Melasma can be caused by birth control pills. For patients who have developed skin pigmentation on the face, we recommend Melarase AM and Melarase PM creams for twice daily use.
Raffy Karamanoukian MD FACS
Melasma is common and annoying and often chronic skin condition. It is more common in people with darker skin types, and those who have extensive sun exposure. It is particularly common when a woman becomes pregnant ("the mask of pregnancy"), and less so when taking the birth control pill. I'm not aware of plaquenil as a cause for melasma. Diligent sun protection (hat/sunglasses/SPF) for life is critical to prevent worsening of the condition, and various fading creams, chemical peels, and lasers can help clear up existing melasma. Best to speak with a skin expert, a dermatologist, to determine the best treatment and preventative options for your skin type.