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Can I Use Melanocyl Ointment Along With Diplene Ointment For Post Inflammatory Hypopigmentation?

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Posted on Thu, 19 Dec 2013
Question: ,,,,,i wanted to know that is melanocyl ointment used in post inflammatory hypopigmentation,a dermat has prescribed it to my son,11 yrs old,along with diplene ointment[clobesonate] diaagnosing his condition as post inflammatory hypopigmentation,,
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Answered by Dr. Dr. Kakkar (23 minutes later)
Brief Answer: Melanocyl oint contains Psoralen. Be careful!! Detailed Answer: Hi. Thanks for writing in to XXXXXXX Melanocyl ointment contains psoralen (8 methoxypsoralen). It is commonly prescribed by dermatologist primarily for VITILIGO patients. Method of use is to apply on the affected area and after 30min expose that area to sunlight for 2-5 mins. Its an aggressive modality of treatment considering that your son has just Post-inflammatory hypopigmentation (I hope your treating dermatologist was'nt in some doubt of it being a vitiligo?) considering that it has some serious side effects like Phototoxicity and blistering if the application site is exposed a bit longer to sun (for example 2-5 min sun exposure might be safe and effective but 10-15 min might cause blistering and pain). Diplene is a superpotent steroid containing clobetasol and in my view it is not rational to prescribe it for Post-inflammatory hypopigmentation. Moderately potent steroids like fluticasone are rational therapy for Hypopigmentation but not superpotent steroids like diplene(clobetasol) If i was your treating doctor i would have asked you to apply Tacrolimus forte ointment or solution 0.1% twice daily on the hypopigmented area. Its a first line treatment without any serious side effects Another choice would have been a moderately potent steroid like fluticasone twice daily for 2-3 weeks. Take care regards Dr. kakkar
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Can I Use Melanocyl Ointment Along With Diplene Ointment For Post Inflammatory Hypopigmentation?

Brief Answer: Melanocyl oint contains Psoralen. Be careful!! Detailed Answer: Hi. Thanks for writing in to XXXXXXX Melanocyl ointment contains psoralen (8 methoxypsoralen). It is commonly prescribed by dermatologist primarily for VITILIGO patients. Method of use is to apply on the affected area and after 30min expose that area to sunlight for 2-5 mins. Its an aggressive modality of treatment considering that your son has just Post-inflammatory hypopigmentation (I hope your treating dermatologist was'nt in some doubt of it being a vitiligo?) considering that it has some serious side effects like Phototoxicity and blistering if the application site is exposed a bit longer to sun (for example 2-5 min sun exposure might be safe and effective but 10-15 min might cause blistering and pain). Diplene is a superpotent steroid containing clobetasol and in my view it is not rational to prescribe it for Post-inflammatory hypopigmentation. Moderately potent steroids like fluticasone are rational therapy for Hypopigmentation but not superpotent steroids like diplene(clobetasol) If i was your treating doctor i would have asked you to apply Tacrolimus forte ointment or solution 0.1% twice daily on the hypopigmented area. Its a first line treatment without any serious side effects Another choice would have been a moderately potent steroid like fluticasone twice daily for 2-3 weeks. Take care regards Dr. kakkar