In summary, tacrolimus is safe and well-tolerated and provides clinical benefit for elderly RA patients who have an
insufficient response to DMARDs. A useful strategy in this patient group is to initiate tacrolimus treatment at
1.5 mg/day and increase the dose to 3 mg/day, while closely monitoring for the development of adverse events. It is
recommended that caution be exercised when administering the drug to patients with impaired renal function and that dose
reduction is considered in the event of an increase in serum creatinine.