Vitiligo Treatment

Simple treatment protocol

A clear routine for supporting repigmentation

The routine combines controlled light exposure, topical support and daily nutritional support. Consistency is what makes it work — most visible progress comes after several months.

Last updated: 26 August 2026

Vitiligo treatment protocol
Children under 12: use Protopic 0.03% (not 0.1%) and Vitix Tablets instead of Vitistop Tablets. Always follow your child's doctor's instructions.
Daily routine

Your first month

The daily routine

Tablets daily

After breakfast + evening meal

30 min

Gel before light

Apply to patches before every session

3×/week

Light sessions

Monday · Wednesday · Friday

Session days Mon · Wed · Fri Rest days Tue · Thu · Sat · Sun
Morning 1 Vitistop Tablet after breakfast 1 Vitistop Tablet after breakfast
Light Apply Vitistop Gel 30 min before → NB-UVB lamp or sunlight (start at 30 sec, adults)
Evening 1 Vitistop Tablet after meal · Protopic or Opzelura ~1 h before sleep (if prescribed), otherwise Vitistop Gel at bedtime 1 Vitistop Tablet after meal · Protopic/Opzelura or Vitistop Gel at bedtime

Protopic and Opzelura are prescription medicines — use only as directed by your doctor. Do not apply immediately before light exposure.

Repeat this pattern through weeks 2–4. Adjust your NB-UVB exposure for each area based on its skin reaction. Take comparison photos every 4 weeks.

Long-term plan

How the routine evolves month by month

1

Month 1

2 tablets/day
Light 3× per week

2

Month 2

1 tablet/day
Light 3× per week

3+

Month 3+

1 tablet/day
Light 2× per week

Every 3 months

Take a 3–4 week tablet break, then restart the next cycle

Light therapy

Home NB-UVB phototherapy

Light therapy guide

Not suitable for everyone — check before starting

  • Personal or strong family history of skin cancer — consult a dermatologist before using a home NB-UVB lamp.
  • Photosensitivity or a light-sensitive condition (e.g. lupus, porphyria or severe reactions to sunlight) — requires medical clearance before any deliberate UV exposure.
  • Medicines that increase light sensitivity — some antibiotics, retinoids and herbal products raise burn risk. Check with your pharmacist or doctor first.

Also seek medical advice before starting if you are pregnant, breastfeeding or have a serious active infection.

Starting your first session

  1. Apply Vitistop Gel to the white patches and wait 30 minutes.
  2. Switch on the NB-UVB lamp, or use controlled sunlight — never both on the same area on the same day.
  3. First session: 30 seconds (adults) · 15 seconds (children).
  4. Leave at least 48 hours between sessions. Only treat when any redness from the previous session has fully cleared.

Adjusting your dose

A mild skin reaction (slight redness, erythema) is the target — it typically appears 6–8 hours after exposure. Use the table below to decide what to do next session:

Skin reaction the next day What to do
No redness Increase exposure by 20 seconds
Mild redness — clears within 24 h Increase by 20 seconds
Noticeable redness — still slightly pink at 24 h Keep the same time. Wait for the skin to fully recover before the next session.
Strong redness or discomfort Pause treatment. When the skin clears, reduce by 20% and restart.

Typical exposure per patch after several weeks: around 3–4 minutes, depending on skin type.

Eye area — separate rules apply

  • Keep eyes fully closed during every session. Never look directly into a switched-on lamp.
  • Treat each eye area separately, starting at up to 1 minute — not the 30-second body rule.
  • If there is no mild next-day pinkness, increase by only 15 seconds per session (not 20 seconds as for body skin).
  • Never re-treat eyelid skin that is still pink or irritated from the previous session.

Advanced option: Vitipro Gel for stubborn areas

For experienced adult users targeting difficult hand or foot patches during an autumn/winter NB-UVB routine, Vitipro Gel (Extra Strong) can be added as a night-time application. This is not for beginners — introduce it only after several months on the standard protocol. Apply Vitipro at night; at the next lamp session, start at half your usual exposure time and apply Vitistop Gel 30 minutes before the lamp as normal. Do not combine Vitipro with sunlight sessions.

Sunlight

Summer alternative

Using controlled sunlight

Apply Vitistop Gel 30 minutes before exposure. Start with 5 minutes and increase by 5 minutes per session when there is no redness the next day. The target is the same mild, temporary pinkness — typically 15–30 minutes in total, depending on skin type and season. Treat 2–3× per week with at least 48 hours between sessions.

Protect surrounding skin with SPF 50+ sunscreen from the start of every session, leaving only the selected patch unprotected during the measured window. After the exposure is done, apply SPF 50+ to the patches themselves before any further time outdoors.

Real treatment progress

Results with Vitistop Gel and sunlight

What to expect: Small dots of new pigment may appear after 4–8 weeks. Meaningful progress typically requires several months of consistent treatment.
Areas respond differently: Face, neck and body respond more readily. Hands, fingers and joints usually take longer.
White hairs within patches: If a patch contains white (depigmented) hairs, repigmentation is typically slower and less complete. Plan for a longer horizon — do not compensate by increasing exposure beyond a mild reaction.

The photos below show progress on the hands — generally one of the hardest areas to repigment. The customer used only Vitistop products with controlled sunlight exposure.

Vitistop Gel and light treatment results on hands Visible repigmentation progress on hands

"I am more than satisfied with the product. The improvement is clearly visible, and it has made me feel so much better emotionally. ❤️ Thanks to you, I no longer have to hide my hands under the table." — Marta

The results might have been even better with prescribed Protopic alongside a 311 nm NB-UVB lamp during the winter months.

Lifestyle habits

Supporting your treatment naturally

Lifestyle habits that help

None of these replaces the core protocol — they complement it by strengthening your immune system and creating better internal conditions for repigmentation.

Varied diet

Vitamins B12, D, E · copper · zinc · antioxidants — colourful vegetables, legumes, nuts.

Regular movement

Walking, cycling, swimming or yoga 3–5× a week. Reduces chronic inflammation over time.

Stress & sleep

7–8 hours sleep. Meditation, breathwork or outdoor walks — whatever genuinely helps you unwind.

Sauna & cold

Alternating heat and cold (sauna → cold shower or dip) improves circulation. Build up gradually.

Sun protection

Use SPF 50+ on all exposed depigmented skin every day — outside your treatment window. During a session, protect surrounding skin; apply SPF 50+ to the patch itself as soon as the window ends.

Gut health

Fermented foods, fibre and diverse plants support immune balance. Healthy gut, healthier skin.

Avoid friction & injury

Repeated rubbing, tight waistbands, harsh scrubbing or skin trauma can trigger new patches — especially on hands, feet and pressure points.

Not sure which routine fits you?

Answer 10 quick questions and we'll build a personalised treatment plan — or contact us directly and we'll help you choose.

This guide provides general information only and does not replace diagnosis, medical advice or the instructions supplied with an NB-UVB device or prescription medicine.

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