✅ Active Ingredient Overview Table:
| 🔬 Active Ingredient (Generic Name): | Pimecrolimus 1% w/w |
|---|---|
| 💊 Indication: | Atopic Dermatitis (Mild to Moderate) |
| 🇺🇸 US Brand Equivalent: | Elidel Cream (Pimecrolimus) |
| 🏭 Manufacturer: | Ajanta Pharma Ltd (Founded: 1973) |
| 📦 Packaging: | 10 g Tube |
| 🧪 Strength: | 1% w/w |
| 🚚 Delivery Time: | 6–15 days |
🌿 What is Pacroma Cream 1%?
Pacroma Cream contains Pimecrolimus, a topical calcineurin inhibitor indicated for the treatment of mild to moderate atopic dermatitis in patients aged two years and older. Unlike topical corticosteroids, Pimecrolimus selectively inhibits T-cell activation and release of inflammatory cytokines without causing skin atrophy. Pacroma is formulated in a lightweight, non-greasy emulsion that facilitates rapid absorption and improves patient comfort, especially in sensitive areas such as the face and skin folds.
🧬 Pharmacology & Mechanism of Action
| Attribute | Detail |
|---|---|
| Chemical Formula | C41H68N6O10 |
| Molecular Weight | 810.03 g/mol |
| Mechanism | • Calcineurin Inhibition: Binds to macrophilin-12 (FKBP-12) → inhibits calcineurin phosphatase activity → prevents NFAT dephosphorylation → reduces T-cell cytokine (IL-2, IL-4, IL-5) production → decreases skin inflammation. |
| Absorption | Minimal systemic absorption; <0.5% of applied dose reaches circulation. |
| Distribution | Predominantly remains localized in the epidermis and dermis where inflammation occurs. |
| Metabolism | Metabolized by local tissue enzymes; negligible hepatic metabolism. |
| Half-Life | Not applicable due to minimal systemic bioavailability. |
💡 Indications & Application Guidelines
| Condition | Application Regimen |
|---|---|
| Atopic Dermatitis (Age ≥2 years) | • Cleanse and gently pat dry affected area. |
| • Apply a thin layer of Pacroma Cream to affected skin twice daily (morning & evening). | |
| • Duration: Use until disease control achieved; assess after 6 weeks for continued response. | |
| Sensitive or Facial Dermatitis | • Apply thinly to eczematous areas twice daily. |
| • Avoid occlusive dressings. |
- Preparation: Wash hands and affected area with mild soap; pat dry.
- Application: Apply a pea-sized amount per small area; spread evenly.
- Frequency: Twice daily; if symptoms resolve, continue for an additional 2 days then reassess.
- Precautions: Avoid contact with eyes and mucous membranes. Wash hands after application. Not recommended under occlusion.
⚠️ Warnings & Side Effects
Common Side Effects:
- Local skin reactions: burning, stinging, pruritus at application site
- Mild erythema or warmth
Less Common:
- Acneiform eruptions
- Folliculitis
Serious (Rare):
- Hypersensitivity reactions (rash, urticaria)
- Increased risk of cutaneous infections (e.g., viral, fungal) with prolonged use
Precautions:
- Infection: Discontinue if secondary skin infection occurs; treat infection prior to resuming.
- Sun Exposure: Use sun protection; Pimecrolimus may increase photosensitivity.
- Long-term Use: Limit use to affected areas; evaluate periodically.
- Malignancy Risk: FDA warns of a potential lymphoma and skin cancer risk; use lowest effective dose and duration.
🏥 Storage Instructions
Store Pacroma Cream at 20°C–25°C. Protect from excessive heat and direct sunlight. Keep tube tightly closed and out of reach of children. Discard 6 months after opening.
🌐 Availability & Purchasing
- United States: Available as Elidel Cream by Valeant; prescription required.
- United Kingdom & EU: Prescription-only; topical Pimecrolimus available under specialist dermatology guidance.
- Australia: PBS-listed; prescription necessary; prescribed by dermatologists for atopic dermatitis.
Importing Pacroma from India:
Importing Pacroma Cream may reduce treatment costs. Ensure you hold a valid prescription and comply with local personal importation regulations to avoid customs delays.
🔗 IAuthoritative Resources
🔗 Related Topical Therapies (Indian Brands)
- Betnovate C Cream – Betamethasone + Clioquinol for combined steroid and antimicrobial action by GSK.
🎥 Educational Video on Topical Calcineurin Inhibitors
👩⚕️ Expert Insight: Dr. Kavita Rao, Dermatologist
“Topical Pimecrolimus offers a steroid-sparing option for atopic dermatitis, especially in delicate areas where prolonged steroid use risks skin thinning. It effectively targets inflammation with minimal systemic exposure.”




