What topical and oral therapies do you prescribe for patients with recalcitrant melasma?
Answer from: at Community Practice
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 + vitami...
Comments
at Scripps Clinic I agree. It's the first thing to do. That is a gre...
I agree. It's the first thing to do. That is a gre...