Is Triluma good for pigmentation problems?

Hello, I was wondering what your opinion is on TriLuma for hyperpigmentation. I like the idea of a cream with both tretinoin and hydroquinone. On the other hand, I'm worried about the effect of using a steroid long term, and the 4% on the hydroquinone seems rather high. Any thoughts on this? Thank you!

I’m going to steer you to the blog content also on this one.   The combination of the 4% hydroquinone, plus tretinoin, plus a mild steroid has been proven to be more effective for more people than hydroquinone 4% alone.  Other readers questions on hydroquinones

This is because the mild steroid helps to reduce the irritation from the hydroquinone which can be a problem AND the tretinoin helps to prevent the side effects of the steroid.   It was originally called a “triple cream” or the Kligman formula after the professor at University of Michigan who invented it. 

Having said that, I still strongly vote for using hydroquinones with a doctor’s supervision and limiting their use to 3-4 months out of a year.    The EU has banned hydroquinones which is controversial in the U.S.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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