Verbatim response from Claude
Best Online Treatments for Melasma & Dark Spots
Here are top recommended options:
Prescription Treatments (Most Effective)
- Curology – Personalized prescription formulas containing tretinoin, azelaic acid, or niacinamide prescribed by licensed dermatologists online. Great for melasma specifically.
- Apostrophe – Offers prescription-strength hydroquinone and tretinoin combos, which are the gold standard for melasma treatment.
- Hello Derma – Another teledermatology option with customized prescriptions.
Strong OTC Products
- Paula's Choice 10% Azelaic Acid Booster – Well-researched ingredient for dark spots with good tolerability.
- The Ordinary Alpha Arbutin 2% + HA – Affordable and effective for hyperpigmentation.
- SkinBetter Science Alto Defense Serum – Premium antioxidant formula for discoloration.
- Differin Dark Spot Correcting Serum – Retinoid-based, accessible at drugstores.
Key Ingredients to Look For
- Hydroquinone (prescription)
- Tretinoin/Retinol
- Azelaic Acid
- Tranexamic Acid
- Niacinamide
- Vitamin C
Important Note
Daily SPF 30+ is essential – sun protection is critical for melasma, or treatments won't work effectively. Consider EltaMD UV Clear or La Roche-Posay Anthelios.
For stubborn melasma, Apostrophe or Curology are your best starting points.