I’m glad I found your page. I have post inflammatory pigmentation. I had pityrious rosacea. I have now dark spots everywhere on my body. My skin was so beautiful before that my self esteem has declined tremendously. The determalogist apparently was not use to treating African American skin she had me soak in bleach. It made me sick.
It can be difficult to treat post inflammatory pigmentation. Moisturising is important as it gradually helps reduce the pigmentation. ruclips.net/video/1DWqdA_yFMo/видео.html The use of tinted sunscreens is important to prevent the disparity in pigmentation. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html #Disclaimer# Please note that this video is for education purposes. It is not meant for personal advice as your own doctor/dermatologist will be the best person to answer specific queries.
Welcome Rajagopal, glad it was helpful! Here is another video looking at how hair dyes cause facial pigmentation ruclips.net/video/8MxBjmE8zR8/видео.html
Hi Dr. I am glad found your videos. I had microneedling treatment couple of years back a few times most of the time it was good, but my last treatment give me the pigmentation since that to treat that pigmentation, I am using hydrocodone 2% and tretinion 0.25% lbut as I stop they go back dark and I am using this for almost 2 years. I don’t know what to do to permanently remove this. please help me with your knowledge guidance, I will be really appreciated
Sir I have heard Oral Tranexamic acid may cause hair loss/thinning. Would love your thoughts. My derm recommended this for my melasma but I have not started it yet due to the fear of hair loss.
The treatment is usually continued for longer periods if it is not settled waiting the first three months. There are studies where it has been used longer than 6 months.
Hi Doctor, I thank God that I landed on this video. Very nice Information and Thanks a lot for sharing. I am in India and 55 years old. I was hopeless due to my skin condition. I used Diprovate MF for a long period. As the medicine is no longer available , I have a serious skin problem. I can see similar skin conditions in the video. I tried homeopathy,ayurveda but no use. Should I take Oral Tranexamic acid?
Thank you for your kind words. The first step before any treatment is to get the diagnosis correct. For this, you will need to see a dermatologist. If they feel you have a condition that may benefit from oral tranexamic acid for pigmentation, then it is worthwhile starting. Also to prevent the existing skin from darkening it is worthwhile using a tinted sun screen. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html There are other creams that can help lighten dark areas in the facial skin too. Here is a video on it ruclips.net/video/nCAI4PE073k/видео.html
Namashkar doctor 🙏🏻 Im really pleased to find your page and get more clear information on pigmentation due to hair dye and henna. My full face has become very very dark due to hair dye usage. Im very depressed 😢 my doc gave me pills and suggested yellow peel will that work ? Though I haven't yet started the yellow peel as im not comfortable. Any other medications or treatment you suggest. Thank you for ready my comment 🙏🏻
I am sorry to hear about your skin problem. There are quite a few treatments that could help pigmentation on the face. here is a video on it ruclips.net/video/nCAI4PE073k/видео.html Also make sure that tinted sunscreens are used to prevent worsening of the pigmentation. here is a video on tinted sunscreens ruclips.net/video/u3cPL4T1g3c/видео.html Finally try and avoid synthetic hair dyes and opt for natural ones. Here is a video on it ruclips.net/video/TBlGWdndIZY/видео.html
Hey doctor! I absolutely love the valuable information you provide through your videos. I have been struggling lately with my skin. I'm Indian, brown skinned, no medical issues, insulin is alright and no genetical abnormalities. I got bad tan on my neck, and my torso is relatively few shades darker than rest of ny my body, my armpits are also heck darker. Can i go with tranexemic acid 500 mg? Recently I injured my skin as well from exfoliants. Really need your advice doc
There are numerous treatments for reducing pigmentation of the skin of which tranexamic acid is one. If pigmentation is prominent in the flexures, another possible differential diagnosis is acanthosis nigricans for which met firming may be helpful. It may be useful to see a local dermatologist to get the diagnosis confirmed first. Here is a video on metformin for acanthosis nigricans. ruclips.net/video/__Sy0RXZTK8/видео.html
Hello doctor, my doctor in France has prescribed me tranexamic oral tablets 500mg 2 times a day alone with this doctor has prescribed adapelene 0.1% at night and niacinamide serum in morning. Is the oral tablets is too much dose?
