MEDICAL SCHOOL

 

 

 

  Doctors often use  hydroquinone  as the first line of treatment for melasma. Hydroquinone is available as a lotion, cream, or gel. A person can apply the hydroquinone product directly to the patches of skin that are discolored. Hydroquinone is available over the counter, but a doctor can also prescribe stronger creams. Triple combination cream (hydroquinone, tretinoin, and corticosteroid)  remains the most effective treatment for melasma, as well as hydroquinone alone. Chemical peels and laser- and light-based devices have mixed results. Oral tranexamic acid is a promising new treatment for moderate and severe recurrent melasma. Your dermatologist may prescribe azelaic acid or kojic acid to help reduce melasma. Most people with melasma do not need treatment.  Melasma may fade away slowly  if you stop taking birth control pills or hormone replacement therapy. If melasma appeared while you were pregnant, it may go away a few months after you have the baby.