“…However, all are associated with potential and distinct side-effects, which include but are not limited to skin atrophy and local infections (steroids) [5,9,38], hypersensitivity skin reactions or systemic contact allergies (antifungals, antibiotics) [3,10,23], pruritus, skin burning, erythema, and hyperesthesia (all with tacrolimus) [29]. For this reason, some physicians prefer herbal medicines like hamamelis, which are less likely to produce severe sideeffects than other treatment options and provide similar efficacy.…”