Topical Steroids
Topical steroids are an important part of the treatment regimen for vitiligo, but it is often difficult to convince a patient to begin using them. However, a doctor can aid in explaining how topical steroids work and why they are safe for patients who suffer from vitiligo.
Steroids have been used for decades as an effective treatment for vitiligo. They are applied directly to the affected areas of the skin, and their primary mechanism is to increase cell turnover. By increasing cell turnover, more melanocytes are produced, and the white patches of skin return to their normal coloration faster than usual. In addition, steroids have anti-inflammatory properties, reducing swelling and redness associated with vitiligo.
Topical steroids must be applied daily for the best results when treating vitiligo. Using them only every other day or sporadically will result in much slower improvement and may make them ineffective.
The most effective topical steroids for vitiligo include fluocinonide, clobetasol propionate, triamcinolone acetonide, and betamethasone valerate. It is important to note that these are all prescription medications and should only be used under the supervision of a dermatologist.