Topgraf 0.03% Ointment 10gm

Introduction About TOPGRAF 0.03% OINTMENT

TOPGRAF 0.03% OINTMENT contains Tacrolimus which belongs to the group of
medicines called Immunosuppressants. It is used to manage moderate to severe
atopic dermatitis (eczema) when other conventional therapies fail to provide
adequate results.

Atopic dermatitis is an allergic skin condition that makes your skin itchy, red,
dry and irritated. It is characterized by small, raised bumps on the skin with
pus accomp

TOPGRAF 0.03% OINTMENT is suitable for use both in adults and in children (aged
2 years or older). Apply a thin layer of TOPGRAF 0.03% OINTMENT on the affected
skin areas. You may use your regular skin moisturizer and/or other skin lotions
along with TOPGRAF 0.03% OINTMENT, but make sure to apply them after 2 hours of
applying TOPGRAF 0.03% OINTMENT.

Do not use TOPGRAF 0.03% OINTMENT for more than the stipulated duration
recommended by your doctor. Regularly visit your doctor (once a year or as
instructed) for reviewing your condition even if your condition remains under
control.

Before using TOPGRAF 0.03% OINTMENT inform your doctor if you have any other
skin disease apart from eczema such as skin cancer, skin infections or lesions
at the application site, any inherited skin barrier disease or generalised
erythroderma (severe skin redness and scaling).

You must also inform your doctor if you have a weak immune system, liver
problems or any autoimmune disease conditions. Consult your doctor before using
TOPGRAF 0.03% OINTMENT if you are pregnant or breastfeeding.

While undergoing therapy with TOPGRAF 0.03% OINTMENT, avoid exposing your skin
towards direct sunlight or towards any artificial light sources. Wear protective
loose-fitting clothes and apply sunscreen while going outdoors. Also, avoid
consum

The most common side effects of applying TOPGRAF 0.03% OINTMENT are skin
irritation, burning sensation, redness or warmth at the site of application.
Consult your doctor if this side effect troubles you.

Uses Of TOPGRAF 0.03% OINTMENT

It is used in adults and in children (aged 2 years or older) to manage and
prevent:

• Moderate to severe atopic dermatitis (eczema)

How TOPGRAF 0.03% OINTMENT Works

TOPGRAF 0.03% OINTMENT is an immunosuppressive agent. It works by blocking the
release of certain chemicals in the body (such as T-cells) that cause allergic
and inflammatory reactions. When applied topically, it suppresses the immune
system and manages the abnormal immune response towards allergens. This reduces
skin dryness, redness, itching and inflammation associated with auto-immune skin
conditions.

How to use TOPGRAF 0.03% OINTMENT

Apply a small amount of TOPGRAF 0.03% OINTMENT into the affected skin areas or
directed by the physician. It is for topical use only. Wash your hands
before and after application unless your hands are also managed.

Your doctor will decide the correct dose and duration of therapy for you
depending on your age, body weight and health condition. Do not stop using or
overuse TOPGRAF 0.03% OINTMENT without consulting your doctor.

Avoid contact of TOPGRAF 0.03% OINTMENT with your eyes, mouth, ears, nose or
with open wounds. Do not cover the application site with bandages, dressings or
clothes.

Side Effects Of TOPGRAF 0.03% OINTMENT

Common

• itching or burning sensation at the site of application
• skin redness, flushing or pain
• increased skin sensitivity towards heat or cold
• skin infections
• inflamed or infected hair follicles on the skin
• facial flushing among alcoholics

Uncommon

• acne (pimples)

Rare

Stop using TOPGRAF 0.03% OINTMENT and contact your doctor immediately if you
experience any of the following side effects such as:

• enlarged or swollen lymph nodes
• changes in skin colour

How To Manage Side Effects

Application Site Reactions:

Place an icepack on the affected skin areas to ease the irritation. Avoid using
harsh chemicals or soaps on the affected areas. Wear protective loose-fitting
clothes while going outdoors. Regularly moisturize your skin. Avoid exposing
your skin towards direct sunlight. If the condition did not improve, contact
your doctor.

Warning & Precautions

!### Pregnancy

TOPGRAF 0.03% OINTMENT should be used in pregnant women only if considered
necessary by the physician. Therefore, consult your doctor before using it.

!### Breastfeeding

TOPGRAF 0.03% OINTMENT should be used in breastfeeding women only if considered
necessary by the physician. Therefore, consult your doctor before using it.

!### Driving and Using Machines

TOPGRAF 0.03% OINTMENT is unlikely to affect your ability for driving and using
machinery. However, do not drive or handle any heavy tools or machines if your
ability is affected by TOPGRAF 0.03% OINTMENT.

!### Alcohol

Avoid consum
your skin look more flushed.

!### Liver

TOPGRAF 0.03% OINTMENT should be used with caution in patients with liver
problems (such as liver failure). Therefore, consult your doctor before using
it.

!### Allergy

Talk to your doctor before using TOPGRAF 0.03% OINTMENT if you are allergic to
Tacrolimus or to any macrolide antibiotics (such as erythromycin, azithromycin).

Others

Before using TOPGRAF 0.03% OINTMENT inform your doctor if you:

• have skin cancer
• have a weak immune system
• have any skin conditions that hinders absor
• have generalised erythroderma (severe skin redness and scaling)
• have any autoimmune diseases
• have cutaneous graft versus host disease (immune reactions on the skin caused due to bone marrow transplantation)
• have swollen lymph nodes
• have any skin infections or lesions at the site of application
• are undergoing any light therapy

Use in pediatrics:

TOPGRAF 0.03% OINTMENT should be used in children and adolescents (aged 2 years
or older) only if prescribed by the physician. It is not recommended for use in
children aged below 2 years. Therefore, consult your doctor before using it.