I’m going on my 3rd bottle and I don’t see any diff. I’ve had post tinflammatory hyperpigmentation for about 7 yrs. Would I have to be on it for longer to see a change ?
Most pigmentary issues that many months to have an effect. Ensure that tinted sunscreens are also used with it. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html Other topical agents can also be tried. here is a video on it. ruclips.net/video/59xG3leBWn0/видео.html
Hello Doc, I am a 47 years old male with no health issues. I just have a small melasma patch on my left cheek. Can I take Tranexamic Acid 250 mg pills twice a day for 3 months to see if they will work. I have tried tooical alpha arbutin and Tranexamic acid lotions but no luck so far. Thanks in advance. Your channel is rocking!!!
Thank you for your kind words. Firstly, the diagnosis of melasma needs to be confirmed by a dermatologist. There are other causes for pigmentation on the face. These include maturational hyperpigmentation and also secondary top hair dyes. Here are videos on each of these conditions. ruclips.net/video/eXsHakj2isg/видео.html ruclips.net/video/8MxBjmE8zR8/видео.html If melasma has been confirmed, then tranexamic acid is a useful medication. It is also important to use tinted sun screen to prevent worsening of the pigmentation. Here is a video on it. ruclips.net/video/u3cPL4T1g3c/видео.html
Its usefulness is more for pigmentation rather than epidermal changes that occur in acanthosis nigricans. Metformin may be a better option in acanthosis nigricans even in non diabetics. Here is a video on it ruclips.net/video/__Sy0RXZTK8/видео.html
Hello Doc! I am taking Antoxid HC (30 mg beta carotine) daily and it seems to work on giving me eventone and glowing skin. I am a non smoker with no health issues. I was wondering if it is safe for long term use. Please, advise.
I do not prescribe beta carotene often so not sure of its long term side effects. It has been used in photosensitivity disorders for many years, so it is possibly safe as I am unaware of any significant toxicity with it. Lifestyle measures may be the best way to have healthy skin. Here are a couple of video on how diet and other factors help our skin remain younger ruclips.net/video/cqvmt6bYWFI/видео.html ruclips.net/video/CB2D3NUTzDI/видео.html
Hi sir I hv discoloration like 4 dark spots so doctor recommended me 1- eucerin anti-pingment cleaning gel 2- eucerin anti-pingment serum 3- tranexamic acid 5% gel/serum Could u tell me how to use these above serum on my face.m. Confused sir need ur help
Hi Doc, if I may, with reference to a comment here, I would like to ask which of these combinations would be the most effective to treat LPP for an Indian: 1. Tranexamic Acid 500mg + Roaccutane 60mg 2. Tranexamic Acid 500mg + Glutathione L 500mg 3. Tranexamic Acid 500mg + Roaccutane 60mg + Glutathione L 500mg The 2nd one was suggested by the dermatologist first. Later when I quoted this comment, he said I could add Roaccutane to the other 2 drugs. Kindly advise doctor. Thank you.
Hi, I do not treat many patients with dark skin as I work in the UK. From all the lectures I have attended and the personal expetricne in having treated a few patients, a combination of drugs may work better. The dose of Isotretinoin (Roaccutane) used is much lower though, about 10 to 30mg. I do not use high dose isotretinoin as it is likely to cause more side effects. Most dermatologists who are considered experts in treating LPP in dark skin suggest tranexaminc acid with isotretinoin. Glutathione is an optional extra
Hii Doctor, Can Tranexamic Acid 500mg and roaccutane 60mg bd, be used to treat lichen planus pigmentosus? My dermatologist prescribed that for over 3 months.
Yes, it is a combination that can be helpful for LPP and dermatologists in Asia use it often. The most important step is to use tinted sunscreens that will help prevent worsening of the pigmentation. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
@@DiscoverDermatology Thank you so much Doctor. You are very help. I'll follow your advice. I have stopped using sunscreens as it was worsening the pigmentation. I'll try as you suggested. 🙏🏽🙏🏽
Tranexamic acid has been used to treat some clotting disorders but may need to be avoided in others. There is no specific test for it, but an assessment by a haematologist could be considered if there is a pre existing clotting condition.
