Hyperpigmentation on the face, turned red and scaly, itchy on using melaglow. Help?
Patient: What medication should you suggest for hyper-pigmentation on the face, on a specific area in a female patient of 20 years....(Its not the dark circles , it is on the left upper part of cheek....a dermatologist prescribed melaglow to apply it.....it got very fade after applying it for 2 months but later it got worsened.....it turned red...and scaly....and started itching....so the cream was stopped....now there is no itching but the pigmentation is still present)....please help Doctor: Hi, Welcome to HCM. 'Hyper-pigmentation on upper part of left cheek'-it needs a proper clinical diagnosis before starting treatment. Common cause of this type of spot is melasma. For management of melasma you could apply a sunscreen cream /lotion (e.g Spectraban) at morning and a 4% Hydroquinone preparation (Eldopaque/ Eldoquinn forte) at every night on affected area. You might required laser surgery if your diagnosis would nevus of Ota or other conditions. Therefore i suggest you to visit a dermatologist before starting any treatment. With regards.