HomeAnswersDermatologymelasmaI have melasma. How to get rid of it?

How to get rid of melasma?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At March 11, 2016
Reviewed AtFebruary 15, 2024

Patient's Query

Hi doctor,

I am a 28-year-old male. I am having melasma over the last eight years. I am using Lookbrite cream at night and Melalite and Dermadew lotion in the morning with Suncros sunscreen SPF 26. But when I stop using it, the melasma increases. It becomes darker on the cheeks and nose. Please suggest any medicine to get rid of these ugly spots.

Answered by Dr. Sushil Kakkar

Hi,

Welcome to icliniq.com.

I have read your question and understood your concern. Melasma can relapse. Therefore, you must continue with a maintenance regime once your melasma clears. I suggest you to use a higher SPF sunscreen like Sebamed sunscreen like Sebamed sunscreen SPF 50+. In addition I would suggest you to use Aziderm 20% gel (Azelaic acid) twice daily for dark spots. In morning use Aziderm after washing face and after 30 minutes, apply sunscreen over it. At night apply Aziderm and leave it overnight. Aziderm is slower acting, but it is safe. It can also be used for maintenance therapy. Melalite (Hydroquinone) and Lookbrite (combination of Hydroquinone, Tretinoin and Mometasone furoate) are steroid based creams and cannot be used for more than a month as they can have side effects.

Patient's Query

Hi doctor,

Thank you for the reply.

The creams which I mentioned above were used two years back. Now 15 days ago I visited a dermatologist. He gave an injection on dark spots and prescribed me Kojivit gel. Can I use this? Will it be effective?

Answered by Dr. Sushil Kakkar

Hi,

Welcome back to icliniq.com.

Yes, (Kojic acid) Kojivit gel is fine. You can try that.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sushil Kakkar
Dr. Sushil Kakkar

Dermatology

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