Hi, I have read up reviews stating that tranexamic acid does help with pigmentation however it causes severe hair loss. And also leads to greying of hair as it hinders melanin production. Is that true?
Any drug can cause any side effect, but I am not aware that it is a prominent well recognised side effect of tranexamic acid. It may occur but is possibly rare.
@@DiscoverDermatology Alright thanks! Yes it is quite a common side effect according to my research. But just wanted to get a medical insight regarding the thought that if something hinders melanin production is it likely to cause greying of hair as well? And if thats true the greying could also be caused by oral glutathione? Also please let me know which one is more effective oral glutathione or tranexamic for melasma?
Thank You Doctor for this informative video.. I'm on isotretinoin 10 mg treatment along with some topical creams .. I have severe kp, pih and acne.. so can i have oral tranexamic acid while I'm on isotretinoin treatment ???
There is no significant interaction between isotretinoin and tranexamic acid, however it is always best to ask the doctor who is prescribing it about potential interactions.
Hi sir. I'm suffering from Keratosis pilaris and bcoz of it ,I'm suffering from body pigmentation as well. I'm already taking Isotreitoine from past 2 months. Can I take oral tranexamic acid for kp hyper pigmentation??? Please reply
Tranexamic acid has been used mainly for facial pigmentation, so it's hard to know if it will help post KP pigmentation. Tinted sun screens are probably important to prevent further darkening of the skin. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
Hi, I'm 25 years old female. I have very old like 7 to 8 years old spot on my face its like a group of flat moles under my right eye it very visible but almost two years ago it started to appear all over my back now i also have this on my upperlips, it also started on my left cheek and my nose. Doctor recommended my TA capsules of 250mg as well as TA serum to take and apply twice a day. After taking first day capsule i suffered with stomach symptoms and headache. So they told me to take this once a day. What do you say about this. Should i continue taking it twice a day or once. Will both of these things benefits me? Please answer I really want to get rid of these spots on my face they are really dark and visible. I have also taken microneedling treatment and laser for this. But stopped after 10th session because there was not 1% difference.
If there are side effects with any medication, it would be useful to try a lower dose for a few days till our body settles into it. The dose to which each person responds is different and difficult to predict. If there are any pigmentary changes in the skin, it is important to use tinted sunscreens to prevent worsening of the problem. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
Hello, doctor. I am 28 years old . I am very worried. Please tell me if I can take a 500 mg Tranexamic tablet once a day. I am concerned if it will cause any issues during my period. Please reply.”
Generally it is a safe mediation as the dose used in dermatology is much lower than other indications. It is unusual to get side effects when used for skin conditions.
I developed severe hyperpigmentation after a chemicall burn, all over my face, its been 2 years the pigmentation slightly lightened but for the most part it is visible, can i use trenaxemic acid and see changes?
Tranexamic acid has been used mainly for melasma and other conditions mentioned in the video. It’s probably worth trying in other conditions like mentioned in your question. Tinted sunscreens are also very important to prevent further worsening of the pigmentation. Here is a video on it. m.ruclips.net/video/u3cPL4T1g3c/видео.html Here is another video on other treatments for facial pigmentation m.ruclips.net/video/nCAI4PE073k/видео.html
Hello doctor, i have mild pcos and irregular periods problem can i take tranexamic acid tablet for my skin barrier issue? If yes then how? And Can i take that with vitamin c tablet? Plz reply 🙏🙏
Oral tranexamic acid is usually used for pigmentary problems. For skin barrier issues, a good moisturiser is required. This video looks at how to treat sensitive facial skin. Though it mentions rosacea, the principles are similar for anyone with sensitive facial skin. ruclips.net/video/4aFSAKprFj0/видео.html
Hello doctor my face is clear but my forehead is darker since 2 year ! sometimes my forehead look some clear but they look darker again can you suggest me tha. Best solution for this
Using tinted sun screens may be the nest way to prevent the skin darkening in the first instance. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
Bonjour Docteur. J'ai 21 ans et je suis atteinte de melasma dermique sur les joues et sur la moustache. Depuis j'ai tenté de voir avec des dermatologues mais rien n'y fait, ils n'ont même pas pu me diagnostiquer ce problème qui me hante clairement la vie. Peut être parce qu'il manque ici énormément de dermatologues pour peaux noires... Ma question est la suivante: pensez-vous que dans mon cas l'acide tranexamique oral puisse marcher? Si oui, pendant combien de temps cela pourra prendre le traitement? Et dernière question, est-ce qu'il est possible qu'il ait des conséquences sur la fertilité et autre problème sur la santé? Merci pour le savoir que vous nous partagez!✨️
Hello, good to hear from you! Tranexamic acid is an option for anyone with melasma irrespective of the colour of their skin. It needs to be used foe about 3 to 6 months. It should not be used during pregnancy. However, it has no effect on fertility long term. Would also suggest the use of tinted sun screens too prevent the pigmentation from worsening. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
Hello Doctor thank u for ur excellent explanation.. Is tranexamic acid prescribed only for female?? Can a male ingest this?? Can it be injected directly in the surface of bleeding site to stop bleeding?? If any one take cap tranexamic acid 500 mg once daily is it ok??
