Drug & supplement interaction

4-androsterone + Pimecrolimus

Pimecrolimus brand name: Elidel.

No Known Interaction
The bottom line No known interaction

We found no known interaction between 4-androsterone and Pimecrolimus in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

4-androsterone and Pimecrolimus

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Pimecrolimus and 4-androsterone in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

4-androsterone safety at a glance

4-androsterone overall Use caution Prohormones can disrupt hormones, strain the liver, and affect cholesterol; safety is not well studied.
Pregnancy Avoid Androgenic hormones can harm a developing baby; do not use during pregnancy.
Breastfeeding Avoid Hormonal effects on a nursing infant are unknown and potentially harmful; avoid use.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Pimecrolimus and 4-androsterone? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Pimecrolimus

Interactions in our licensed database are recorded against drug classes, not just single drug names. Pimecrolimus is filed under a single classification — topical drugs. 4-androsterone has documented interactions with 1 drug class — the most serious being testosterone (moderate) — and none of Pimecrolimus’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

4-androsterone Does Interact With Other Medications

4-androsterone has 8 moderate known drug interactions in our database — Pimecrolimus isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against 4-androsterone

Covers the 2,830 medications we’ve checked against 4-androsterone. Pick one to open its full report.

What to actually watch for

What 4-androsterone Itself Has Been Linked To

This is not an interaction — nothing below involves Pimecrolimus. It is the side-effect record for 4-androsterone on its own, from the licensed Natural Medicines monograph. If something new turns up after you add 4-androsterone, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • Kidney problems / Liver problems Worth acting on Additional detail

    “There is insufficient information available about adverse effects associated with 4-androsterone. It is purported that 4-androsterone is metabolized to anabolic compounds. Therefore, in theory, there is concern that it might cause serious anabolic steroid-like side effects including stroke, kidney failure, and liver injury.”

    4-androsterone · Natural Medicines adverse-effect record, reported in kidney failure.

Everything above comes from the Natural Medicines adverse-effect record for 4-androsterone — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Pimecrolimus’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Pimecrolimus column appears here.

Everything else you take

See Every Supplement That Interacts With Pimecrolimus

This page covers 4-androsterone only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Pimecrolimus page lists 3 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Dimethylsulfoxide (dmso) (moderate), Turpentine Oil (moderate) and Alchemilla (minor).

By severity: 2 moderate · 1 minor.

From our pharmacist’s overview on the Pimecrolimus page

“Pimecrolimus (Elidel) is an eczema cream, applied to the skin rather than swallowed, so its supplement interactions are few and they follow one pattern. All three ingredients on file are also used topically, and the two rated moderate, DMSO and turpentine oil, may pull more of the drug through the skin, amplifying both its benefit and…”

Reviewed by 2 · Jul 18, 2026

Open the Pimecrolimus interaction page

One more smart check

Taking 4-androsterone as Part of a Dietary Supplement Product? Check It for Interactions

We hold 23 real supplement products containing 4-androsterone, each one broken down to its full ingredient list — and combination products often carry several ingredients besides 4-androsterone. Even though 4-androsterone itself has no known interaction with Pimecrolimus, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where 4-androsterone and Pimecrolimus Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement 4-androsterone
Top half

#519 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Pimecrolimus
Steady interest

#2,135 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions. 4-androsterone is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every 4-androsterone reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The 4-androsterone and Pimecrolimus records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About 4-androsterone

What is 4-androsterone?

  • Muscle building
  • Strength and athletic performance
  • Boosting testosterone
  • Bodybuilding cycles

4-Androsterone (sometimes called 4-DHEA) is a lab-made prohormone marketed to bodybuilders as a way to raise testosterone and build muscle, but human studies are very limited and it carries real risks like liver strain, hormone imbalance, and cholesterol changes. Its legal status is uncertain in many places, and it may cause a positive result on drug tests. We do not recommend it without close medical supervision, and it should be avoided in pregnancy and breastfeeding.

Synthetic steroidal compound (not a plant part) · Capsules, tablets, transdermal gels or creams, liquid drops

An interaction check asks whether these two react with each other — it does not ask whether 4-androsterone is a good idea for someone in your situation. Here is what our 4-androsterone record says about it on its own.

4-androsterone: dosing

There is no established, medically recommended dose for 4-androsterone. Doses used in bodybuilding come from product labels and informal community advice, not from rigorous clinical research.Because purity and strength can vary between products and the risks are significant, we cannot recommend a specific amount. Never assume that a higher dose is safer or more effective.

From our 4-androsterone monograph — the full record covers uses, side effects and every documented interaction.

Read the full 4-androsterone monograph & all interactions
Medication

About Pimecrolimus Topical

What Is Pimecrolimus Topical Used For?

Brand name: Elidel

Pimecrolimus cream 1% is used to treat mild to moderate atopic dermatitis (eczema) in adults and children aged 2 and older. It is a second-line option — meaning it's tried when other topical prescription treatments haven't worked well enough, or when those treatments aren't a good fit.

It is intended for short-term and non-continuous use only, applied only to the affected areas. It is not approved for use in children under 2 years of age, and it should only be used in people with healthy immune systems.

Most-Reported Side Effects for Pimecrolimus

From FAERS, the FDA’s public side-effect reporting system (1,704 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Dermatitis atopic 200 reports
Pruritus 193 reports
Rash 183 reports
Dry skin 101 reports
Eczema 97 reports
See full Pimecrolimus Topical drug information
Keep checking

Other Drugs & 4-androsterone

Browse every other medication we’ve checked against 4-androsterone — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
8Moderate
0Minor
2,821No known interaction
Moderate

8 interactions

No interaction 2,821 drugs checked — show the list
Evidence & sources

4-androsterone References

The 3 sources that drive our 4-androsterone monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. 4-androsterone is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Anabolic Steroids and Other Appearance and Performance Enhancing Drugs (APEDs) — NIH National Institute on Drug Abuse Source
  2. Dietary Supplements for Exercise and Athletic Performance — NIH Office of Dietary Supplements Source
  3. DHEA — MedlinePlus Source

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking 4-androsterone and Pimecrolimus Together: Common Questions

Is it safe to take 4-androsterone with Pimecrolimus?
We do not list a known interaction between 4-androsterone and Pimecrolimus. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
How was the 4-androsterone and Pimecrolimus combination checked?
Interactions in our licensed database are recorded against drug classes. Pimecrolimus is filed under 1 classification, and 4-androsterone has documented interactions with 1 drug class — none of Pimecrolimus's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does 4-androsterone interact with any other medications?
Yes. 4-androsterone has 8 documented drug interactions in our database — Pimecrolimus is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Pimecrolimus interact with any supplements?
Yes. Pimecrolimus has documented interactions with 3 supplements in our database — 4-androsterone is not one of them. The Pimecrolimus interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Pimecrolimus and 4-androsterone?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.