I would like to know when do I use both medications: at night? what would I use first? is neutrogena liquid soap a good choice for washing face befor use of medications? Thank you
July 23, 2012
Answer: Melasma, hydroquinone and tretinoin cream
When first starting hydroquinone and tretinoin creams, alternate them at night so your skin slowly become accustomed to them. Use hydroquinone only on the brown spots and the tretinoin cream all over your face. If you are tolerating them, increase treatment to every night. If tolerated, also use the hydroquinone in the morning. You must use SPF 50+ and avoid the sun. Neutrogena or any mild cleanser is a good choice for washing your face.
You should consult with a board certified dermatologist who can prescribe more potent fading products for you and determine if you are a candidate for glycolic peels or laser treatments.
Helpful
July 23, 2012
Answer: Melasma, hydroquinone and tretinoin cream
When first starting hydroquinone and tretinoin creams, alternate them at night so your skin slowly become accustomed to them. Use hydroquinone only on the brown spots and the tretinoin cream all over your face. If you are tolerating them, increase treatment to every night. If tolerated, also use the hydroquinone in the morning. You must use SPF 50+ and avoid the sun. Neutrogena or any mild cleanser is a good choice for washing your face.
You should consult with a board certified dermatologist who can prescribe more potent fading products for you and determine if you are a candidate for glycolic peels or laser treatments.
Helpful
October 27, 2011
Answer: Treating Melasma
Ideally for your melasma you will have a proper assessment and management plan by your dermatologist. The soap is fine and won't affect things either way. I would use the hydroquinone in the morning, with sunscreen overtop and the tretinoin at night time after washing. As well, you can obtain a prescription for a combination cream which includes both ingredients along with other fading ingredients to be used simply at night time - see your dermatologist for this "Kligman formulation."
Helpful
October 27, 2011
Answer: Treating Melasma
Ideally for your melasma you will have a proper assessment and management plan by your dermatologist. The soap is fine and won't affect things either way. I would use the hydroquinone in the morning, with sunscreen overtop and the tretinoin at night time after washing. As well, you can obtain a prescription for a combination cream which includes both ingredients along with other fading ingredients to be used simply at night time - see your dermatologist for this "Kligman formulation."
Helpful