What topical and oral therapies do you prescribe for patients with recalcitrant melasma?
1 Answers
Mednet Member
Dermatology · Forefront Dermatology
This is my Melasma algorithm:
- Hydroquinone triple cream qhs x 6 months + azelaic acid in the AM + tinted sunscreen
- Consider PO TXA (half of 650 mg tab bid), polypodium leucotomos bid (heliocare)
- Maintenance: stop hydroquinone and switch to compounded TXA/kojic/tretinoin combo cream qhs + vitamin C/...