Get spot-on prescription treatment for melasma without leaving home

Melasma is a skin condition that includes dark blotches or smooth, freckly patches of skin, usually on the face. It is much more common in women, especially those with darker skin. Many people first notice melasma during pregnancy or after starting birth control pills. It can last anywhere from a few months or years to a lifetime.

Melasma is not dangerous and it is not a sign of cancer. Melasma occurs when skin cells called melanocytes produce more melanin, a substance that is responsible for skin, eye and hair pigmentation.

Researchers believe there is a genetic component to melasma, and individuals with a family history of melasma may not be able to prevent it from developing. You can minimize or reduce melasma by using high-SPF sunscreen, avoiding direct sunlight and choosing birth control methods that do not contain estrogen or progesterone. Melasma is sometimes triggered by an event, such as pregnancy or increased sun exposure, and may clear up after the event passes.

Medicated creams can help reduce uneven skin tone related to melasma. Two common topical medications for melasma include Hydroquinone and a combination medication that includes Fluocinolone, Hydroquinone and Tretinoin. Hydroquinone lightens skin pigment and works by blocking melanin production. Tretinoin is a retinoid, a chemical formed from vitamin A, that encourages cell turnover. Fluocinolone is a corticosteroid that reduces swelling, itching and redness.

Medicated creams are typically applied once or twice a day, or as directed by your provider. The creams should be applied on clean skin before sunscreen or make-up. It’s important to know that some melasma creams can make your skin more sensitive to the sun, so it’s especially important to practice good sun safety while using these medications.

Some melasma medications can cause skin dryness, stinging, redness or blue-black skin discoloration, especially for people with darker skin. These medications can also make your skin more sensitive to the sun and increase the risk of sunburn. Talk to your medical provider about how long you should use your melasma medication or if you notice any worsening of skin discoloration while taking these medications.

You can get prescription melasma treatment with an online medical consultation with Dr. B. To get started you'll complete a comprehensive health assessment, which is reviewed by vetted doctors and medical providers. If your medical provider recommends a melasma prescription, you'll be able to choose from several different brand and generic options (or your provider can make a recommendation). After that, your prescription will be sent right to your pharmacy.

At this time, we don’t submit medical consultation claims to insurance companies, but you can use insurance for any resulting prescriptions at your pharmacy.

We’ll send you a reminder for an online assessment when it’s time for your next refill.