Tranexamic acid has been trialled on on women so there is no data for men. It has been injected by some doctors but there is no good study on it. The usual does is 250mg but 500mg can also be taken.
Hello dr.my skin become full of hyperpigmentation and discoloration..dull dark..I tried lot of things and also take laser treatment but not to work.. what to do..
Tranexamic acid is useful for pigmentation of many causes. There are various creams that may be helpful too. Here is a video on it ruclips.net/video/nCAI4PE073k/видео.html
For anyone trying to conceive, the best option may be to use topical (cream) treatment. This includes both prevention )with tinted sunscreens) and also lightening agents. here are two videos that explain this. ruclips.net/video/u3cPL4T1g3c/видео.html ruclips.net/video/nCAI4PE073k/видео.html
If the rail function is normal, most drugs are safe to use. Tranexamic acid has been used for at least 3 months in most studies and may have to be continued for longer in some.
Yes, the pigmentation can recur when tranexamic acid is stopped. Other treatments like oral glutathione can be considered for the long term. Here is a video on it ruclips.net/video/vkjtJW96P6w/видео.html
Tranexamic acid seems to be beneficial for pigmentation of various causes. It may be worthwhile consulting your own doctor before commencing it. Certainly a worthwhile treatment to consider.
Sir this medicine can i use for contact dermatitis. My doctor is doing continuously q switch laser weekly twice .is it safe to use q switch laser every week.thank you
If it is the post inflammatory stage of contact eczema it may be helpful. Certain lasers are beneficial, however the lasers could also cause pigmentation in those with dark skin, so it is a bit tricky. A test patch is usually done before treatment is used. I am not sure how frequently lasers need to be sued as I do not do laser treatment myself. @@winifredfernandes9611
Hi Doc, I live in Canada and we can only get Tranexamic Acid tablets in 500 mg pills and they are film coated. Can I split the tablets or should I get sustained release 250 mg tablets from India? Please advise.
There have been no studies on oral tranexamic acid to improve the evenness of skin tone. The pigmentary problems usually tend to settle only when oral tranexamic acid is used for many months. There are a couple of other options for skin pigmentation. First is glutathione and here is a video on it ruclips.net/video/vkjtJW96P6w/видео.html The other is to use tinted sunscreens to ensure that the existing colour on our face does not get darker. here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
There ar no good studies looking at its effect on armpits and other areas. There is evidence that turmeric can help in pigmentation under the armpits. Here is a video on it ruclips.net/video/Go37SJF5EhY/видео.html
Tranexamic acid can be used for pigmentation of various causes as mentioned in the video. There are various creams that could also be helpful. Here is a video on it ruclips.net/video/nCAI4PE073k/видео.html
Hi sir, I am Indian,my doctor prescribed transamic acid 650mg pills after my blood tests but I am hesitant knowing the side effects of thrombosis. What are the chances of developing thrombosis after start using it Please advise
@@MounikaR-i1e I have used it for my patients and none have had blood clots till now. It is very rare for it to occur if we use it for short periods like 4 months at a time.
