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Have pigmentation and dark patches on face. Using HHlite cream and neutrogena. Remedy?

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Practicing since : 2008
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Hello doc.,

My name is XXXXX, I am an Indian, and have come to New Zealand since past one month. I have a pigmentation problem on my face which has become very acute. I have dark patches all over my faces. My skin doc in mumbai had recommended the use of HHlite cream to be applied over my face at night. Of course, it did help. But right now I have run out of the cream and the same cream is not available in New Zealand. Due to climatic weather here, I am exposed to sunlight and I use a neutrogena sunscreen of 50spf on my face. However, the dark patches still persists. Plz help me and recommend me use of some medication here in nz . I may mention here that 2 years ago, I had a very fair, clear and glowing complexion without any blemishes on my face. I am very worried. I seek you immediate help. My email add is : YYYY@YYYY

I look forward to your reply.

Thank you doc.

Posted Sat, 13 Jul 2013 in Skin Hair and Nails
Answered by Dr. Geetika Paul 2 hours later

Thanks for your query.

Now your problem is that of skin pigmentation over the face.
You have been using HHlite over your face which is a triple combination cream containing Mometasone, tretinoin and hydroquinone.
It is a commonly used lightening agent but I would like to make you aware that this triple combination cream cannot be used at a stretch for more than 3 months.
For sure, it has to be used only at night.
Now if you have been using it for less than 3 months, then you can try if you can get the same there at your place by citing the cream components which are mometasone 0.1%, Tretinoin 0.025% and hydroquinone 2%.
But if you are not able to find it as an over the counter drug, then there is another safe lightening agent which can be easily used for a longer period of time. This is a combination of kojic acid and vitamin C. Kojic acid 2 % percent creams are mostly easily available.
This can be applied over the affected areas even twice a day. And as it contains natural products, so it can be used for many months together without causing any harm to the skin.
Now in New Zealand, since the sun rays also tend to be more vertical, so continuous and proper usage of sunscreen is very essential.

Use proper sunscreen (spf>26) before going out in the sun so that the lesion doesn't darken any further . Sunsreen should be applied atleast 20 minutes before going out in the sun. In case of long term exposure to sun, re apply the sunscreen every 3-4 hours.

Take a diet XXXXXXX in vitamin C and antioxidants like Citrus fruits and lots of salads.

Hope it helps.

Any other query, please let me know.

Dr Geetika Paul
Above answer was peer-reviewed by
Follow-up: Have pigmentation and dark patches on face. Using HHlite cream and neutrogena. Remedy? 5 hours later
Hi doc,

Is Kojic acid cream available in New Zealand ? Or any particular name ? Plz reply.


Answered by Dr. Geetika Paul 3 hours later

I may not be able to tell the brand names which might be available there at your place, but since kojic acid is a commonly available and used agent for pigmentation, I am sure it should be available there. You can quote the agents name while looking for the drug.
You can look for either kojic acid 2% alone or in combination with vitamin C.

Dr Geetika Paul.
Above answer was peer-reviewed by
Follow-up: Have pigmentation and dark patches on face. Using HHlite cream and neutrogena. Remedy? 12 hours later

I have tried for the Kojic acid base cream here in nz, but it is not available with any of the drug store. Kindly suggest an alternate cream as I am now getting impatient.

Plz reply.


Answered by Dr. Geetika Paul 2 hours later

It's unfortunate that you are unable to find kojic acid; it's a very common ingredient present in skin lightening products. Since I am unaware of the brands available at New Zealand, I'll suggest other alternative lightening agents. These include:
Glycolic acid available as 6 % and 12 % creams ( to be applied to the affected parts only at night).
Arbutin and licorice extracts ( application is twice a day).
Azelaic acid 20% or 40% cream (application is at night only).

I have suggested various salts which you might be able to find there.

Your nearest pharmacist would know about these salts/ingredients. However in case, you are unable to find any of these, then I would suggest you to consult a physician or a skin specialist there in order to get a prescription according to the skin condition.

Hope it helps,

Dr Geetika Paul.
Above answer was peer-reviewed by
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