Dark patches on the face, often due to conditions like melasma or sun damage, require careful treatment tailored to the cause. One commonly recommended medication is Melacare Cream, which combines hydroquinone (a skin-lightening agent), mometasone (a corticosteroid), and tretinoin (a retinoid) to reduce pigmentation and improve skin renewal.

1. Understanding Dark Patches (Hyperpigmentation)

   • Dark patches can result from melasma, post-inflammatory hyperpigmentation, or sun exposure.
   • Identifying the exact cause helps in choosing the right treatment.

2. Common Skin-Lightening Medications

   • Hydroquinone reduces melanin production, lightening dark spots.
   • Combination creams like Melacare include corticosteroids and retinoids to enhance effectiveness.
   • Other agents include azelaic acid and kojic acid, but these are usually prescribed by a dermatologist.

3. Safety and Usage Guidelines

   • Use such creams strictly as prescribed by your dermatologist.
   • Avoid applying on broken or sensitive areas like eyes and mouth.
   • Protect your skin from sun exposure by using sunscreen and wearing protective clothing, as these treatments can increase sun sensitivity.

4. Additional Treatments and Lifestyle Measures

   • Procedures like chemical peels or laser therapy may be recommended as adjuncts.
   • Daily sunscreen use and minimizing sun exposure are crucial to prevent worsening pigmentation.

5. Reviewing Your Current Prescription

   • Follow your dermatologist’s instructions carefully.
   • Report any side effects such as redness, irritation, or burning to your dermatologist promptly.

6. When to Seek Further Medical Advice

   • If you experience persistent irritation or no improvement after several weeks, consult your dermatologist again.

7. Relevant Medical Specialties

   • Dermatologists specialize in managing pigmentation disorders and should guide your treatment.

If you want, I can explain how each ingredient in Melacare Cream works or discuss alternative treatments. Meanwhile, please continue consulting your dermatologist for personalized care.To narrow down potential causes, we will need some more information.I understand you're looking for skin-lightening medication for dark patches on your face and have already consulted a dermatologist. Could you please share your age and gender?