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You can actually by hydroquinone over the counter without a prescription at CVS, Walgreens, etc., but only the 2% strength is available. Prescription strength starts at 4%. Some doctors find a combination of medications to be more effective at lightening skin. Hydroquinone can be combined with kojic acid, tretinoin, and hydrocortisone to improve lightening efficacy. This is created at a compounding pharmacy where potency and ingredients can be varied as directed by your doctor. Usually a dermatologist or plastic surgeon will prescribe this formula. It may also be available in prescription retail products such as those provided by Obagi. Good luck!!
There are many options for lightening creams. I emphasize that patients should begin a HQ and non-HQ regimen, such as that found in Melarase AM and Melarase PM. Both creams can be found in the Phillippines.
We recommend Melarase creams to our patients who have hyperpigmentation. There is a push" towards non-hydroquinone creams and we advocate both hydroquinone and non-hydroquinne regimens for optimal reduction of hyperpigmentation in our practice. We recommend the Revitalization Mini Kit to our patients.
Hydroquinones over 2% can only be prescribed from a doctor's office. My office compounds for patients higher strength hydroquinones with Retin-A for even more lightening effect. Just remember to use sunscreen with any of these agents.
The effective percentage for bleaching cream is 4 % (or higher) and that is prescription. It requires a doctor's visit and then can be purchased at most pharmacies.
Prescription hydroquinone 4% is legally prescribed in the United States. Of the products containing this ingredient, probably Tri-Luma is the best. However, there are production problems and it may be difficult to find. Lustra AF and Aclero are also good and more readily available. However, there is some safety concern about Hydroquinone and it is not available in many European countries. I do not know about the Philippines. OTC products that contain Hydroquinone at 2% ( which obviously is not as effective) include Ambi Fading Cream, Neo-Strat HQ and Alpha Hydrox. There are many others.
Jamaica Skin DiscolorationDark discoloration on the legs can be treated with Melapads and Melarase creams used twice daily to the skin. Raffy Karamanoukian MD FACS
Melarase creams and Melapads are excellent skin lightening creams for the hands, toes, and feet. Dark discoloration of the extremities takes a few months to lighten. Best, Dr. Karamanoukian Los Angeles
There are several prescription and non-prescription skin lightening products available to address your problem, for example, hydroquinone, any of which may or may not be appropriate, depending on your skin type. The key in the use of these products is not to use them to the point of causing...
