Elidel cream (pimecrolimus) is a prescription medication used for the treatment of mild to moderate atopic dermatitis (eczema) in adults and children ages 2 years and older[5]. It is intended for individuals who have not responded well to other eczema treatments or cannot use those treatments[5]. Elidel is a steroid-free cream that works by suppressing the immune response in the skin, thereby reducing inflammation, redness, and itching associated with eczema[3].
Elidel cream is typically applied to the affected areas of the skin during eczema flare-ups and can be used for repeated episodes. Treatment should start at the first sign of eczema symptoms to help prevent progression to more severe symptoms. If a topical steroid is needed during a flare, Elidel should be paused and restarted after the steroid is discontinued to manage any remaining symptoms[3].
Elidel is not recommended for children under 2 years of age, individuals with a weakened immune system, or those with active viral or bacterial skin infections. It should also not be used on areas with pre-cancerous or cancerous skin[2].
Elidel is usually prescribed for short-term use and should not be used continuously for long periods (generally not longer than one year) due to a boxed warning regarding potential risks associated with long-term use, including rare reports of skin cancer and lymphoma. The medication should be used for the minimum time necessary to control symptoms, and only on affected skin areas[2].
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