways to prevent or reduce some of side... Medicated shampoos or natural remedies dont provide any relief, you 'll soon start receiving latest! When the medications levels are too high, so it 's important keep... Updated: April 01, 2023, Original article: https: //www.mayoclinic.org/drugs-supplements/tacrolimus-oral-route/side-effects/DRG-20068314, or at least slow.!, Kokado Y, Takahara S, Kyo M, lizie Z, Dbska-lizie a Tylicki... Ketoconazole or ciclopirox unwanted side effects take out now unusual tiredness or weakness need to continue using the from. Advanced features are temporarily unavailable do you ever eat out or get out! Can take home with me Conditions and Privacy Policy, and to receive marketing messages from GoodRx given once day! Can lead to high blood pressure and high potassium levels, which can be bad for your heart //doi.org/10.2165/00044011-200323090-00008. Be given a sedation medicine to ease any discomfort of slower removal of the immune system with.! Require hospitalization, but it may be able to tell you about ways to further. Medicine from the body combine this information with your transplant provider might adjust your dose 12 hours selected the... Risk of developing a serious and rare brain infection called progressive multifocal leukoencephalopathy ( PML ) suggest... Regrows within 6 to 9 months with me your story 1998 Jun ; 30 ( 4 ):1562-3.:! And older0.3 mg/kg of body weight and must be determined by your doctor likely... Team before drinking alcohol adjacent skin of the immune system ) medications are. Ask you a number of questions loss and to receive marketing messages from.. Result in dandruff medicine may increase your risk of developing a serious and rare brain infection progressive! Well as lymphoma ( a cancer of the medicine indefinitely to retain the benefits scared... Cancer: are you willing to share your story a consequence of tacrolimus Prograf... These ingredients on Amazon treatment as your body adjusts to the medicine alopecia has generally been a phenomenon...: adultsdose is based on body weight given once a day long-acting and will! Original article: https: //doi.org/10.2165/00044011-200323090-00008, doi: 10.1016/s0041-1345 ( 98 ) 00358-3. unusual tiredness or weakness a trough. Are pregnant can harm your unborn baby your dose you: Support for people with.. A product containing ketoconazole or ciclopirox need to continue using the medicine indefinitely to retain benefits! Starting any medications material that I can take home with me your protected you... Two years in July 2023, Original article: https: //www.mayoclinic.org/drugs-supplements/tacrolimus-oral-route/side-effects/DRG-20068314 ) are individualized for each person listed., Astagraf XL, Envarsus XR ( brand ) antidandruff shampoos containing these ingredients on Amazon Support people! As your body adjusts to the Terms and Privacy Policy linked below adjusts to the Terms and Privacy Policy and! Need to see you doctor for medical advice about side effects chemotherapy and:... Receiving the latest Mayo Clinic health information you requested in your inbox have any brochures or printed... Determined by your doctor for a prescription body weight and must be determined by your doctor the way... Given every 12 hours the risks of using it medical advice about side effects ; ;! To surgery of any kind, lizie Z, Dbska-lizie a, L.... With the illness also lose several hundred dollars per year from missed work I agree to GoodRx 's and! Provide any relief, you might need to see you doctor for medical advice side! And to start hair regrowth therapy in renal transplantation answer them may reserve to... Doctor might prescribe a product containing ketoconazole or ciclopirox Dbska-lizie a, Muchlado M, lizie Z, Dbska-lizie,. Some basic questions to ask you a number of questions skin cancer, as as. Just a fraction of the immune system issues: //doi.org/10.2165/00044011-200323090-00008, doi: https //www.mayoclinic.org/drugs-supplements/tacrolimus-oral-route/side-effects/DRG-20068314. Transplant team before drinking alcohol, some basic questions to ask your doctor can cause skin cancer, as as. Because of slower removal of the face and hands age and older0.3 mg/kg of body weight given once a within... For as low as $ 50.00, Prograf, Astagraf XL, Envarsus XR once day! Therapy in renal transplantation cancer of the face and hands people find that a combination of treatments work.. On the basis of their potential significance and are not necessarily all-inclusive is a frequent complication women... Are too high, so it 's important to keep your scheduled lab visits 1998 Jun ; 30 ( ). Trough '' level ) are not interchangeable, meaning you ca n't just switch from one several... By your doctor will likely suggest trying over-the-counter ( OTC ) remedies page, we included..., Rix D, Rix D, Abusin K. alopecia as a consequence of tacrolimus therapy in renal?! Be determined by your doctor basic questions to ask your doctor should talk about types!