Hydroquinone + Tretinoin + Fluocinolone

Hydroquinone + Tretinoin + Fluocinolone — Uses and Benefits

This medicine is used for treating melasma, a common skin condition causing brown or grey-brown patches, usually on the face.

WHAT THIS MEDICINE IS USED FOR

• Treatment of melasma (skin pigmentation) on the face
• Sometimes used for other stubborn pigmentation disorders as advised by a dermatologist

HOW IT WORKS

• Hydroquinone reduces the formation of melanin, the pigment that causes dark patches
• Tretinoin increases skin cell turnover, helping lighten pigmented areas and improve penetration of hydroquinone
• Fluocinolone, a mild steroid, reduces irritation caused by the other two ingredients

WHAT IT IS NOT USED FOR

• Not used for acne, though tretinoin alone is used for acne
• Not used for general skin whitening or cosmetic lightening of normal skin
• Not used for treating pigmentation caused by other medical conditions without doctor advice
• Not used on broken, infected or sunburnt skin

How to Use Hydroquinone + Tretinoin + Fluocinolone

HOW TO TAKE IT

• For external use on skin only, not to be taken by mouth
• Wash and dry the affected area before applying
• Apply a thin layer as advised by your doctor, usually once daily at night
• Avoid contact with eyes, nose, mouth and broken skin
• Wash hands after application unless hands are the treated area
• Use sunscreen and avoid sun exposure during treatment, as advised
• Do not use more than the prescribed amount or for longer than advised, as this increases risk of side effects

IF YOU MISS A DOSE

• Apply as soon as you remember, but skip the missed dose if it is almost time for the next application
• Do not apply extra cream to make up for a missed dose
• Continue with your regular schedule

STORAGE

• Store at room temperature, away from direct heat and sunlight
• Keep the tube tightly closed
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Hydroquinone + Tretinoin + Fluocinolone — Side Effects

COMMON SIDE EFFECTS

• Redness of skin
• Dryness or peeling
• Mild burning or stinging after application
• Itching

LESS COMMON SIDE EFFECTS

• Increased sensitivity to sunlight
• Skin thinning with prolonged use
• Temporary darkening before lightening effect appears
• Visible small blood vessels on skin (with long-term steroid use)

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Severe skin rash, blistering or swelling
• Signs of allergic reaction such as difficulty breathing or swelling of face and lips
• Unusual skin discolouration or blue-black spots (ochronosis)
• Severe irritation, oozing or infection at application site

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Hydroquinone + Tretinoin + Fluocinolone — Safety Information and Precautions

This is a prescription-only medicine in India and should be used only under the guidance of a dermatologist.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to hydroquinone, tretinoin, fluocinolone or any other ingredient in the cream
• Are pregnant or breastfeeding, unless specifically advised by your doctor
• Have active skin infections, eczema, or broken skin in the area to be treated

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have sensitive or very dry skin
• Are using other skin products containing retinoids, acids or peeling agents
• Plan to spend a lot of time in the sun
• Have used this or similar creams for a long period before
• Are planning pregnancy

MEDICINES THAT CAN INTERACT

• Other topical retinoids or exfoliating agents may increase irritation
• Products containing benzoyl peroxide or sulfur used together may reduce effectiveness or increase irritation
• Other topical steroids used on the same area without doctor advice

FREQUENTLY ASKED QUESTIONS

How long does it take to see results?

Visible improvement in melasma usually takes several weeks to a few months of regular use as directed by your doctor.

Can I use this cream during the day?

It is generally recommended only at night since it increases sun sensitivity; sunscreen must be used during the day.

Can I use this cream on other parts of the body?

• It should only be applied to the area advised by your doctor, usually the face, and not on other body parts without medical advice.
• Doctor ya pharmacist se salah lein.