Prograf
Vitiligo, Pyoderma Gangrenosum, Kidney Transplantation + 12 more
Treatment
5 FDA approvals
20 Active Studies for Prograf
Treatment for
Vitiligo
What is Prograf
Tacrolimus
The Generic name of this drug
Treatment Summary
Tacrolimus (also known as FK-506 or Fujimycin) is a medicine used to prevent organ rejection after transplantation. It is also used to treat severe cases of atopic dermatitis, uveitis, and vitiligo. The drug was first discovered in 1984 from a soil sample in Japan. Tacrolimus is a macrolide that works by binding to a protein called FKBP-12, which then inhibits the activity of the immune system and reduces the risk of organ rejection.
Prograf
is the brand name
Prograf Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Prograf
Tacrolimus
1994
138
Approved as Treatment by the FDA
Tacrolimus, also called Prograf, is approved by the FDA for 5 uses such as Kidney Transplantation and Kidney Transplant Rejection .
Kidney Transplantation
Kidney Transplant Rejection
Liver Transplant Rejection
Immunosuppressive Treatment
Kidney
Effectiveness
How Prograf Affects Patients
Tacrolimus works by blocking a certain enzyme, stopping certain signals from being sent to the T-lymphocytes, and reducing the amount of a certain protein. Compared to cyclosporine, tacrolimus is more effective in reducing organ rejection. It can also be used to treat eczema, though it is not as strong as steroids. An advantage of tacrolimus is that it can be used on the face, while steroids cannot. For other parts of the body, steroids are usually the better treatment.
How Prograf works in the body
We don't know exactly how tacrolimus works to treat atopic dermatitis, but we have seen a few things. It appears to limit T-lymphocyte activation by binding to a protein called FKBP-12. This stops a process called dephosphorylation from happening, which is necessary for the formation of lymphokines. Tacrolimus also seems to reduce the production of several proteins that are involved in T-cell activation, as well as block the release of substances from mast cells and basophils. Finally, it may down-regulate the expression of FceRI on Langerh
When to interrupt dosage
The measure of Prograf is subject to the diagnosed condition, including Vitiligo, Rejection; Transplant, Kidney and Pyoderma Gangrenosum. The quantity of dosage deviates, depending on the procedure of delivery (e.g. Capsule, gelatin coated - Oral or Topical) indicated in the table below.
Condition
Dosage
Administration
Liver
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Pyoderma Gangrenosum
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Dermatitis, Atopic
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Dermatitis, Atopic
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Rheumatoid Arthritis
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Lichen Planus, Oral
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Chronic Graft Versus Host Disease
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Lung
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Psoriasis
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Immunocompromised
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Vitiligo
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Kidney Transplantation
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Prophylaxis against heart transplant rejection
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Kidney
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Immunosuppressive Treatment
0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg
Oral, Capsule, , Capsule - Oral, Topical, Ointment - Topical, Ointment, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release, Capsule, extended release - Oral, Granule, Granule - Oral, Cutaneous, Ointment - Cutaneous, Injection, solution, Injection, solution - Intravenous, Granule, for suspension - Oral, Granule, for suspension, Kit, Cream, Cream - Topical, Solution - Topical
Warnings
Prograf has one contraindication, meaning that it should not be employed while encountering the conditions listed in the following table.
Prograf Contraindications
Condition
Risk Level
Notes
Severe Hypersensitivity Reactions
Do Not Combine
Tacrolimus may interact with Pulse Frequency
There are 20 known major drug interactions with Prograf.
Common Prograf Drug Interactions
Drug Name
Risk Level
Description
Abemaciclib
Major
The serum concentration of Abemaciclib can be increased when it is combined with Tacrolimus.
Alectinib
Major
The metabolism of Alectinib can be decreased when combined with Tacrolimus.
Aminophylline
Major
The metabolism of Aminophylline can be decreased when combined with Tacrolimus.
Axitinib
Major
The serum concentration of Axitinib can be increased when it is combined with Tacrolimus.
Bacillus calmette-guerin substrain russian BCG-I live antigen
Major
The therapeutic efficacy of Bacillus calmette-guerin substrain russian BCG-I live antigen can be decreased when used in combination with Tacrolimus.
