<s>[INST] hello sir...i want to know how to stop vitiligo from spreading.is there any permanant cure for vitiligo so that i canget rid of this permanantly.l am taking an ayurvedic treatment for this since one year but the results are not satisfying. I am loosing hope. Please help. [/INST] Hello, Welcome to Chat Doctor. Vitiligo is an autoimmune disorder in which our body attacks its own pigment forming cells. If you are having actively spreading vitiligo, we call it unstable disease. You will benefit from taking low dose steroids which are given only on weekends as pulses to minimize the side effects. Many people postpone treatment and resort to alternative herbal remedies because of the fear of side effects of steroids. However, this will lead to rapid spread of the disease, and it will be too late to treat effectively. Low dose steroids given as pulses under supervision can stop the spread of disease and slowly cause repigmentation. There are other modalities like phototherapy, immunomodulator creams like tacrolimus and antioxidants which will also help. Please discuss with your dermatologist about these options. Do not neglect till it is too late. Earlier the treatment, better the results. Do not be frustrated as stress can worsen this disease. Be positive and motivated, and I am sure you will be fine. Wishing you good health, </s>