I have vitiligo from last 4 years I have white patches on face, lips and palm.in starting year of vitiligo I take medications like tacrolimus, vitibex gel and ciclosporin. But from last three years I am not on any medication or treatment please suggest some medicine or treatment.

Dr. Madhavi PudiDermatologist11yrs exp

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Hi! vitiligo is an auto immune disease which has relapses and remissions. Being auto immune ,it can be associated with other auto immune diseases like thyroid ,diabetis, asthma etc. You have to check those once in 3 to 6 months for vitiligo to be under control. Moreover, you need immunosuppresants like cyclosporine or azathioprine to control the spread of the disease. Regular check ups like complete blood picture ,lft etc needed to monitor if you were on immunosuppresants. Please do consult in person to a dermatologist as you need to get checked clearly the number of patches etc. As of now ,you can use tacrolimus and vitibex gel .keep good immunity by eating healthy fruits and vegetables and doing yoga and meditation which can keep vitiligo under control.  

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