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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.