About dark spots and melasma
Dark spots and melasma are areas where skin makes extra pigment. Sun exposure, hormones and skin inflammation can play a part. Your prescriber works out the type and cause before choosing a treatment.
We compound only when there is a clinical reason a commercially available product won't work for you, such as a strength or combination that isn't made commercially, a different base because of an allergy or sensitivity, or a different form.
Formulas we commonly prepare
Your prescriber chooses the formula. Creams are dispensed in 30 g unless noted.
- Tranexamic Acid 3% / Kojic Acid 2% Cream (refrigerate)
- Hydroquinone 4% / Tretinoin 0.05% / Fluocinolone Acetonide 0.01% / Niacinamide 4% Cream (refrigerate)
In GHK-Cu Peptide Cream Base (15 g or 30 g)
- Tranexamic Acid 3%
Don't see what your prescriber wrote? Call us at 626.631.6150.
How to use
Follow the directions on your label. Most of these are applied as a thin layer to the affected areas once or twice a day. Wash your hands after applying.
Before you start
Sulfites: the tranexamic acid / kojic acid cream and the hydroquinone cream contain sodium metabisulfite. Tell your prescriber and us if you are allergic to sulfites.
Pregnancy and breastfeeding: hydroquinone and tretinoin need review first. Tell your prescriber if you are pregnant, planning a pregnancy or breastfeeding.
Tretinoin increases sun sensitivity.
Stop and call your prescriber if you have severe redness, burning, swelling or a rash.