Skin specialists prescribe tranexamic acid to help lighten dark spots, melasma, and pigmentation. It works by reducing the skin?s overproduction of melanin pigment.

Skin specialists prescribe tranexamic acid mainly to help reduce excess skin pigmentation, especially in conditions like melasma and post-inflammatory hyperpigmentation, because research shows it can slow melanin overproduction and calm skin inflammation. It may be given as oral tablets, topical formulations, or, in some cases, injections, depending on the case. Because it is not suitable for everyone and has specific safety considerations, a dermatologist decides the correct form, dose, and duration based on your skin condition and medical history. Tranexamic acid also has broader medical uses, such as controlling or preventing bleeding in various non-skin conditions. Therefore, it is strongly advised not to use it yourself.

For melasma, the gold standard topical treatment is a prescription triple combination cream containing hydroquinone, tretinoin, and a mild steroid. Over-the-counter alternatives include azelaic acid, kojic acid, and vitamin C serums, which help fade pigmentation. Most importantly, daily use of a broad-spectrum sunscreen (SPF 30 or higher, ideally with iron oxides to block visible light) is mandatory, as sun exposure triggers melasma. Please consult a dermatologist for a personalised prescription, as some ingredients are not safe during pregnancy or breastfeeding.