Prograf

What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:

diabetes
heart disease or heart failure
high blood pressure
mmune system problems
nfection
kidney disease
liver disease
an unusual or allergic reaction to tacrolimus, lactose, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a full glass of water. If you take the medicine with food, always take it with food. Do not take the medicine with grapefruit juice. Follow the directions on the prescription label. Take your medicine at regular intervals. You must take the medicine at the same time each day. Do not take your medicine more often than directed. Do not stop taking except on your doctor’s advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is less than four hours to your next dose, take only that dose and skip the missed dose. Do not take double or extra doses.

What may interact with this medicine?
Do not take this medicine with any of the following medications:

astemizole
cidofovir
cisapride
cyclosporine
droperidol
grepafloxacin
pimozide
probucol
ziprasidone
This medicine may also interact with the following medications:

alcohol and medicines that contain alcohol
aminoglycosides
amphotericin B
antacids
bromocriptine
calcium channel blockers like diltiazem, nicardipine, nifedipine, and verapamil
carbamazepine
caspofungin
protease inhibitors
chloramphenicol
cimetidine
cisplatin
clarithromycin
danazol
diuretics
erythromycin
ethinyl estradiol
ganciclovir
medicines for fungal infections like clotrimazole, fluconazole, itraconazole, ketoconazole, and voriconazole
metoclopramide
omeprazole
phenobarbital
phenytoin
rifabutin
rifampin
sirolimus
St. John’s wort
steroid medicines like prednisone or cortisone
troleandomycin
vaccines
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. You will need frequent blood checks.
If you get a cold or other infection while receiving this medicine, call your doctor or health care professional. Do not treat yourself. The medicine may decrease your body’s ability to fight infections.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
burning or tingling in the hands or feet
changes in vision
chest pain
difficulty breathing, wheezing
fever, chills or any other sign of infection
frequent urination
ncreased thirst or hunger
pain or difficulty passing urine
redness, blistering, peeling or loosening of the skin, including inside the mouth
seizures
swelling of the feet or legs, unusual or sudden weight gain
unusual bleeding or bruising
unusually weak or tired
yellowing of skin or eyes
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

confusion
constipation
diarrhea
difficulty sleeping
headache
nausea
tremor
Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.