Is it safe to use hydro-cortisone 1% on face for 6-8 weeks in various cycles?
Doctor Answers 1
Steroid creams and prolonged use.
I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams and steroid creams. Bottom line is that the 10% HQ you are applying is on the higher end than most would prescribe, and yes, at that strength irritation can occur, hence the steroid. Stay guided by your dermatologist as to the period of time, as they would monitor your skin carefully. I personally would say 4-6 weeks would be safe, but then would drop the dose down after that.
I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams.
In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help.
All the best,
Dr Davin Lim
Laser, surgical and aesthetic dermatologist