Melasma is a long-term skin pigmentation condition commonly triggered by sun exposure, hormonal changes, genetics, pregnancy, thyroid problems, or certain medicines. Treatment usually requires consistent sun protection along with medicated creams because melasma often returns if treatment is stopped early or sun exposure continues. Doctors commonly prescribe creams containing hydroquinone, tretinoin, azelaic acid, kojic acid, glycolic acid, or combination depigmenting creams depending on the severity and skin type. Daily use of a broad-spectrum sunscreen is one of the most important parts of treatment because sunlight can worsen pigmentation even during short exposure. Avoid harsh scrubs, unnecessary cosmetic procedures, or steroid-containing fairness creams without medical advice, as they may worsen pigmentation or damage the skin over time. In resistant cases, dermatologists may also suggest chemical peels, laser procedures, or oral medicines under supervision. Please consult a dermatologist for proper evaluation and a personalised treatment plan, especially if the pigmentation is spreading, becoming darker, or not improving despite previous treatment.

Dark patches on the elbows are usually caused by thickened or dry skin, friction, or sun exposure and are generally harmless. To improve them, moisturise regularly, gently exfoliate with mild scrubs or chemical exfoliants (like lactic or glycolic acid), and protect the skin from the sun. Blood pressure medicines like Cardace and Met XL usually do not cause darkening. Consult a dermatologist to rule out other causes.

Melamet Cream is a prescription medication containing Hydroquinone (2%), Mometasone (0.1%), and Tretinoin (0.025%). Because it includes a corticosteroid, it should be used only under medical guidance. Daily or long-term use without supervision can cause side effects such as skin thinning, irritation, or rebound pigmentation. Regular follow-ups with your healthcare provider are essential to ensure the treatment is safe, effective, and properly monitored.

For treating melasma, the most critical step is applying a broad-spectrum sunscreen (SPF 30 or higher) daily, as sun exposure triggers it. First-line medical treatments include prescription-strength Hydroquinone (2-4%) to lighten spots, often combined with a retinoid and a mild steroid (known as triple combination cream) for optimal results. Over-the-counter alternatives include Azelaic acid, Kojic acid, and Vitamin C. Because some of these active ingredients can cause irritation or worsening if used incorrectly, I highly recommend consulting a dermatologist for a personalised treatment plan.