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pimecrolimus Side Effects

Also known as: Elidel

Analysis of 1,541 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

1,541

Death-Related

21

1.4% of reports

Hospitalizations

183

11.9% of reports

Top Indication

Dermatitis Atopic

Most Reported Adverse Reactions

DRUG INEFFECTIVE
229
DERMATITIS ATOPIC
178
RASH
169
PRURITUS
160
PRODUCT USE IN UNAPPROVED INDICATION
118
OFF LABEL USE
94
ECZEMA
80
DRY SKIN
79
ERYTHEMA
68
CONDITION AGGRAVATED
64
SKIN EXFOLIATION
64
INJECTION SITE PAIN
63
PAIN
60
PRODUCT DOSE OMISSION ISSUE
57
SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION
55
FATIGUE
52
DISCOMFORT
50
ARTHRALGIA
49
SLEEP DISORDER
47
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
45

Who Reports Side Effects

Gender Distribution

Female 891 (64%)
Male 491 (35%)
Unknown 7

Age Distribution

0-17 193 (21%)
18-44 275 (29%)
45-64 294 (31%)
65-74 97 (10%)
75+ 75 (8%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 21 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 8
ASCITES 3
AZOTAEMIA 3
CANDIDA SEPSIS 3
MULTIPLE ORGAN DYSFUNCTION SYNDROME 3
PNEUMONIA ASPIRATION 3
PRURITUS 3
ACUTE PULMONARY OEDEMA 2
BACTERAEMIA 2
BLOOD BILIRUBIN INCREASED 2
CHOLESTASIS 2
DISEASE PROGRESSION 2
FALL 2
FLUID OVERLOAD 2
LACTIC ACIDOSIS 2
MALIGNANT NEOPLASM PROGRESSION 2
OFF LABEL USE 2
PORTAL HYPERTENSION 2
URINARY TRACT INFECTION 2
ABDOMINAL PAIN UPPER 1

Reactions in Hospitalization Reports

Top reactions in 183 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 14
FATIGUE 12
CROHN^S DISEASE 11
PNEUMONIA 10
ARTHRALGIA 9
DIARRHOEA 9
HOSPITALISATION 9
OFF LABEL USE 9
PAIN 9
COVID-19 8
ERYTHEMA 8
HYPOTENSION 8
URINARY TRACT INFECTION 8
BACK PAIN 7
DYSPNOEA 7
NAUSEA 7
PYREXIA 7
RASH 7
SKIN INFECTION 7
COUGH 6

Nearby — Related Medications

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What the FAERS Data Reveals About pimecrolimus Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,541 voluntary reports linked to pimecrolimus and its brand equivalents (Elidel), spanning 2004 through 2025. Of those, 21 (1.4%) listed death as an outcome and 183 (11.9%) involved hospitalization. The most common indication reported alongside adverse events was Dermatitis Atopic.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 64% were female and 35% male; age distribution skews toward 45-64, with 294 reports in that bracket. The single most reported reaction is drug ineffective with 229 submissions, followed by dermatitis atopic and rash.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.