To reduce this risk, doctors often recommend “cycling” Hydroquinone. This means using it for a limited period followed by a break.
Gradual Discontinuation: instead of stopping usage abruptly, it is better to taper off products like hydroquinone and alpha arbutin gradually. This can give the skin time to adjust without overreacting.
As a rule, you should stop using hydroquinone after 3-6 months of continuous use. This is because prolonged use of hydroquinone can lead to adverse effects on the skin, such as ochronosis, skin irritation, and sensitivity.
It's not meant for long-term use, as it might actually make the skin darker, which is a strange effect. It's recommended to take breaks from using it to prevent overuse and a side effect called exogenous ochronosis.
Hydroquinone is applied topically just to the hyperpigmented skin only, twice daily for 3 months, after which time many patients maintain their improvement by using it twice each week. If there has been no benefit after 3 months of treatment, then the hydroquinone should be stopped.
In rare cases, it can cause a condition called ochronosis. This presents as skin darkening or blue-black discolouration and can occur with prolonged use of high strength Hydroquinone. Therefore, it is best not to use it for more than five to six months at a time.
Once the hydroquinone has oxidized, it is no longer active and should be discarded. Prescription hydroquinone formulations have tried to increase the potency of formulations by adding penetration enhancers such as glycolic acid, sunscreens, and tretinoin as a supplemental pigment lightening agent.
The effect of hydroquinone on skin pigmentation is reversible. If you stop, the melanocytes affected by treatment start to resume normal activity, causing the blemishes or spots to gradually reappear.
Avoid irritants: Be mindful of other skincare products or ingredients that may potentially irritate your skin. Avoid using harsh cleansers, exfoliants, or other products that can cause irritation or sensitivity while using hydroquinone.
Adverse Effects
Rarely ochronosis - ochronosis is a blue-black or gray-blue discoloration; it is rare and more commonly seen in patients that use a high concentration of hydroquinone for a long period on large areas of the body.
Combination Tip: Combining hydroquinone with Vitamin C may improve overall efficacy, but due to potential sensitivities, this combination should only be used under the supervision of a dermatologist. Sunscreen: How It Works: Sunscreen is essential for preventing further hyperpigmentation caused by UV exposure.
Tretinoin is an anti-aging powerhouse, meaning it should have no problem dispatching fine lines and wrinkles. It does not work for deeper wrinkles. Hydroquinone doesn't work at all against fine lines and wrinkles, so stick to the collagen-boosting power of tretinoin.
A major key to hydroquinone is short-term use. You can slather it on twice daily for at least six weeks (and no more than six months). After one to three months, you should start to see your hyperpigmentation fade away. At the three-month mark, you should set it aside.
The lesions may develop gradually over 6 months to 3 years or longer. [8] Two recent case reports from India mention the occurrence of EO with use of 2% hydroquinone preparations for 7–8 years.
Continue prescribing hydroquinone for no more than four to five months. Allow the skin to rest and restore itself for two to three months after hydroquinone therapy. Resume hydroquinone therapy, if needed, only after such a break.
Alternative lightening agents including mequinol, arbutin, kojic acid, and others have shown comparable efficacy to hydroquinone in treating hyperpigmentation with less concerning side effects.
According to doctors, damage caused by the application of hydroquinone can be reversed by exposing the affected area to the sun. Also, you are recommended to use strong sunscreen along with hydroquinone. In case of irritation, apply anti-itch cream to the infected skin.
taper the Hydroquinone. Gradual cessation will minimize any rebound increase activity of tyrosinase. o Apply only 3 times per week for 2 weeks. Then 2 times per week for 2 weeks, then stop use.
They are most common in people over the age of 40 (hence the name) but they can occur earlier.
Hydroquinone has a pretty short shelf life. After a couple of months, it can start to break down and lose its potency, meaning it becomes less effective.
FDA has received reports of serious side effects including skin rashes, facial swelling, and ochronosis (discoloration of skin) from the use of skin lightening products containing hydroquinone.
You need a doctor's prescription to buy hydroquinone cream online or in a physical pharmacy. You can have a online consultation with a dermatologist. After the consultation they will issue a prescription containing for hydroquinone cream if it's safe and medically appropriate for you.
Hydroquinone is not for long-term use; strict sun protection maintains the desired effect. Melasma and dark spots can return after stopping hydroquinone, especially if exposed to the sun.