Tbis XL 0.1% Ointment 50 gm belongs to a class of drugs called 'immunosuppressants' used to treat moderate to severe atopic dermatitis (eczema). Atopic dermatitis, also known as eczema, is a common skin condition associated with inflamed and itchy skin patches. The symptoms include itchy, dry, flaky, swollen, rough and irritated skin.

Tbis XL 0.1% Ointment 50 gm contains 'Tacrolimus' that works by suppressing the over-reaction of immune cells in the skin to a stimulus. Thus, it reduces allergic reactions and inflammation (redness and swelling). 

Use Tbis XL 0.1% Ointment 50 gm as prescribed. You are advised to use Tbis XL 0.1% Ointment 50 gm for as long as your doctor has recommended it for you based on your medical condition. Some people may experience itching, burning sensation, redness, pain or skin tingling. Most of these side effects of Tbis XL 0.1% Ointment 50 gm do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Please tell your doctor if you are allergic to Tacrolimus or other medicines. If you are pregnant or a breastfeeding mother, it is advised to consult a doctor before using Tbis XL 0.1% Ointment 50 gm. Avoid alcohol consumption with Tbis XL 0.1% Ointment 50 gm as it may cause flushing (sudden reddening of face or skin that makes you feel warm and hot). Do not cover or wrap the treated area with a bandage or dressing.  Avoid smoking or going near naked flames as the fabric (bedding, clothing, dressings) in contact with Tbis XL 0.1% Ointment 50 gm catches fire and burns easily.

Tbis XL 0.1% Ointment 50 gm contains Tacrolimus, an immunosuppressant used to treat moderate to severe atopic dermatitis (eczema) in adults who are not adequately responsive or are intolerant to topical corticosteroids and in children (above 2 years) who failed to respond adequately to topical corticosteroids.  Tbis XL 0.1% Ointment 50 gm suppresses the overreaction of immune cells in the skin to a stimulus. Thus, it reduces allergic reactions and inflammation (redness and swelling). 

• Itching
• Burning sensation
• Redness
• Pain
• Skin tingling

Please tell your doctor if you are allergic to Tacrolimus or other medicines. If you are pregnant or a breastfeeding mother, it is advised to consult a doctor before using Tbis XL 0.1% Ointment 50 gm. Avoid alcohol consumption with Tbis XL 0.1% Ointment 50 gm as it may cause flushing (sudden reddening of face or skin that makes you feel warm and hot). Do not cover or wrap the treated area with a bandage or dressing. Avoid smoking or going near naked flames as the fabric (bedding, clothing, dressings) in contact with Tbis XL 0.1% Ointment 50 gm catches fire and burns easily. Please avoid contact with eyes, nose or mouth as it may irritate. Do not shower, bathe or swim immediately after applying Tbis XL 0.1% Ointment 50 gm as it may wash off Tbis XL 0.1% Ointment 50 gm. If Tbis XL 0.1% Ointment 50 gm accidentally comes in contact with these areas, rinse with water thoroughly. Do not swallow Tbis XL 0.1% Ointment 50 gm. In case of accidental swallowing, consult a doctor immediately.

Drug-Drug Interaction: Inform your doctor if you use oral corticosteroid (cortisone) or other topical products on the skin.

Drug-Food Interaction: Avoid consumption of alcohol with Tbis XL 0.1% Ointment 50 gm as it may cause flushing (sudden reddening of face or skin that makes you feel warm and hot).

Drug-Disease Interaction: If you have liver failure, any skin tumours, a weakened immune system, Netherton’s syndrome (a rare hereditary disorder that affects hair, skin and immune system), lamellar ichthyosis (extensive scaling of skin), generalised erythroderma (inflammatory scaling and redness of entire skin), swollen lymph nodes, infected lesions, cutaneous Graft Versus Host Disease (an immune reaction of the skin in patients who had bone marrow transplant), or if you notice any changes in the appearance of your skin,  please inform your doctor before using Tbis XL 0.1% Ointment 50 gm. 

• CORTISONE

• Eat foods rich in quercetin (a flavonoid), such as apples, cherries, broccoli, spinach, and blueberries.
• Consuming food rich in probiotics helps in developing the immune system against allergies.
• Limit intake of food that might trigger allergies, such as dairy products, soy, eggs, and nuts.
• Avoid consuming foods with excess sugar, as it may flare up inflammation.
• Include fruits, vegetables, whole grains, healthy fats, and fish.
• Avoid contact of your skin with harsh soaps, detergents, cleaning supplies, dust or sand, wool, synthetic fibres and cigarette smoke.

• Please consult a dermatologist if the skin condition does not improve even after two weeks of treatment with Tbis XL 0.1% Ointment 50 gm.

Atopic dermatitis: It is also known as eczema, a common skin condition associated with inflamed and itchy skin patches. It occurs when an overactive immune system responds aggressively to exposed irritants. It usually affects the inner elbows, arms, back of knees or head but can occur anywhere. Eczema is not contagious. Scratching irritates and inflames the skin, which may cause infections which must be treated with antibiotics. The symptoms include itchy, dry, flakey, swollen, rough and irritated skin.