Prescription medication · Calcineurin Inhibitor (Topical)

pimecrolimus

Also sold as Elidel. This cream treats mild to moderate eczema, also known as atopic dermatitis.

Data updated 2026-05-15

1,541
FDA reportsRarely reported
5
InteractionsFew interactions
73% less
Generic vs brandBig savings
$9.49
Brand price (NADAC)

What the data shows

pimecrolimus (Elidel) is a prescription Calcineurin Inhibitor (Topical), among the least-reported drugs the FDA tracks (1,541 FDA reports), whose generic runs roughly half the brand price or less (73% less).

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

pimecrolimus (Elidel) is a prescription Calcineurin Inhibitor (Topical). This cream treats mild to moderate eczema, also known as atopic dermatitis.

Pimecrolimus cream (Elidel) is a medicine that can help with eczema. It is used when other treatments have not worked well enough or are not a good choice for you.

Drug Pricing (NADAC)

Brand Price

$9.49/unit

Generic Price

$2.54/unit

Generic Savings

73%

Generic Available

Yes (2 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

This cream treats mild to moderate eczema, also known as atopic dermatitis.

Common side effects

Burning feeling on the skin where you put the cream, Headache, Runny nose

Key warnings

Using this medicine for a long time may have risks.

The sections below are summarized in plain English from pimecrolimus's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Pimecrolimus cream is a calcineurin inhibitor. It works by reducing inflammation in the skin. This helps to relieve itching and rash caused by eczema.

Side Effects (from patient reports)

Based on 1,541 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for pimecrolimus, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for pimecrolimus each year to the FDA Adverse Event Reporting System (FAERS).

0100200300400 20042007201020132016201920222025 259

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where pimecrolimus sits

pimecrolimus has more FDA adverse-event reports than 10% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is pimecrolimus; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 1,541 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

1,541

Reports Mentioning Death

21

1.4% of reports — not proof of cause

Hospitalization Reports

183

Top Indication

Dermatitis Atopic

Gender Distribution

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

Age Distribution

0–17 193
18–44 275
45–64 294
65–74 97
75+ 75

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
2 DERMATITIS ATOPIC 178
3 RASH 169
4 PRURITUS 160
7 ECZEMA 80
8 DRY SKIN 79
9 ERYTHEMA 68
10 CONDITION AGGRAVATED 64
11 SKIN EXFOLIATION 64
12 INJECTION SITE PAIN 63
13 PAIN 60
15 SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION 55
16 FATIGUE 52
17 DISCOMFORT 50
18 ARTHRALGIA 49
19 SLEEP DISORDER 47

Reactions in Death 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

Reactions in Hospitalization Reports

FATIGUE 12
CROHN^S DISEASE 11
PNEUMONIA 10
ARTHRALGIA 9
DIARRHOEA 9
HOSPITALISATION 9
PAIN 9
COVID-19 8
ERYTHEMA 8
HYPOTENSION 8

Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Using this medicine for a long time may have risks. In rare cases, some people using similar medicines have gotten cancer, like skin cancer or lymphoma. Do not use this cream on children under 2 years old.

Known Drug Interactions

Some examples of such drugs are erythromycin, itraconazole, ketoconazole, fluconazole, calcium channel blockers and cimetidine.

Mechanism: Ketoconazole can slow down how your body breaks down pimecrolimus, which might lead to higher levels of the medicine in your blood. This happens because ketoconazole blocks the natural proteins that clear the drug from your system.

Some examples of such drugs are erythromycin, itraconazole, ketoconazole, fluconazole, calcium channel blockers and cimetidine.

Mechanism: Fluconazole interferes with the way your body processes pimecrolimus, potentially causing the drug to stay in your system longer. This is because fluconazole stops the enzymes that normally get rid of the medicine.

Some examples of such drugs are erythromycin, itraconazole, ketoconazole, fluconazole, calcium channel blockers and cimetidine.

Mechanism: Erythromycin can block the enzymes in your body that break down pimecrolimus. This can cause the amount of pimecrolimus in your body to increase.

Some examples of such drugs are erythromycin, itraconazole, ketoconazole, fluconazole, calcium channel blockers and cimetidine.

Mechanism: Itraconazole stops the body from clearing pimecrolimus as quickly as it should. This can lead to higher-than-normal levels of pimecrolimus in your bloodstream.

Some examples of such drugs are erythromycin, itraconazole, ketoconazole, fluconazole, calcium channel blockers and cimetidine.

Mechanism: Cimetidine can slow down the process your body uses to get rid of pimecrolimus. This might cause pimecrolimus to build up in your system.

This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.

Common Questions

Can I use this cream on my baby?
No, do not use this cream on children under 2 years old.
How long can I use this cream?
Avoid using this cream for a long time. Stop when your symptoms are gone.
What should I do if my eczema gets worse?
Talk to your doctor if your eczema does not get better after 6 weeks or if it gets worse.
Can I use a bandage over the cream?
No, do not use bandages or dressings that cover the treated area.
Can I use this cream if I have a skin infection?
Talk to your doctor before using this cream if you have a skin infection.
Can I get a sunburn while using this cream?
The drug label does not mention increased risk of sunburn. Follow standard sun safety precautions.
What should I do if I accidentally swallow some of the cream?
Call your doctor or poison control center right away.
Can I use other creams or lotions with this medicine?
Ask your doctor or pharmacist before using other creams or lotions with this medicine.
Is it okay to use this cream if I have a weak immune system?
No, you should not use this cream if you have a weak immune system.
How often should I apply this cream?
Apply a thin layer of the cream to the affected skin twice a day.
What are the common side effects of pimecrolimus?
The registry lists Burning feeling on the skin where you put the cream, Headache, Runny nose, Cough, Flu among the most-reported FAERS reaction terms for pimecrolimus. The compiled record contains 1,541 FDA adverse-event reports. These counts are not an individual symptom assessment.
Does pimecrolimus interact with other medications?
The registry has 5 documented interaction rows for pimecrolimus. Notable source-record pairings include ketoconazole, fluconazole, erythromycin. These rows are not a complete medication review.
What drug class is pimecrolimus?
pimecrolimus belongs to the Calcineurin Inhibitor (Topical) drug class. It requires a prescription (Rx). This cream treats mild to moderate eczema, also known as atopic dermatitis.
Is there a generic version of pimecrolimus?
Yes, generic pimecrolimus is available from 2 manufacturers. The generic costs $2.54 per unit compared to $9.49 for the brand version, saving approximately 73%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
What pregnancy or breastfeeding source fields are listed for pimecrolimus?
The FDA label for pimecrolimus contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.

Other drugs grouped near pimecrolimus - same-class peers and common alternatives.

Compare pimecrolimus vs adapalene side-by-side →

Compare beyond drug class

Nationwide peers by FAERS volume & death-report share

Two PlainMeds-derived comparison paths for pimecrolimus: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.

Medication Guides

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What the FDA Data Shows for pimecrolimus

The FDA label for pimecrolimus (sold under brand names such as Elidel) classifies it as a prescription-only medication in the Calcineurin Inhibitor (Topical) class. This cream treats mild to moderate eczema, also known as atopic dermatitis. Official labeling lists 7 commonly reported side effects, including Burning feeling on the skin where you put the cream, Headache, Runny nose.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 1,541 voluntary reports. The database also lists 5 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $2.54 versus $9.49 for the brand - a 73% generic savings.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. This registry does not provide medication decisions.

Last updated: September 30, 2020

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page