Pigmo

Indications

Barsina is a Unani herbal preparation traditionally used for vitiligo and leucoderma, conditions in which white patches appear on the skin because pigment cells stop making colour (in Unani medicine this is called Baras). Formulas vary between makers and often include plants such as Babchi (Psoralea corylifolia seeds). Scientific evidence for these products is limited, and results, if any, are slow and variable. It is not a proven cure.

How It Works

Some plants used in these formulas, especially Babchi, contain psoralens. These compounds make the skin more sensitive to sunlight, and controlled sun exposure may then stimulate pigment cells to produce colour again in the white patches. Other ingredients are traditionally included to support digestion and blood purification according to Unani principles.

Dosage and Administration

Use only as directed on the label or by a registered Unani practitioner, by mouth and/or on the skin depending on the product. If the product requires sun exposure, follow the exact timing advised and start with very short periods, because too much sun can cause burns and blisters. Treatment usually lasts several months and should be reviewed regularly.

Interactions

Avoid combining with other medicines that make the skin sensitive to light, such as Methoxsalen, Doxycycline, Ciprofloxacin, Hydrochlorothiazide or Isotretinoin, unless a doctor advises it. Because some ingredients can affect the liver, tell your doctor if you take medicines that can harm the liver, such as Methotrexate or Paracetamol in high doses. Inform your doctor about any herbal product you use.

Contraindications

Do not use if you are pregnant or breastfeeding, have liver disease, lupus or another light-sensitive skin condition, a history of skin cancer, or are allergic to any ingredient. Do not give to children unless a registered practitioner or doctor advises it.

Side Effects

Possible side effects include:

• Redness, itching, burning or blistering of the treated skin, especially after sun exposure
• Darkening of the skin around the patches
• Nausea, stomach upset or loss of appetite

Get urgent medical help for severe sunburn or large blisters, yellowing of the skin or eyes, dark urine, severe stomach pain, or signs of an allergic reaction such as swelling of the face or throat or difficulty breathing.

Pregnancy and Lactation

Do not use during pregnancy or breastfeeding. Psoralen-containing herbs may harm the unborn baby and their safety in breastfeeding is unknown.

Precautions and Warnings

White patches on the skin can have several causes, so have the diagnosis confirmed by a skin specialist before starting. Protect treated skin and eyes from excess sun, and use sunglasses on sunny days. Stop use and see a doctor if the skin burns, blisters or the patches spread quickly. Long-term use should be supervised, with liver checks if advised.

Overdose

Taking too much may cause severe skin burns on sun exposure, nausea, vomiting and possible liver injury. Stop the product and seek medical advice; keep out of bright sunlight until checked.

Therapeutic Class

Unani herbal preparation (traditionally used for vitiligo).

Storage

Store below 30°C in a dry place, away from light and out of the reach of children. Keep the container tightly closed.