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Got pigmentation on nose when pregnant. Used skin lightinin cream. Used melacare, carofit ultra, sefpil and cosmilite. Sugest

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Practicing since : 2006
Answered : 2015 Questions
Hi Dr,
I got pigmentation on nose when am pregnant.I used skin lightinin cream which was suggested from skin Dr, from past 4 yrs.but no result...i used creams melacare, carofit ultra, sefpil, cosmilite.can you pls suggest right one for me.
Thank you.
Posted Mon, 29 Jul 2013 in Skin Hair and Nails
Answered by Dr. Kalpana Pathak 53 minutes later

Thanks for writing to us.

From the description it seems, you are having melasma. Melasma may occur in pregnancy and involves cheeks, nose, forehead etc.

The response to treatment depends upon the depth of pigmentation. If pigmentation is light brown then its superficial and response will be better and fast. If the pigmentation is dark, slate grey or blue , the response will be varied.

You have used many pigmentation reducing creams but I would like to know
for how long have you used them.

If there was a response with these creams, If after getting response, there was a recurrence due to stopping of these drugs. How do you apply these medications or how many times have you used these.

If you take oral contraceptive pills or have sun light exposure or taking any other medication for any disease or having thyroid disorder.

Please answer these queries and if possible attach an image of your pigmented area, so that I can provide best personalized treatment plan to you.

Hoping to hear from you soon.

Take care,
Above answer was peer-reviewed by
Follow-up: Got pigmentation on nose when pregnant. Used skin lightinin cream. Used melacare, carofit ultra, sefpil and cosmilite. Sugest 6 hours later
Haloo Dr,
Am using these creams from past 3 yrsone by one atleast 6 month, but no change.when I used cosmolite it worsten (darken) after that, I didn't used any cream for 6 months.

Its likr dark brown color on nose and between chin and lip.
I hav't used any contraceptive pills and no other medications.I don't have thyroid problem.l got this when am 4months preg..and increased.
I had lager treatment also in my town with skin Dr. But no use, its 6 secession , at 6th time the skin was burned. And dr stopped treatment and I used for that sefpil cream.
Pls suggest any treatment for this and suggest any dr for direct treatment in bangalore and I can go for it to banglore.
And am house wife and no need to go sun exposer and am also using spf50 based cream.
Thank you dr.
Answered by Dr. Kalpana Pathak 6 hours later
Thanks for providing me with details.
The dark area over nose seems to have increased after laser sessions due to post inflammatory hyperpigmentation.
I can understand your concern when despite using every available product for melasma, you did not achieve remarkable response.

I would like to offer you a treatment plan that might work for you.
Firstly continue with sunscreen and stop sefpil cream.
Take tablet pinodin tx one tablet daily. Its a tranexemic acid and procynathidin based tablet and results show it has quite a good response in pigmentation.

Buy three creams separately- hydroquinone 4%, hydrocortsisone cream and tretinoin gel 0.1%. take equal and small amount of these three, mix with your fingers and apply over affected area. The amount applied should be very less. Initially for first week, use it on alternate nights. Then from second week every night. If in case redness or stinging occurs please decrease the concentration of tretinoin and hydroquinone and increase hydrocortisone. However if the cream is used judiciously in small amount and not rubbed vigorously, chances of irritation are less. After three weeks we will make a slight change and then you will need to apply hydroquinone 2% and tretinoin 0.05% mixed in equal quantities and applied every night for two weeks. Though this sounds a bit cumbersome but it works in resistant cases.
If in case the response is suboptimal after five weeks,I will prefer adding few sessions of spot trichloroacetic acid peels. Here we apply TCA only over pigmented areas. The compund therapy should give you results.
I would advise you to follow these steps and get back to me for follow up after a month.
If in case you have any doubt please write back for clarifications.
Above answer was peer-reviewed by
Follow-up: Got pigmentation on nose when pregnant. Used skin lightinin cream. Used melacare, carofit ultra, sefpil and cosmilite. Sugest 1 hour later
Haloo Dr,

Thank you.
I will do the same what you sugested to me, and how long do I use pinodin tx and at what time-day or night.
Madam, where should I go for spot TCA peel.........sugest me.
Thank you so much madam.


Answered by Dr. Kalpana Pathak 21 hours later
Thanks For writing back.
You can take pinodin Tx at any time however it should be a fixed time in a day.
Take it atleast for two months.
Right now i will just advise medical treatment, let us see the response after three weeks and then we can decide for spot TCA. Prior to any peels, priming of skin should always be done with pigmentation reducing creams for better results. So either way we have to begin with medical treatment first.
Spot TCA peels can be taken at any dermatologist's clinic or at any cosmetic centre like XXXXXXX skin clinic etc.
Hope that helped you
Take care
Above answer was peer-reviewed by
Follow-up: Got pigmentation on nose when pregnant. Used skin lightinin cream. Used melacare, carofit ultra, sefpil and cosmilite. Sugest 5 hours later
Haloo Dr,

Thank you for reply,

Today i tried to get tablets and creams, but the tablets pinodin Tx with combination
tranexemic acid and procynathidin based tab r not available here any where, and Hydroquinone 4% and 2% are also not available in market hydroquinone with some other combinations r available. Pls, can you replace those with some other madam.

Thank you,
Answered by Dr. Kalpana Pathak 17 hours later
Apolpogies for the delayed response.
Pinodin Tx is a product by NEX GEN RX PHARMACEUTICAL COMPANY. You may ask your chemist to arrange for the same. Unfortunately only this pharma company manufactures the said product, so I cannot suggest you an alternative. As Bangalore is approachable to you, you may get it from there.

Hydroquinone 4% is available as melalite forte cream( abbott pharma)
Hydroquinone 2% is available in combination with tretinoin as Melalong( XXXXXXX pharma), skinlite ever, melapik ever etc/
Hope that helped.
Take care
Above answer was peer-reviewed by
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