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7.6 Other drugs potentially useful in vitiligo Metformin, a widely used anti-diabetic drug, is gaining attention for its role in treating immune-mediated disorders due to its immunomodulatory and anti-inflammatory properties ( Fibrates are a class of drugs primarily used to manage dyslipidemia that activate the PPAR- ( Given their well-established use in cardiovascular medicine and their favorable safety profile, fibrates could emerge as a novel adjunctive therapy for vitiligo, especially in patients with coexisting lipid abnormalities or metabolic syndrome