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Elidel Warning
The U.S. Food and Drug Administration (FDA) recently issued a Public
Health Advisory for users of Protopic and Elidel while urging the
medication manufacturers to add a black box warning to their eczema
creams. The FDA's warning states, "It may take human studies of ten
years or longer to determine if use of Elidel or Protopic is linked
to cancer."
Protopic (tacrolimus) and Elidel (pimecrolimus) are classified as
Topical Immunosuppressant Calcineurin Inhibitors and are popular steroid-free
treatments for eczema and Atopic Dermatitis. Eczema and Atopic Dermatitis
are both persistent skin conditions recognized as red, scaly, itchy
skin.
Since the FDA approved Elidel, several cases of lymphoma and skin
cancer have been reported in patients. Elidel is classified as an
immunosuppressant which can lower a patient’s normal immune response,
making the user susceptible to a variety of diseases and cancers.
With research and reports linking the skin absorbent Elidel ointment
to skin cancer, the FDA recommends patients only use the cream prescription
as a last resort and then only for a limited time. Elidel should not
be used by those with a weakened immune system and never be used on
babies under two years old.
The makers of Elidel state that the cream is effective for mild and
moderate eczema and can be used on children. Elidel is manufactured
and marketed by Novartis.
Types of skin cancer and warning signs
It is alleged that Protopic and Elidel have been linked to various
types of skin cancer. These cancers include:
Skin Cancer, T-Cell Lymphoma, Basal Cell Carcinoma (BCC), Squamous
Cell Carcinoma (SCC), Hodgkin's Lymphoma (HL), Non-Hodgkin's Lymphoma
Basal cell carcinoma is the most common form of skin cancer (90%),
affecting 800,000 people in the U.S. each year. Typically this cancer
occurs in parts of the body that are not exposed to sunlight. Basal
cell carcinoma often resembles eczema or psoriasis. Common warning
signs of Basal Cell Carcinoma include:
Open Sore – non-healing sore, remaining open for 3 or more weeks
Reddish skin patch – a reddish patch that may or may not be irritated
and uncomfortable
Shiny mole-like Bump – nodule that can be translucent, tan, black
or brown.
Pink Growth – circular growth with raised outer edge
Scar-like patch- similar to scar tissue, this skin cancer appears
shiny and taut, white or yellow
There are over 30 types of Lymphoma, including 5 types of Hodgkin’s
lymphoma and 25 types of non-Hodgkin’s lymphoma. These lymphomas start
in the lymph nodes and symptoms include swelling of the lymph nodes,
fever, night sweats, unexplained weight loss, lack of energy. Similar
to basal cell carcinoma, there are many causes of lymphoma, including
weakened immune functions.
If you currently use Elidel or if you show signs of skin cancer, talk
to your doctor or dermatologist immediately. It is noted that the
long-term side effects of using Elidel ointment have not been identified.
If you currently use Protopic, a prescription skin medication similar
to Elidel, learn more [ABOUT
PROTOPIC].
Elidel In the News
Health Canada is advising people who use Elidel(R) cream ointment
about safety information that indicates a potential cancer risk. (Apr-27-05)
[NEWS
WIRE]
FDA’s Pediatric Advisory Committee reviewed tests that linked Elidel
and Protopic to an increased risk of skin cancer and non-Hodgkin’s
lymphoma. (Mar-10-05) [FOX
NEWS]
Food and Drug Administration issues a Public Health Advisory. (Mar-10-05)
[FDA]
The National Institute of Allergy and Infectious Diseases reports
that as immuno-modulators, Protopic and Elidel "could increase the
risk of cancer by suppressing the immune system's ability to control
the Epstein-Barr virus". (Feb-20-05) [MED
PAGE TODAY]
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