The main purpose of vitiligo treatment is to control the progression of the lesions and promote the re-coloration of the white spots. If you have active vitiligo, controlling the development of the white spots is the main problem of treatment, and oral corticosteroids are a more effective treatment at this time. Oral small doses of corticosteroids are often used as a first-line treatment option to stabilize the disease.
It is mainly applied to patients with sporadic rapidly progressing vitiligo. Small doses of oral prednisone or methylprednisolone tablets, 2-4 tablets per day, can be administered for 1.5 to 3 months. After the effect is seen, the dose is reduced by 5 mg every 2-4 weeks to 1 tablet every other day and maintained for 3-6 months. Because corticosteroids have some adverse reactions, long-term oral hormone therapy is not recommended. Under the guidance of a doctor, it is relatively safe to take small doses for a short period of time, and the disease appears to be stable with visible discontinuation and gradual reduction of treatment. For patients with rapid progression, in order to control the disease as soon as possible, the first few days can also double the dose of oral treatment, after rapid control of white spot progression, you can replace and change to other drugs to consolidate treatment, in order to achieve long-term control of the disease, if there is a relapse of white spots, you can take oral hormone therapy again.