it depends on the underlying condition. If it is post inflammatory pigmentation, the condition may not recur. Other inflammatory conditions like lichen planus and melasma may come back . One treatment that may prevent pigmentation or at leats prevent it getting worse is the use of tinted sun screens. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
Agr transmic acid 250n ho available Dr Ny apko bd m kha ho use k kia hmm OD m. Use kr skty hn 500mg or apko eyes infection ho kia us main us k side effects to NH h
It is difficult to predict melasma. To prevent it recurring, it may be worthwhile using tinted sun screens so that the facial skin does not darken. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html There are other over the counter creams that can maintain the colour of the facial skin. The cream mentioned in the middle to end of this video may be helpful. ruclips.net/video/nCAI4PE073k/видео.html
It can be continued throughout and does not need to be changed for the periods. The dose is different when it is used for continuous periods. For melasma it is used all the time. @@wajeehamalik4611
Hello doctor! Thank you so much for the information... once we disconnect OTA , is there chance of reoccurring ... if reoccurs ... how we treat it...?!
There are no long term studies with oral tranexamic acid, and it appears that it can recur when stopped. The use of creams may help the recurrence of melasma. Here is a video on it ruclips.net/video/nCAI4PE073k/видео.html
Ideally, no oral tablet is taken during pregnancy due to its potential actions on the baby. Using tinted sunscreens is a cream and is safe to use during pregnancy. This will prevent further darkening of the skin ruclips.net/video/u3cPL4T1g3c/видео.html
Thank you sir for wonderful explanation. Sir I had cyst couple of years ago and right now I am thinking of taking oral medication for my hyperpigmentation. The hyperpigmentation is all over my body and severe around folds. Please do suggest what can I take without much side effect, if not tranexamic acid due to the history of cyst.
The most important step is to identify the cause of the increased pigmentation. You will need to see a dermatologist for that. A common cause of hyperpigmentation in the flexures is acanthosis nigricans and that requires another medication called metformin. Here is a video on it. ruclips.net/video/__Sy0RXZTK8/видео.html Once your doctor has made a diagnosis the treatment can be more streamlined
Hello Doctor! I'm a 19 years old female who has been diagnosed with post inflammatory hyperpigmentation all around my lips in big patches. I've taken Zimax antibiotics for 3 months and used azelaic acid 20% for 2 months but still no improvement. Can I take oral tranexamic acid for this?
Tranexamic acid has been reported to be helpful in post inflammatory pigmentation, so may be beneficial in that setting. There are other topical agents that could be helpful too. Here is a video on the evidence based treatments that are effective for melasma and other causes of facial pigmentation. ruclips.net/video/nCAI4PE073k/видео.html
Dr. I used skin shine cream after two months my face turned black more treat ment no result now before two months my dermatology dr. Prescribed trenasma plus 250 twice daily for six months biluma and dremz cream at night will it cure my black face doctor pls reply sir
The treatment suggested seems fine though your doctors id the best person to advice on it as he/she has your full medical history. It is worthwhile using tinted sunscreen as it prevent worsening of the pigmentation. Here is a video on it ruclips.net/video/u3cPL4T1g3c/видео.html
@@Miracleworldpeople11 It can recur in some, while it stays away for longer in others. We can know that only when the treatment is stopped. For lightening the skin, oral glutathione could be considered. Here is a video on it ruclips.net/video/vkjtJW96P6w/видео.html
Thank you for your valuable information, dear colleague. Great video. I have sent you a private message to ask for some clarifications regarding you protocole management of melasma. Thank you
Doctor, I am female, living in the UK. I saw a dermatologist a few days ago and was prescribed oral minoxidil (half of a 2.5 mg pill a day) for androgenetic alopecia. I asked about Finasteride as well, but was told that they will prescribe it only if Minoxidil doesn't work). Do you think it's right? I am tempted to use an online pharmacy and ask them to prescribe Finasteride as well as I doubt that Minoxidil will work on its own, since it doesn't reduce DHT.
P.S. I am 44 and started to lose my hair about 1.5 year ago. I haven't thought anything about it at first as my hair was very thick, but my hair loss has been progressing...
