I understand your concern and really feel sorry for you.
Management of melasma
can be challenging and requires long-term treatment with topical agents. The results are often unsatisfactory and topical agents may sometimes cause significant adverse reactions.
has remained the gold standard of topical treatment but concerns regarding its side effects remain. A triple combination of hydroquinone, retinoic acid
, and corticosteroids
has been suggested to be the first-line topical treatment for this pigmentary disorder and incidentally you ate undergoing the same triple combination treatment.
Many new agents that inhibit melanogenesis have been developed but they are not proving to be totally successful.
I would advise you to continue your treatment.