Thanks a million Dr Kaplan, your response gives Me hope of having a treatment possibility. I wish you were in Houston so I can rush for treatment, there seems to be no scar Dr in Houston. Where can I get the HQ (at 6% OR 8%) so I can try it; am dark skin, will it work for me? My former dermatologist tried some kind of laser with only made things worst and added hyperpigmentation on my legs and so we did not even try my arms anymore, but I will be grateful if you can tell my were to get HQ 8%.
Where Can I Get HQ 8%?
Doctor Answers 6
Compounding Pharmacy for 8% Hydroquinone
Most full compounding pharmacies can make a Hydroquinone to your desired strength, and common strengths range from 6-10%. Most Dermatologist have a good working relationship with some of these pharmacies. Note, these are NOT your big box pharmacies, but more of the "mom and pop" shops.
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Highly potent bleaching cream
4% hydroquinone is the highest concentration that may be obtained through pharmeceutical companies. 8% hydroquinone is the highest strength that can be prepared (due to chemical properties of the drug) and many compounding pharmacies will prepare it with a physician's order. If you live in Houston and need treatment of hyperpigmentation, you may wish to consult with Dr. Paul Friedman.
Melarase creams vs. Hydroquinone 8% cream
Although some physicians prefer higher dose hydroquinone, others like myself believe that hydroquinone is not better when used in higher concentrations. With this belief, I advocate tyrosinase inhibition by multiple active ingredients rather than high dose hydroquinone. There are many combination tyrosinase inhibitors, including my preference which is Melarase AM and Melarase PM.
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Hydroquinone 8% is Prescription Strength
Hydroquinone 8% is Prescription Strength and should be applied to dark patches or hyperpigmented scars after proper examination by a board-certified physician.
Hydroquinone from Compounding Pharmacy
8% hydroquinone can only be obtained form a compounding pharmacy. You must get a prescription for a physician.
Hydroquinone and hyperpigmentation
The highest percentage of hydroquinone (HQ) in topical medications that are produced in the US is 4%. To get a higher percentage, your doctor would need to have the medication made by a compounding pharmacy. Care must be taken with higher percentage HQ creams, as there are numerous reports of paradoxical hyperpigmentation, called exogenous ochronosis, that can occur with prolonged use of higher percentage HQ creams. Please have your treatment monitored by a board certified dermatologist.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.