Use in geriatrics:

TOPGRAF 0.03% OINTMENT should be used with caution in the elderly patients.
Therefore, consult your doctor before taking it.

Interactions

A. Drug – drug interaction:

Before using TOPGRAF 0.03% OINTMENT inform your doctor if you are taking
following medicines such as:

• erythromycin (a medicine used to manage bacterial infections)
• medicines used to manage fungal infection (Ex. ketoconazole, itraconazole)
• diltiazem (a medicine used to manage heart problems)
• cimetidine (a medicine used to manage stomach ulcers)
• corticosteroids (used to manage pain and inflammation) Ex. cortisone

Overdosage:

If you or anyone else accidentally swallowed TOPGRAF 0.03% OINTMENT, consult
your doctor for advice or visit the nearby hospital.

Synopsis

Drug	:	Tacrolimus
Pharmacological Category	:	Calcineurin Inhibitors
Therapeutic Indication	:	Atopic dermatitis
Dosage Forms	:	Capsules, Tablets, Ointment, Lotion, solution, Topical Solution, Oral gel, eye ointment

More Information

• Keep TOPGRAF 0.03% OINTMENT out of reach of children
• Store TOPGRAF 0.03% OINTMENT at room temperature

FAQs About TOPGRAF 0.03% OINTMENT

What is the use of TOPGRAF 0.03% OINTMENT?

TOPGRAF 0.03% OINTMENT is used to manage moderate to severe atopic dermatitis
(eczema) when other conventional therapies fail to provide adequate results.

How TOPGRAF 0.03% OINTMENT works?

TOPGRAF 0.03% OINTMENT is an immunosuppressive agent. It works by blocking the
release of certain chemicals in the body (such as T-cells) that cause allergic
and inflammatory reactions. When applied topically, it suppresses the immune
system and manages the abnormal immune response towards allergens. This reduces
skin dryness, redness, itching and inflammation associated with auto-immune skin
conditions.

How to use TOPGRAF 0.03% OINTMENT?

Apply a small amount of TOPGRAF 0.03% OINTMENT into the affected skin areas or
directed by the physician. It is for topical use only. Wash your hands
before and after application unless your hands are also managed.

What precautions must be followed while using TOPGRAF 0.03% OINTMENT?

TOPGRAF 0.03% OINTMENT is for topical use only. Avoid contact of TOPGRAF 0.03%
OINTMENT with your eyes, mouth, ears, nose or with open wounds. Do not cover the
application site with bandages, dressings or clothes. Wash your hands before and
after application. Before using TOPGRAF 0.03% OINTMENT inform your doctor if you
have any other skin disease apart from eczema such as skin cancer, skin
infections or any inherited skin barrier disease. Consult your doctor before
using TOPGRAF 0.03% OINTMENT if you are pregnant or breastfeeding. Avoid
exposing your skin towards direct sunlight and wear protective loose-fitting
clothes and sunscreen while going outdoors.

Is TOPGRAF 0.03% OINTMENT safe?

TOPGRAF 0.03% OINTMENT may cause skin irritation, burning sensation, redness and
warmth at the site of application. Consult your doctor if this bothers you.

What are the common side effects of using TOPGRAF 0.03% OINTMENT?

The most common side effects of applying TOPGRAF 0.03% OINTMENT are skin
irritation, burning sensation, redness or warmth at the site of application.
Consult your doctor if this side effect troubles you.

What to do if I forgot to apply TOPGRAF 0.03% OINTMENT?

If you forgot to apply a dose of TOPGRAF 0.03% OINTMENT, apply it as soon as you
remember. However, if it is time for the next dose of TOPGRAF 0.03% OINTMENT,
skip the missed dose and apply the next one regularly. Do not apply a double
dose of TOPGRAF 0.03% OINTMENT to compensate for the missed ones.

How long will it take for TOPGRAF 0.03% OINTMENT to heal my condition?

You need to apply TOPGRAF 0.03% OINTMENT as long as your doctor prescribes you
the medicine. Your doctor will decide the correct dose and duration of therapy
for you depending upon your age, body weight and disease condition.

Can I use other topical medicines while using TOPGRAF 0.03% OINTMENT?

Avoid using any other topical medicines along with TOPGRAF 0.03% OINTMENT
without consulting your doctor.

Can TOPGRAF 0.03% OINTMENT be used in pregnant women?

TOPGRAF 0.03% OINTMENT should be used in pregnant women only if considered
necessary by the physician. Therefore, consult your doctor before using it.

Can TOPGRAF 0.03% OINTMENT be used in children?

TOPGRAF 0.03% OINTMENT should be used in children and adolescents (aged between
2-18 years) only if prescribed by the physician. It is not recommended for use
in children aged below 2 years. However, consult your doctor for advice.

Can I use TOPGRAF 0.03% OINTMENT for psoriasis?

TOPGRAF 0.03% OINTMENT is usually prescribed for the management of eczema.
Consult your doctor for advice if you are wishing to use this medicine to manage
psoriasis.

Can I use TOPGRAF 0.03% OINTMENT for my 4-year-old son?

TOPGRAF 0.03% OINTMENT can be used in children aged 2 years or older. However,
consult your paediatrician before using them in young children.