Hello, I'm only taking Low dose naltrexone 3mg at the moment, no tacrolimus. I also take magnesium chloride. It has to be chloride not sulfate. Also, vitamin D3 3000iu daily. I've only been on it for 2 weeks now and seeing improvements. My dermatologist also gave me mupirocin ointment to apply to the areas.
You need to avoid sugar and go on a low carb diet. Tomatoes also increase inflammation which is not good for hailey-hailey. I have had flares for the past year and doing these and taking my meds are really helping. First time in a yr that I'm not in severe pain and healing.
Good luck and I hope this helps. This is a terrible disease.

Pimecrolimus is an alternative that I use. Can you get that on Japan? I dont do naltrexone only pimecrolimus and Magnesium 250mg. Have been lesion free one year.

Hailey Hailey
I have been taking low dose naltrexone 1.5 mg for a few months and am completely cleared up. But this is something you must always take, if you stop taking it, the out break will re occur.