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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pimples And Dark Spots On Face, Anxiety. Applying Melacare. Will He Be Okay?

Hi sir,
I am so much worried about my son who is in Grade 10. He had lots of pimples and dark spots on his face. I took him to a doctor and she gave her apt medicines. but the pimples has gone and darkness still was there. After that I went to my job place. Now I heard that he is applying this Melacare and he became fair but reddish . I have read that it was the side effect of this medicine.I am very much anxious about his delicate skin? Please give me a suitable reply so that I can show them and make him convince about the medicine. He believes that he became handsome because of this medicine.
Tue, 14 May 2013
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Dermatologist 's  Response
Hello, Welcome to healthcare Magic
Melacare cream contains a mid potent steroid mometasone, hydroquinone and retinoid and it is not an over the counter preparation. It should be prescribed by a dermatologist who knows which condition to start it for and when to stop. Moreover it is used in pigmentary disorders like melasma and not for improving skin tone or pimples. Long term use can cause steroid induced Rosacea, Acne, Thinning of skin, Redness and increased sensitivity to sunlight. It has to be stopped immediately under guidance of dermatologist because once you stop the cream skin is going to become bad and to control such flare ups a dermatologist is required. He will also suggest non steroidal creams and services for regular skin care.
Hope this helped
Take care
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Dermatologist Dr. Neera Kataria's  Response
Hi, thanks for your query.

Melacare has hydroquinone, tretinoin and momatosone. It is prescribed for hyper pigmentation disorders.

Your son is using it for post inflammatory hyper pigmentation which is a sequel of acne.
He may use it but for a brief period of 2 weeks as it has moderate potency steroid momatosone which should not be used for a long time as it can cause skin thinning and dependance. .
Redness may occur due to tretinoin or hydroquinone. Both can cause sun sensitization so use of sunscreen is a must.

It is best to use it under dermatological guidance so that side effects may be managed if they occur and alternative creams can be prescribed and long term use and dependance can be avoided.

Hope this solves your query.


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Pimples And Dark Spots On Face, Anxiety. Applying Melacare. Will He Be Okay?

Hello, Welcome to healthcare Magic Melacare cream contains a mid potent steroid mometasone, hydroquinone and retinoid and it is not an over the counter preparation. It should be prescribed by a dermatologist who knows which condition to start it for and when to stop. Moreover it is used in pigmentary disorders like melasma and not for improving skin tone or pimples. Long term use can cause steroid induced Rosacea, Acne, Thinning of skin, Redness and increased sensitivity to sunlight. It has to be stopped immediately under guidance of dermatologist because once you stop the cream skin is going to become bad and to control such flare ups a dermatologist is required. He will also suggest non steroidal creams and services for regular skin care. Hope this helped Take care