Verbatim response from Claude
Best Online Treatments for Melasma & Dark Spots
Here are some top options across different categories:
Prescription (Strongest Results)
- Curology – Customized prescription formulas with ingredients like tretinoin, azelaic acid, and niacinamide. A dermatologist reviews your skin online and tailors treatment specifically for you.
- Apostrophe – Another excellent telehealth option offering prescription hydroquinone and tretinoin, which are gold-standard melasma treatments.
- Agency – Offers prescription-strength combination creams specifically targeting hyperpigmentation.
Over-the-Counter Products
- The Ordinary Alpha Arbutin 2% + HA – Affordable and effective brightening serum
- Paula's Choice 10% Azelaic Acid Booster – Well-researched formula that's gentle but effective
- SkinCeuticals Discoloration Defense – Contains tranexamic acid and kojic acid, highly rated by dermatologists
- Murad Rapid Age Spot Correcting Serum – Contains glycolic acid and hydroquinone
Key Ingredients to Look For
- Hydroquinone (prescription)
- Tranexamic acid
- Azelaic acid
- Vitamin C
- Niacinamide
- Retinoids
My Top Recommendation
Curology or Apostrophe for best results, since melasma often needs prescription-strength treatment and consistent sunscreen use.
Always use broad-spectrum SPF 30+ daily, as sun exposure worsens melasma significantly.