We generally try and use oral Minoxidil on its own as it is fairly effective. Most dermatologists would feel uncomfortable prescribing finasteride in women, so I can understand why your doctor is hesitant to do so. One option to control the hormonal component may be to use spironolactone. We use it quite a bit for acne I women and it can be used in combination with minoxidil for hair loss too. Here is a video on spironolactone for acne, but the principles, side effects and dosage of the medication is discussed. ruclips.net/video/04D24LKdp5U/видео.html @@skylark386
I think oral medication works better compared to topical treatments. I’ve had an acne problem for around four years and tried multiple topical treatments, including Ayurvedic remedies and creams like salicylic acid and benzoyl peroxide, but none of them worked-not even a little. After I visited a dermatologist, he prescribed Isotretinoin, Levocetirizine, and some vitamin tablets. He suggested that I come back once a month for three months, but within a month, 95% of my acne was gone. Now, I occasionally get one or two pimples, but they come and go. However, I also have some slight pigmentation problems, and I'm planning to take Tranexamic Acid tablets for that.
There are a few topical agents that can help pigmentation on the face. Here is a video on it ruclips.net/video/nCAI4PE073k/видео.html Skin of colour is different from white skin and here is a lecture that I includes information on acne in skin of colour. ruclips.net/video/w2ThId_LH3c/видео.html
Hello Doctor, Can I have a virtual appointment. I am suffering from pigmentation from 1.5 yr. Instead of going to other dermatologist and talk about the content in this video ask for solution, I wish to get the treatment from the person who can look in to my problem and give me a permanent solution.
The side effects are similar to females except, of course, the menstrual changes. Tummy upsets seem to be the most side effect. #Disclaimer# Please note that this video is for education purposes. It is not meant for personal advice as your own doctor/dermatologist will be the best person to answer specific queries.
I’m glad I found your page. I have post inflammatory pigmentation. I had pityrious rosacea. I have now dark spots everywhere on my body. My skin was so beautiful before that my self esteem has declined tremendously. The determalogist apparently was not use to treating African American skin she had me soak in bleach. It made me sick.
It can be difficult to treat post inflammatory pigmentation. Moisturising is important as it gradually helps reduce the pigmentation.
ruclips.net/video/1DWqdA_yFMo/видео.html
The use of tinted sunscreens is important to prevent the disparity in pigmentation. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
#Disclaimer# Please note that this video is for education purposes. It is not meant for personal advice as your own doctor/dermatologist will be the best person to answer specific queries.
Amazing explanation doc!
Thank you, glad it was helpful!
Very good explanation on oral tranexamic acid for pigmentary disorders Thanking 🙏 you Sir
Welcome Rajagopal, glad it was helpful! Here is another video looking at how hair dyes cause facial pigmentation
ruclips.net/video/8MxBjmE8zR8/видео.html
Hi Dr. I am glad found your videos. I had microneedling treatment couple of years back a few times most of the time it was good, but my last treatment give me the pigmentation since that to treat that pigmentation, I am using hydrocodone 2% and tretinion 0.25% lbut as I stop they go back dark and I am using this for almost 2 years. I don’t know what to do to permanently remove this. please help me with your knowledge guidance, I will be really appreciated
Sir I have heard Oral Tranexamic acid may cause hair loss/thinning. Would love your thoughts. My derm recommended this for my melasma but I have not started it yet due to the fear of hair loss.
My malasma is 70% gone after taking TA 250 mg twice a day for 3 months. Should I continue for another 3 months or stop?
The treatment is usually continued for longer periods if it is not settled waiting the first three months. There are studies where it has been used longer than 6 months.
Did you take it for whole month? Or just during periods?
@@DiscoverDermatology1:02
Where did you buy it/what brand?
@@pineapple365 Its avaiilble in the UK. Not sure of the brand name.
Hi Doctor, I thank God that I landed on this video. Very nice Information and Thanks a lot for sharing. I am in India and 55 years old. I was hopeless due to my skin condition. I used Diprovate MF for a long period. As the medicine is no longer available , I have a serious skin problem. I can see similar skin conditions in the video. I tried homeopathy,ayurveda but no use. Should I take Oral Tranexamic acid?
