Acupuncture for vitiligo management, particularly where stress is a contributing factor. Multiple systematic reviews show acupuncture is more effective than control treatments, though study quality is generally low. Best evidence is for slowing progression and supporting repigmentation when combined with other treatments. Results are highly individual.

Ginkgo biloba extract for vitiligo, particularly for slowing the spread of new patches and supporting repigmentation. The most studied natural supplement specifically for vitiligo with RCT evidence.

Addressing psychological stress through mindfulness, meditation, therapy or lifestyle changes. Stress is a well-recognised trigger for vitiligo onset and progression. Managing stress may slow the autoimmune response driving melanocyte destruction.

Consistent use of broad-spectrum SPF50+ sunscreen on affected patches. Vitiligo patches lack melanin protection and are highly vulnerable to sunburn. Sun protection prevents damage and reduces contrast between affected and unaffected skin.

Antioxidant supplements including vitamin C, vitamin E, alpha-lipoic acid and zinc to reduce oxidative stress implicated in melanocyte destruction. Often used alongside phototherapy or other treatments.

Narrowband UVB (NB-UVB) light therapy for vitiligo repigmentation. The most widely used and evidence-based treatment for non-segmental vitiligo. Requires specialist referral and multiple sessions.

Counselling, CBT or peer support groups for the significant psychological impact of vitiligo. Vitiligo affects 16-35% of patients with psychiatric morbidity including depression and anxiety. Psychological wellbeing is integral to quality of life.