1, treatment vitiligo why also use oral hormones, which stage of patients to oral hormones?
The onset of vitiligo has a greater relationship with autoimmune destruction, hormones for vitiligo are corticosteroids, hormones have a more important value in the treatment of vitiligo: (1) it inhibits the destruction of melanocytes by inhibiting the production of melanocyte autoantibodies thereby; (2) indirectly stimulates resting melanocytes in hair follicles; (3) acts directly on melanocytes and stimulates melanocyte synthesis to induce repigmentation. The progressive vitiligo patients should apply hormones in time to control the development of the disease and reduce the side effects if their physical condition allows. In addition, patients who need to do vitiligo epidermal transplantation should also take small doses of hormones orally before and after the surgery and during the surgery to prevent the occurrence of anaplasmosis.
2, which patients are not suitable for taking hormones?
Vitiligo patients are not recommended to take hormones for vitiligo if they are combined with the following diseases: allergic to hormones, serious psychiatric history, active gastric and duodenal ulcers, newly post-gastrointestinal anastomosis, heavy osteoporosis, obvious diabetes, severe hypertension, active tuberculosis, common psoriasis, etc.
3.How much oral medicine should I take? Will taking medicine make me fat, rash and hairy?
If you need to take oral hormone in vitiligo treatment, generally choose small dose of hormone treatment, the best treatment time should not exceed 4 months; eat hormone cause fat mainly because of hormone caused by water retention in the body, generally speaking, short-term oral fat chance is very small, but there are exceptions; some people who are allergic to hormone, may appear the corresponding rash, but relatively rare; small dose of short-term oral Hormones generally do not cause general or local hair increase, unless combined with other topical drugs to promote hair growth, such as minoxidil, may accelerate the appearance of local hairy.
4.Do I need to apply topical medication after taking oral medication?
The combination of oral medication and topical topical medication is often more effective, and many studies have shown that combined treatment is better than single method treatment alone; 5.How long can I take oral medication to see results?
The first step is to control the development of the disease, and then to promote the fading of the white spots, generally speaking, the first 2-3 weeks may only control the development of the disease, and then to promote the repair, but if the triggering factors of vitiligo persist (see my article: the triggering factors of vitiligo) may be less effective. The total course of treatment should preferably not exceed 4 months. When the vitiligo rash from the progressive stage over to the stable stage, we generally choose other treatment methods mainly.
6.What is the effect of oral drug leakage and self-stopping on the body?
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
7, what improvement can reduce the medicine?
When the white spots do not continue to spread, the white spots gradually shrink or pigment islands appear in the white spots, it is a good observation indicator of rash control, which can be considered to gradually reduce the dosage, but must be done under the guidance of a doctor, self-reduction may lead to recurrence of white spots.
8.How much should be reduced each month and what is the effect of too fast? Will recurrence occur if I stop the medication on my own?
Because the drug itself is a small dose, so the dose reduction may vary from patient to patient, the time to reduce the dose can not be generalized, when we see a certain dose may have to maintain treatment for 2 to 3 months.