When considering the use of Dermi 5 cream for a patient with leucoderma, it is important to understand the components and their effects. Dermi 5 contains clobetasol propionate, a potent steroid, gentamicin (an antibiotic), clotrimazole and tolnaftate (antifungals), and iodochlorhydroxyquin (an antiseptic).

• Leucoderma is a condition characterized by loss of skin pigment, often due to autoimmune or other causes, and does not primarily involve infection.
• Using potent steroids like clobetasol on depigmented skin can sometimes cause thinning or other side effects, and should be done cautiously.
• The combination cream is mainly intended for treating fungal and bacterial skin infections, not for treating leucoderma itself.
• It is essential to consult a dermatologist before using this cream on leucoderma patches, as inappropriate use may worsen the condition or cause side effects.
• A dermatologist can recommend appropriate treatments specifically for leucoderma, such as phototherapy or topical agents designed to stimulate pigmentation.

In summary, Dermi 5 cream is generally not recommended for leucoderma unless there is a confirmed secondary infection, and its use should be guided by a dermatologist.