Prograf Toxicity & Overdose Risk
Taking too much of this drug can lead to blurred vision, kidney and liver damage, seizures, trembling, high blood pressure, low levels of magnesium, diabetes, high levels of potassium, itching, difficulty sleeping, and confusion. The lowest toxic dose in rats is 134-194mg/kg.
Prograf Novel Uses: Which Conditions Have a Clinical Trial Featuring Prograf?
147 active research studies are currently being conducted to assess the potential of Prograf to alleviate Oral Lichen Planus, Pyoderma Gangrenosum and refractory Rheumatoid Arthritis.
Condition
Clinical Trials
Trial Phases
Pyoderma Gangrenosum
2 Actively Recruiting
Phase 2, Phase 3
Rheumatoid Arthritis
56 Actively Recruiting
Not Applicable, Phase 3, Phase 1, Phase 2, Phase 4
Immunocompromised
2 Actively Recruiting
Phase 1, Not Applicable
Lichen Planus, Oral
0 Actively Recruiting
Vitiligo
7 Actively Recruiting
Phase 2, Phase 3, Phase 1
Kidney Transplantation
0 Actively Recruiting
Kidney
0 Actively Recruiting
Liver
0 Actively Recruiting
Immunosuppressive Treatment
0 Actively Recruiting
Lung
0 Actively Recruiting
Dermatitis, Atopic
0 Actively Recruiting
Prophylaxis against heart transplant rejection
0 Actively Recruiting
Psoriasis
0 Actively Recruiting
Chronic Graft Versus Host Disease
24 Actively Recruiting
Phase 4, Phase 1, Phase 2, Not Applicable, Phase 3
Dermatitis, Atopic
0 Actively Recruiting
Prograf Reviews: What are patients saying about Prograf?
5
Patient Review
5/21/2014
Prograf for Prevention of Liver Transplant Rejection
5
Patient Review
8/16/2015
Prograf for Prevention of Liver Transplant Rejection
5
Patient Review
2/13/2015
Prograf for Rejection of Liver Transplant
4.7
Patient Review
8/2/2015
Prograf for Prevention of Cardiac Transplant Rejection
4.7
Patient Review
1/29/2017
Prograf for Prevention of Liver Transplant Rejection
4.7
Patient Review
6/28/2016
Prograf for Prevention of Liver Transplant Rejection
4.7
Patient Review
11/22/2017
Prograf for Prevent of Transplant Rejection
4.7
Patient Review
4/24/2014
Prograf for Prevention of Liver Transplant Rejection
4.3
Patient Review
4/25/2014
Prograf for Prevent Kidney Transplant Rejection
4.3
Patient Review
6/26/2016
Prograf for Prevent Kidney Transplant Rejection
4.3
Patient Review
3/16/2014
Prograf for Prevention of Lung Transplant Rejection
4.3
Patient Review
6/8/2014
Prograf for Prevention of Lung Transplant Rejection
4
Patient Review
4/13/2015
Prograf for Prevention of Lung Transplant Rejection
4
Patient Review
11/21/2017
Prograf for Prevent Kidney Transplant Rejection
3.7
Patient Review
5/29/2015
Prograf for Prevention of Liver Transplant Rejection
3.7
Patient Review
6/28/2014
Prograf for Prevention of Lung Transplant Rejection
3.3
Patient Review
8/4/2014
Prograf for Prevention of Liver Transplant Rejection
Patient Q&A Section about prograf
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
What is Prograf used to treat?
"Tacrolimus is a drug that suppresses the immune system and is used to prevent organ rejection in children who have had liver transplants."
Answered by AI
Is Prograf an immunosuppressant?
"Today's decision represents the first time an immunosuppressant drug has been approved to prevent rejection in adult and pediatric patients who receive lung transplants. Prograf is the only drug product of its kind that has been approved for this population."
Answered by AI
What are the side effects for Prograf?
"The most common adverse reactions (occurring in more than 40% of PROGRAF-treated liver transplant patients) include: tremor, headache, diarrhea, hypertension, nausea, abnormal renal function, abdominal pain, insomnia, paresthesia, anemia, pain, fever, asthenia, hyperkalemia, hypomagnesemia, and hyperglycemia."
Answered by AI
Is Prograf a steroid?
"Tacrolimus (Prograf) does not belong to the class of drugs called steroids or corticosteroids. Sometimes, corticosteroids and calcineurin inhibitors are used together to prevent transplant rejections."
Answered by AI