Pregnancy Interaction

• Not recommended during pregnancy.
• Tretinoin (a retinoid) is not safe because it can hurt the fetus.
• Hydroquinone is absorbed well by the body, although its safety is not clear.
• Mometasone (a steroid) could slow down the growth of a fetus.
• Should NOT be used when trying to get pregnant.
• When breastfeeding, don't put it on your breasts or large areas because the steroid and tretinoin could go to the baby.

Faq For Medicine

Q1. What is this cream for?
For dark spots, melasma, post-acne markings, hyperpigmentation, and face pigmentation that won't go away.

Q2. How long will it take for me to see results?
You will start to feel better in 2 to 4 weeks, and the optimum results will be in 8 to 12 weeks.

Q3. Can I use it during the day?
No. You can only use it at night.

Q4. Is it good for acne?
Not for active pimples, although it works great on acne marks and dark spots.

Q5. Will the color come back if I stop?
Yes, sometimes. To keep the results, you need to shield yourself from the sun.

Q6. Is it safe to use for a long time?
No. Long-term use can make the skin thinner, make you dependent on steroids, and irritate tretinoin.

Expert Advice

• Only use at night and in very little amounts (the size of a pea).
• Put on sunscreen (SPF 30–50) every day.
• Unless told to, do NOT use for more than 6 to 8 weeks in a row.
• Don't wax, scrape, or have facials while using it because it can irritate your skin.
• Don't use on:
• Wounds that are open
• Eczema
• Skin that has been burnt by the sun
• Around the mouth and eyes
• Before you use it for the first time, do a patch test.
• After discontinuing, switch to light lotions for maintenance, including niacinamide, azelaic acid, or vitamin C (with help).

Side Effects

• Normal
• Redness
• Dryness
• Feeling of burning
• Taking off
• A little bit of irritation
• Not as Common
• Skin thinning (due to steroids)
• Telangiectasia (tiny blood vessels that can be seen)
• Breakouts of acne
• Sensitivity to light
• Stop right away (really)
• Very bad burning
• Swelling
• Getting darker instead of lighter
• Marks on the skin
• Skin darkening (exogenous ochronosis from hydroquinone – uncommon but severe)

 How it works

• A) Hydroquinone
• Agent that lightens skin
• Stops the formation of melanin
• Lessens dark patches and skin color
• B) Mometasone (a topical steroid)
• Lessens swelling
• Helps keep redness and irritation under control
• Makes it easier for other substances to get through
• C) Tretinoin (Retinoid)
• Increases the rate at which skin cells die and are replaced
• Takes out dead pigmented cells
• Helps hydroquinone get into the body better
• Lessens fine wrinkles and acne scars
• The effect together
• Quick and substantial improvement in melasma, skin dullness, acne scars, and pigmentation.

Medicine Interaction

• Don't mix with:
• Other retinoids include adapalene and retinol.
• Benzoyl peroxide
• Glycolic and salicylic acid are AHA/BHA exfoliants.
• Vitamin C in the morning (may cause irritation if used with)
• Steroid creams (may make skin thinner)
• Any harsh scrubs
• Only use mild cleansers and moisturizers.

 How to Use

• Wash your face with a gentle cleanser and then wait 20 minutes for your skin to dry completely.
• Only put a pea-sized amount on the area that is hurting.
• Once a day at night.
• If you feel irritation, you can skip the moisturizer and go straight to the next step.
• Put on broad-spectrum sunscreen every day in the morning.
• Continue for a maximum of 6 to 8 weeks, unless your doctor says otherwise.
• Do not use on:
• Eyes
• Lips
• Nose corner
• Don't rub; just apply.

 Uses / Indications

• Melasma is when brown spots appear on the face.
• Too much pigmentation
• Dark patches after acne
• Freckles
• Spots on the skin
• Skin tone that isn't even
• Pigmentation caused by the sun
• Dark spots on the forehead and cheeks