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Using Lomela cream for hyper pigmentation on face, color changes in face except cheeks and temporal areas. What next ?

hi doctor, Im am using lomela 18g cream for hyper pigmentation on my face for two week.. i got colour changes all my face except my cheeks and temporal areas... All my friends fearing me it must be a rash... wat can i do?/ further continue the cream or stop it at once... and also black heads also turned to pale ou... is the cream safer or has more effect to cause side effects in furtur?
Asked On : Wed, 10 Apr 2013
Answers:  2 Views:  289
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Dermatologist 's  Response
Lomela 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. We do not recommend it daily for more than a month following which we taper it and stop and add on a non steroidal lightening cream. Moreover it is used in pigmentary disorders like melasma and not for improving skin tone. Long term use can cause steroid induced Rosacea, Acne, Thinning of skin, Redness and increased sensitivity to sunlight. Use a sunscreen with spf 30 or more every 2-3 hrs during the day even if you are indoors. Avoid sun exposure as much as possible. Apply non steroidal lightening cream containing kojic acid at night.

Hope this helped

Take care
Answered: Wed, 10 Apr 2013
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Dermatologist Dr. Sanjay Kumar Kanodia's  Response
Dec 2013
Dear Padma,
Welcome to HCM.
You are using Lomela cream, I think as suggested by your friend or somebody. It contains Hydroquinone + Tretinoin + Mometasone. Now Hydroquinone is safe to use but other two contents Tretinoin and Mometasone are potential agents to cause side effects if not used under proper guidance by dermatologist. Tretinoin can cause irritation and Mometasone can cause hair growth and dependence in long term use.
So,you should stop using the cream immediately as it is causing color changes on your face which are not uniform.
Meet a dermatologist who can take care of both color and black heads. In between you can apply a water based sunscreen for 3-4 times a day.
Hope this information may help you. With best wishes for your skin,
Dr Sanjay K KAnodia
Answered: Wed, 10 Apr 2013
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