Thank you for your kind words. The first step before any treatment is to get the diagnosis correct. For this, you will need to see a dermatologist. If they feel you have a condition that may benefit from oral tranexamic acid for pigmentation, then it is worthwhile starting. Also to prevent the existing skin from darkening it is worthwhile using a tinted sun screen. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
There are other creams that can help lighten dark areas in the facial skin too. Here is a video on it
ruclips.net/video/nCAI4PE073k/видео.html
Namashkar doctor 🙏🏻 Im really pleased to find your page and get more clear information on pigmentation due to hair dye and henna. My full face has become very very dark due to hair dye usage. Im very depressed 😢 my doc gave me pills and suggested yellow peel will that work ? Though I haven't yet started the yellow peel as im not comfortable. Any other medications or treatment you suggest. Thank you for ready my comment 🙏🏻
I am sorry to hear about your skin problem. There are quite a few treatments that could help pigmentation on the face. here is a video on it
ruclips.net/video/nCAI4PE073k/видео.html
Also make sure that tinted sunscreens are used to prevent worsening of the pigmentation. here is a video on tinted sunscreens
ruclips.net/video/u3cPL4T1g3c/видео.html
Finally try and avoid synthetic hair dyes and opt for natural ones. Here is a video on it
ruclips.net/video/TBlGWdndIZY/видео.html
Hey doctor! I absolutely love the valuable information you provide through your videos. I have been struggling lately with my skin. I'm Indian, brown skinned, no medical issues, insulin is alright and no genetical abnormalities. I got bad tan on my neck, and my torso is relatively few shades darker than rest of ny my body, my armpits are also heck darker. Can i go with tranexemic acid 500 mg? Recently I injured my skin as well from exfoliants. Really need your advice doc
There are numerous treatments for reducing pigmentation of the skin of which tranexamic acid is one. If pigmentation is prominent in the flexures, another possible differential diagnosis is acanthosis nigricans for which met firming may be helpful. It may be useful to see a local dermatologist to get the diagnosis confirmed first. Here is a video on metformin for acanthosis nigricans.
ruclips.net/video/__Sy0RXZTK8/видео.html
A unique therapeutic option, thanks!
Its is indeed! Thanks for your comment.
Hello doctor, my doctor in France has prescribed me tranexamic oral tablets 500mg 2 times a day alone with this doctor has prescribed adapelene 0.1% at night and niacinamide serum in morning. Is the oral tablets is too much dose?
The usual dose is 250mg twice a dose. Higher dose may be used for many conditions.
I’m going on my 3rd bottle and I don’t see any diff. I’ve had post tinflammatory hyperpigmentation for about 7 yrs. Would I have to be on it for longer to see a change ?
Most pigmentary issues that many months to have an effect. Ensure that tinted sunscreens are also used with it. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
Other topical agents can also be tried. here is a video on it.
ruclips.net/video/59xG3leBWn0/видео.html
Very useful, thank you!
Welcome, glad it was helpful!
Hello Doc, I am a 47 years old male with no health issues. I just have a small melasma patch on my left cheek. Can I take Tranexamic Acid 250 mg pills twice a day for 3 months to see if they will work. I have tried tooical alpha arbutin and Tranexamic acid lotions but no luck so far. Thanks in advance. Your channel is rocking!!!
Thank you for your kind words. Firstly, the diagnosis of melasma needs to be confirmed by a dermatologist. There are other causes for pigmentation on the face. These include maturational hyperpigmentation and also secondary top hair dyes. Here are videos on each of these conditions.
ruclips.net/video/eXsHakj2isg/видео.html
ruclips.net/video/8MxBjmE8zR8/видео.html
If melasma has been confirmed, then tranexamic acid is a useful medication. It is also important to use tinted sun screen to prevent worsening of the pigmentation. Here is a video on it.
ruclips.net/video/u3cPL4T1g3c/видео.html
Thanks doc! Greatly appreciate your prompt response.
my dermatologist prescribed me 500 mg one pill a day
Can i take 500 mg a day instead of 250 mg 2 times a day? Is it still effective for melasma?
Both regimens are ok. Most studies use 250mg twice a day.
would this help with idiopathic acanthosis nigricans in a non diabetic?
