Research has shown that NB-UVB eyelid phototherapy is a safe and effective treatment and does not penetrate the eyelid. For their patients old enough to understand the importance of keeping the eyes closed, many doctors permit removing the goggles for part of the time to expose depigmented areas around the eyes. Care must be taken however, not to over expose the eyelid, as the very thin skin will not tolerate a high exposure time. Eye protection is always required when using any type of psoralen and/or UVA light, such as with PUVA therapy.
Most topical treatments prescribed for vitiligo can be used on the face; however, care must be taken to prevent them from getting into the eye. Due to their many potential side effects, potent topical steroids are generally not prescribed for use on the face, except for very short periods of time while under careful supervision of the prescribing physician. Monobenzone for depigmentation is generally not used on the face due to the potential for a rash forming.
This prescription is a compounded cream for use only by those with extensive vitiligo and is available in strengths of 10%, 20% (most often) or 30% or 40%. This cream has been around for at least 30 years, and was formerly manufactured with the trade name of “Benoquin,” but is now most commonly known by its generic name “monobenzone.”
There are two pharmacies that offer it:
Custom Scripts Pharmacy
27732 Cashford Cir, Wesley Chapel, FL 33544
Has 20%, 40%, and 60% (backordered). Ask for Jim the pharmacist
305 N Lilley Rd, Canton, MI 48187
Phone: (734) 259-6700