I've been prescribed clindamycin and avar for acne rosacea and hydroquinone for melasma. Any suggestions?

Question

I've been prescribed clindamycin and avar for acne rosacea and hydroquinone for melasma. Could someone please tell me in what order I should use the three in my regimen. I also use a moisturizer at night and during the day sunscreen.

Raffy Karamanoukian, MD, FACS · Answer

Dark pigmentation on the skin can be due to melasma, age spots, and sun damage. Melasma is a specific hormonally-influenced skin condition in which pigmentation is deposited by overactive pigment cells in your skin. 
  
In our office, we individualize treatments for melasma and skin discoloration based on skin type, skin complexion, hormonal influences, and ethnicity. 
  
Treatments for melasma begin with Melarase creams as follows: 
  
MelaClenz
  Melarase AM
  Melarase PM
  Melapads
  Replenish Retinoid Cream
  Additional therapies include fractional laser, fractional RF, Covalent peels, and LED microneedling with Replenish serum. The video demonstrates the clear and brilliant laser that is used alongside Melarase creams. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Davin Lim, MBBS, FACD - Account Suspended · Answer

OK, this is going to be tough. I generally limit the chemicals placed on the face if one has melasma, and tend to treat with adjunctive lasers. I would personally titrate HQ at night, and clindamycin during the day, but politically speaking, go with your dermatologist advice. I prefer not to use HQ on rosacea, but to treat this with very low dose vascular lasers, or even laser genesis. In context of melasma, I use once again a very low dose laser regime as it can flare up rosacea. Tricky situation, but can be managed by a competent laser dermatologist. Melasma is a very common cause of skin pigmentation. It can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours. This forms the foundation of all treatments. 
  
I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams or Meladerm. I start my patients on laser (low dose Q switch or Picosure) as this has shown to decrease pigment production by decreasing the activity of the cells that produce pigment. Laser itself is not aimed at ‘blasting’ pigment, but to slow down the rate of melanin production. Another laser I use is the Clear and Brilliant in the 1927 Permea setting combined with creams. IPL should never be used to treat mixed melasma as it often worsens the condition (this is termed ‘Rebound Melasma’) 
  
In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient according the type of melasma. Majority of patients will have mixed dermal and epidermal melasma. Approach melasma as a medical condition and not a cosmetic concern, and the success rate will be much higher. 
  
See a Board Certified Laser dermatologist with a special interest in disorders in pigmentation as well as one who has experience in treating all skin types, including darker Ethnic skin. 
  
All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia.

I've been prescribed clindamycin and avar for acne rosacea and hydroquinone for melasma. Any suggestions?

Answers (2)

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