What Are the Alternatives to Tranexamic Acid for Melasma?

Hydroquinone treatment reduces pigment production in the skin and may be prescribed as part of a planned course. A clinician may also consider other topical ingredients or procedures, depending on the depth and pattern of pigmentation.

Melasma is influenced by light exposure, hormones, heat, and individual skin sensitivity. A treatment plan often combines pigment care with broad-spectrum sunscreen, shade, hats, and habits that reduce facial heat. Improvement can be gradual, and pigment may return when triggers persist.

Book a dermatology review to confirm that the patches are melasma and discuss hydroquinone treatment or another suitable option. Bring a list of skincare products and medicines, and mention pregnancy, plans for pregnancy, breastfeeding, hormonal contraception, or a history of blood clots before discussing oral tranexamic acid.

Use gentle, fragrance-free skincare and avoid picking or harsh exfoliation. Apply sunscreen consistently and reapply as directed, especially during outdoor activities.

Arrange an assessment for a new, changing, bleeding, crusted, painful, or one-sided dark mark rather than assuming it is melasma. Seek advice if a product causes blistering, swelling, severe burning, or persistent irritation.

Is this melasma or another pigment condition? Would hydroquinone treatment suit my skin? What should I use for light protection, and how will we reduce the chance of irritation or rebound darkening?