I'm currently using Melgain Lotion at night and Pacroma Cream in the morning for my vitiligo, but I haven't seen any improvement in the pigmentation. I'm a bit worried and wondering if this is the right treatment plan. Is there something else I should be doing?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

Consult Now

Vitiligo can be challenging to treat, and it's great that you're seeking a second opinion.

Melgain Lotion and Pacroma Cream

1. Melgain Lotion: Contains a combination of melatonin, vitamins, and antioxidants, which may help promote repigmentation.
2. Pacroma Cream: Contains pimecrolimus, a topical immunomodulator that may help reduce inflammation and promote repigmentation.

Evaluating the Treatment

While Melgain Lotion and Pacroma Cream may be beneficial for vitiligo, it's essential to consider the following:

1. Treatment duration: Have you been using these creams for a sufficient amount of time (at least 3-6 months)?
2. Consistency and application: Are you applying the creams consistently, as directed, and covering the entire affected area?
3. Combination therapy: Have you considered combining these creams with other treatments, such as phototherapy, corticosteroids, or vitamin supplements?
4. Underlying causes: Are there any underlying causes or triggers for your vitiligo, such as autoimmune disorders, stress, or hormonal imbalances?

Alternative Treatment Options

If you're not seeing any improvement with Melgain Lotion and Pacroma Cream, consider discussing the following options with your doctor:

1. Phototherapy: Exposure to specific wavelengths of light, such as narrowband UVB or PUVA, can help stimulate repigmentation.
2. Corticosteroids: Topical or oral corticosteroids can help reduce inflammation and promote repigmentation.
3. Vitamin supplements: Certain vitamins, such as vitamin B12, vitamin D, or antioxidants, may help promote repigmentation.
4. Immunomodulatory therapies: Medications that modify the immune system's response, such as tacrolimus or pimecrolimus, may help promote repigmentation.

Answered 04/07/2025