methylprednisolone vs tacrolimus topical

PlainMeds reviewed this comparison against our methodology in August 2026. It places FDA and CMS record fields side by side, without recommending either medication.

Side-by-side comparison of methylprednisolone and tacrolimus topical. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

Mild or Moderate CYP3A Inducers Methylprednisolone, prednisone May decrease tacrolimus whole blood trough concentrations.

Drug Class
methylprednisolone Corticosteroid
tacrolimus topical Calcineurin Inhibitor (Topical)
Type
methylprednisolone Prescription
tacrolimus topical Prescription
Summary
methylprednisolone

Methylprednisolone (Medrol) is a corticosteroid medicine. It reduces inflammation and affects the immune system.

tacrolimus topical

Tacrolimus extended-release capsules help prevent organ rejection in kidney transplant patients. It works by suppressing your immune system.

What It Treats
methylprednisolone

This medicine can treat many conditions. It can help with allergies, skin problems, and hormone imbalances. It can also help with gut and blood disorders.

tacrolimus topical

This medicine is used to prevent your body from rejecting a new kidney after a transplant. It is for adult patients who can swallow capsules whole. You will take it with other medicines that also suppress your immune system.

How It Works
methylprednisolone

Methylprednisolone reduces inflammation in the body. It also changes how your immune system works. This can help control symptoms of different diseases.

tacrolimus topical

Tacrolimus belongs to a class of drugs called calcineurin inhibitors. It lowers the activity of your immune system. This helps prevent your body from attacking your new kidney.

Common Side Effects
methylprednisolone

No common side effects listed.

tacrolimus topical
  • Diarrhea
  • Constipation
  • Nausea
  • Swelling in your arms and legs
  • Tremors
FAERS Reports
methylprednisolone
  • Fatigue 7,793
  • Pain 7,274
  • Nausea 7,213
  • Headache 7,058
  • Pyrexia 6,883
tacrolimus topical

No adverse event reports.

Serious Warnings
methylprednisolone

This medicine is not for injection into the spine. This can cause serious medical problems. Do not take this medicine if you have a fungal infection, unless it's a localized joint condition.

tacrolimus topical

This medicine can increase your risk of serious infections and certain cancers. These problems could lead to hospitalization or even death. This drug is not approved for liver transplants and may increase the risk of death in female liver transplant patients.

Pregnancy
methylprednisolone

Tell your doctor if you are pregnant or plan to become pregnant. This medicine may harm your unborn baby. Talk to your doctor about the risks and benefits.

tacrolimus topical

Tacrolimus can harm your unborn baby. Tell your doctor right away if you are pregnant or plan to become pregnant. There is a pregnancy registry to track outcomes in women who take tacrolimus during pregnancy.

Also Compare, Nearby Drugs

How to Read This methylprednisolone vs tacrolimus topical Comparison

methylprednisolone is classified in the Corticosteroid drug class, while tacrolimus topical sits within the Calcineurin Inhibitor (Topical) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, methylprednisolone has 36,221 submissions while tacrolimus topical has 0. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to methylprednisolone makes your liver work faster to break down tacrolimus, which can lower the amount of medicine in your blood.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for methylprednisolone or tacrolimus topical.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.