Vitiligo Treatment Protocol – Practical Guide for Adults and Children

Treatment guide for adults (18+)

Step	Product	When	How to use
Morning	Vitistop tablets	Every day after breakfast	Take 1 tablet with water
Evening	Protopic 0.1 % cream / Opzelura™ cream*	Every night before bed	Apply a thin layer to the affected skin
Phototherapy day	Vitistop gel	30 minutes before exposure	Gently massage into depigmented areas
Phototherapy	UVB lamp (311 nm) or natural sunlight	2–3 times a week	Expose until a light pink blush appears

Tip: Allow at least 24 hours between sessions so the skin can recover.

Treatment guide for children (≤ 17 yrs)

Step	Product	When	How to use
Morning	Vitix tablets	Every day after breakfast	Take 1 tablet with water
Evening	Protopic 0.03 % cream / Opzelura™ cream**	Every night before bed	Apply a thin layer to the affected skin
Phototherapy day	Vitistop gel	30 minutes before exposure	Gently massage into depigmented areas
Phototherapy	UVB lamp (311 nm) or natural sunlight	2–3 times a week	Expose until a light pink blush appears

Tip: Children also need at least 24 hours between exposures.

* In practice, Protopic 0.1 % and Opzelura™ creams have similar usage frequency and potency.
** Opzelura™ is licensed in the UK for patients aged 12 years and over; below 12 years use Protopic only and confirm dosing with your dermatologist.

Start treating vitiligo as early as possible

Recently developed vitiligo retains a strong “memory” of melanocytes – the sooner you begin, the faster and more effective repigmentation tends to be.

Light: the key to pigment production

Phototherapy with targeted UVB light at a wavelength of 311 nm is crucial for activating melanocytes. Ordinary sunbeds, infrared lamps or “biolamps” will not trigger this process. In summer you can supplement with natural sunlight. Commercial tanning salons are not recommended.

A holistic approach

Combine phototherapy with topical gels and creams that stimulate pigment production. Used together with a UVB lamp or sunlight, they significantly accelerate repigmentation.

Stopping vitiligo spreading

For lasting success, focus on:

a healthy lifestyle and regular routine,
reducing stress and autoimmune triggers,
antioxidants – for example, Vitistop tablets help slow the active phase of the condition.

Phototherapy schedule

Treat the skin 2–3 times a week. Aim for a mild erythema (pinkness) in the depigmented areas. If no erythema appears, gradually lengthen exposure. Give the next UVB dose only when redness has completely faded – this controlled cycle stimulates new pigment.