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Suggest Treatment For Vitiligo

Posted on Tue, 21 Jul 2015

Question: i have been suffering from vitiligo problem since when i was 14 years.i am 19 years old now.doctor adviced me to use tacrolimus ointment and mesoral-10 twice in a week but am not been able to take mesoral-10.sp what should i do?what medicine should i use?
how should i use the medicine?its really important in my life so please help me..please suggest me the medicines.

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
Details required

Detailed Answer:
Hello
Thanks for the query and photograph.
I would like to know whether the patches are stable or you are still getting new patches of vitiligo ?
It is important to know about stability of disease as treatment varies in both the cases.
Also let me know what all area of body are involved ?
Waiting for your response.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Rahul Kumar (57 minutes later)

yeah m still getting new pathes in my body..its in my stomach n above and under the breas tand a smali pathches at the back.

Answered by Dr. Dr. Rahul Kumar (18 hours later)

Brief Answer:
Steroid therapy

Detailed Answer:
Hello
Thanks for the follow up.
The best treatment for unstable vitiligo is oral steroids.
I treat such cases with pulse therapy wherein I prescribe oral steroid for two days in a week.
This weekly therapy gives good results within a month.
You can try this in consultation with your doctor.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (25 hours later)

i am using mesoral-10 but its not working instead i am getting sick day by day..am afraid that if oral steriods also cause the same problem.there is no cure of this problem with only an ointment?
thank you.

Answered by Dr. Dr. Rahul Kumar (5 hours later)

Brief Answer:
Steroids are safe

Detailed Answer:
Hello
Mesoral is known to cause side effects like gastric upset and photo sensitivity.
Steroid pulse therapy is very effective and safe.
I have used it for many patients without any side effects.
Creams can decrease the size of patches and induce re pigmentation but cannot stop new patches.
Let me know if you have any other doubt.
Thank you

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Dr. Rahul Kumar (7 hours later)

Thank you so much doctor for your suggestion.
Doctor.. .steroid pulse theraphy is a tablet medicine?what name should i take to pronounce this medicine with my doctor?And doctor please advice me how to use this medicine and when to use this medicine because i dnt have any idea..also please suggest me what should i avoid to eat and use during this treatment?
i am so greatful to you doctor for helping me..
Thank you so much.

Answered by Dr. Dr. Rahul Kumar (16 hours later)

Brief Answer:
Prednisolone

Detailed Answer:
Hello
It is called as tablet prednisolone.
Dose is 1 mg per kg body weight.
If your weight is 50 kg, you should take 50 mg tablet prednisolone on Saturday and 50 mg on Sunday.
Again repeat the same dose next week.
Do this for a month.
You don't need to avoid eating anything.
Take black grapes and almonds daily.
This helps a bit.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Rahul Kumar (3 days later)

Thank you...
Doctor i just need to take this medicine or i have to stay in the sun also?
And how long i have to take this medicine?can i continue with my tacrolimus ointment and himalayan geriforte tablet along with prednisolone?

Answered by Dr. Dr. Rahul Kumar (5 hours later)

Brief Answer:
Yes, you can continue

Detailed Answer:
Hello
You don't need to sit in sun.
Yes you can continue with tacrolimus and himalya medicines. Please take the medications under the guidance of your doctor, and after confirmation of the diagnosis.
Continue for at least 2 Months and let me know the result.
Let me know if you have any other doubt.
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (2 days later)

Ok doctor but how will i consult with you again? There is no enough time because i will not be able to consult with you BECAUSE this conversation will be only for 1 week that is also possible only if i continue this conversation
Do you have any other sites that i can keep in touch with you?That will be so greatful if you will help me
Thank you.

Answered by Dr. Dr. Rahul Kumar (13 hours later)

Brief Answer:
You can ask query

Detailed Answer:
Hello
you can ask a direct question to me on this forum, following the below link.
http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818
Just relax and start the medication.
We are always there to help you.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Rahul Kumar (39 hours later)

Thank you so much doctor..

Answered by Dr. Dr. Rahul Kumar (21 hours later)

Brief Answer:
Welcome

Detailed Answer:
You are most welcome

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Shanthi.E