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Are Tacrolimus And Lukoskin Ointment Right Treatment For Vitiligo?
Question: Dear Doctor
my lower lip having two small patches and I have cosulted doctor and I have been told by that I have vitiligo at initial stage. the doctor prescribed the following:
1) Tacrolimus ointment 0.1% to apply at night
2) Sunkroma Lip Bam apply in the morning
3) Servitox tablet one in the morning after breakfast.
I am using these medicine since 7 weeks and also vitamin D and Nirobin injection once in a week.
further to this I am taking Lukoskin oral liquid twice daily and pigmento tablets twice daily.
I have noted some black dots on the patches and the black skin upper and bottom of the patches.
since last two days I have started applying Lukoskin ointment in the morning instead Sunkroma lip balm.
My question to you can continue using tacrolimus ointment in the evening and lukoskin ointment in the morning and I have to stay 10 min in the sunlight after applying lukoskin ointment.should I continue this
please advise
XXXXX
I
my lower lip having two small patches and I have cosulted doctor and I have been told by that I have vitiligo at initial stage. the doctor prescribed the following:
1) Tacrolimus ointment 0.1% to apply at night
2) Sunkroma Lip Bam apply in the morning
3) Servitox tablet one in the morning after breakfast.
I am using these medicine since 7 weeks and also vitamin D and Nirobin injection once in a week.
further to this I am taking Lukoskin oral liquid twice daily and pigmento tablets twice daily.
I have noted some black dots on the patches and the black skin upper and bottom of the patches.
since last two days I have started applying Lukoskin ointment in the morning instead Sunkroma lip balm.
My question to you can continue using tacrolimus ointment in the evening and lukoskin ointment in the morning and I have to stay 10 min in the sunlight after applying lukoskin ointment.should I continue this
please advise
XXXXX
I
Brief Answer:
Yes you can modify this way
Detailed Answer:
Hello. Thank you for writing to us
I am dr.kakkar (dermatologist). I have read your question and i have understood your concern
Yes, you can apply lukoskin in morning, expose to sun and thereafter use sunscreen. You may use tacrolimus at night.
Regards
Yes you can modify this way
Detailed Answer:
Hello. Thank you for writing to us
I am dr.kakkar (dermatologist). I have read your question and i have understood your concern
Yes, you can apply lukoskin in morning, expose to sun and thereafter use sunscreen. You may use tacrolimus at night.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your response, I need further clarification
1) I am cleaning the tacrolimus ointment in the morning and applying lukoskin ointment and staying in the sunlight for 10 min.
question:
1) do I need to maintain gap before applying the lukoskin ointment.
2) I am taking lukoskin oral liquid 30 min after expose to sun and cleaning the ointment after 30 min taking the oral liquid then immediately applying sun screen.
question:
2) for better results what will be the interval of time to maintain between each process.
3) would you like review my reports and Dr. prescription???.
thanks
XXXX
1) I am cleaning the tacrolimus ointment in the morning and applying lukoskin ointment and staying in the sunlight for 10 min.
question:
1) do I need to maintain gap before applying the lukoskin ointment.
2) I am taking lukoskin oral liquid 30 min after expose to sun and cleaning the ointment after 30 min taking the oral liquid then immediately applying sun screen.
question:
2) for better results what will be the interval of time to maintain between each process.
3) would you like review my reports and Dr. prescription???.
thanks
XXXX
Brief Answer:
Steps to follow
Detailed Answer:
Hi.
1. No, you don't need to maintain any gap between wiping off tacrolimus and applying lukoskin. Tacrolimus would have acted overnight. You can just wipe it off in morning and apply lukoskin.
2. Regarding oral liquid you need to take it 1 hr before exposure to sun because it would reach skin through circulation in about 1 hour and also you should have applied lukoskin 30 minutes before sun exposure. Use sunscreen, throughout the day after sunexposure. Use lukoskin oral liquid and lukoskin ointment, every alternate days i.e Monday, Wednesday and Friday.
3. Tacrolimus is to be applied at night, daily.
4. You may upload prescription in Reports Section.
Regards
Steps to follow
Detailed Answer:
Hi.
1. No, you don't need to maintain any gap between wiping off tacrolimus and applying lukoskin. Tacrolimus would have acted overnight. You can just wipe it off in morning and apply lukoskin.
2. Regarding oral liquid you need to take it 1 hr before exposure to sun because it would reach skin through circulation in about 1 hour and also you should have applied lukoskin 30 minutes before sun exposure. Use sunscreen, throughout the day after sunexposure. Use lukoskin oral liquid and lukoskin ointment, every alternate days i.e Monday, Wednesday and Friday.
3. Tacrolimus is to be applied at night, daily.
4. You may upload prescription in Reports Section.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr.Kakkar
I appreciate your response, one more clarification the upper lip becoming some times sticky and noted burning sensation then I have started applying Tacrolimus ointment in the night . please advise should continue applying tacrolimus ointment??? or momentasone furoate 0.1% w/w, miconazole nitrate 2% w/w ointment which is best.???
pl clarify after exposure to sun how much gap should I maintain before applying the sun scree
I have read some where in the internet after applying the Tacrolimus ointment should not exposure to sunlight pl clarify..
how can I stop not spreading to upper lip.
XXXXX
I appreciate your response, one more clarification the upper lip becoming some times sticky and noted burning sensation then I have started applying Tacrolimus ointment in the night . please advise should continue applying tacrolimus ointment??? or momentasone furoate 0.1% w/w, miconazole nitrate 2% w/w ointment which is best.???
pl clarify after exposure to sun how much gap should I maintain before applying the sun scree
I have read some where in the internet after applying the Tacrolimus ointment should not exposure to sunlight pl clarify..
how can I stop not spreading to upper lip.
XXXXX
Brief Answer:
Advice regarding lip vitiligo patch
Detailed Answer:
Hi.
Tacrolimus ointment is a greasy preparation therefore it can feel sticky.
Moreove, tacrolimus can cause a mild burning or smarting sensation, it is a known side effect. This burning sensation could also be because you are using lukoskin and exposing to sun. If tacrolimus is causing too much of a burning sensation you may switch to mometasone furoate at night. Both are equally effective.
You should apply sunscreen immediately after exposing to sun.
There is no interaction between tacrolimus ointment and sun exposure.
Regards
Advice regarding lip vitiligo patch
Detailed Answer:
Hi.
Tacrolimus ointment is a greasy preparation therefore it can feel sticky.
Moreove, tacrolimus can cause a mild burning or smarting sensation, it is a known side effect. This burning sensation could also be because you are using lukoskin and exposing to sun. If tacrolimus is causing too much of a burning sensation you may switch to mometasone furoate at night. Both are equally effective.
You should apply sunscreen immediately after exposing to sun.
There is no interaction between tacrolimus ointment and sun exposure.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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