Its usefulness is more for pigmentation rather than epidermal changes that occur in acanthosis nigricans. Metformin may be a better option in acanthosis nigricans even in non diabetics. Here is a video on it
ruclips.net/video/__Sy0RXZTK8/видео.html
Hello Doc! I am taking Antoxid HC (30 mg beta carotine) daily and it seems to work on giving me eventone and glowing skin. I am a non smoker with no health issues. I was wondering if it is safe for long term use. Please, advise.
I do not prescribe beta carotene often so not sure of its long term side effects. It has been used in photosensitivity disorders for many years, so it is possibly safe as I am unaware of any significant toxicity with it. Lifestyle measures may be the best way to have healthy skin. Here are a couple of video on how diet and other factors help our skin remain younger
ruclips.net/video/cqvmt6bYWFI/видео.html
ruclips.net/video/CB2D3NUTzDI/видео.html
Thank-you so much!
Very good Information Sir 👍 Thank you for sharing🙏
You are welcome! Glad it was helpful for you!
Hello Dr. Any specific name of tranexamic acid tablet for best results
We tend to use generic names in the Uk so I. am not aware of any spefici brands Im afraid.
Hello, is it safe for men to use oral tranexamic acid? And how long can you safely use it at a time?
The studies on men are limited. There is efficacy noted in men too. In all studies, it has been used for at least 3 to 4 months.
TA 250 twice a day or 500 once a day
What do you recommend for 9 to 10 years old melasma scars on face and body
Both are fine though most studies use 250mg twice a day.
Hi sir I hv discoloration like 4 dark spots so doctor recommended me
1- eucerin anti-pingment cleaning gel
2- eucerin anti-pingment serum
3- tranexamic acid 5% gel/serum
Could u tell me how to use these above serum on my face.m. Confused sir need ur help
The creams mentioned, especially the third one, are not widely used in the UK. I do not use it so unable to comment on it.
Hi Doc, if I may,
with reference to a comment here, I would like to ask which of these combinations would be the most effective to treat LPP for an Indian:
1. Tranexamic Acid 500mg + Roaccutane 60mg
2. Tranexamic Acid 500mg + Glutathione L 500mg
3. Tranexamic Acid 500mg + Roaccutane 60mg + Glutathione L 500mg
The 2nd one was suggested by the dermatologist first. Later when I quoted this comment, he said I could add Roaccutane to the other 2 drugs.
Kindly advise doctor. Thank you.
Hi, I do not treat many patients with dark skin as I work in the UK. From all the lectures I have attended and the personal expetricne in having treated a few patients, a combination of drugs may work better. The dose of Isotretinoin (Roaccutane) used is much lower though, about 10 to 30mg. I do not use high dose isotretinoin as it is likely to cause more side effects. Most dermatologists who are considered experts in treating LPP in dark skin suggest tranexaminc acid with isotretinoin. Glutathione is an optional extra
@@DiscoverDermatology Thanks a lot Dr for that clarification. I really appreciate it.
Hii Doctor,
Can Tranexamic Acid 500mg and roaccutane 60mg bd, be used to treat lichen planus pigmentosus?
My dermatologist prescribed that for over 3 months.
Yes, it is a combination that can be helpful for LPP and dermatologists in Asia use it often. The most important step is to use tinted sunscreens that will help prevent worsening of the pigmentation. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
@@DiscoverDermatology Thank you so much Doctor. You are very help. I'll follow your advice.
I have stopped using sunscreens as it was worsening the pigmentation. I'll try as you suggested. 🙏🏽🙏🏽
Hello Doc! I was told that it is not safe if we have clotting disorder. How do we know if we have a clotting disorder? Is there a test for that?
Tranexamic acid has been used to treat some clotting disorders but may need to be avoided in others. There is no specific test for it, but an assessment by a haematologist could be considered if there is a pre existing clotting condition.
I m using this tranexamic acid tablet for my acne scars prescribed by my dermatologist Will this affect my period it Will this affect my period???
Tranexamic acid reduces the bleeding in periods but usually has no effect on the frequency or duration.
Hi,
I have read up reviews stating that tranexamic acid does help with pigmentation however it causes severe hair loss. And also leads to greying of hair as it hinders melanin production. Is that true?
Any drug can cause any side effect, but I am not aware that it is a prominent well recognised side effect of tranexamic acid. It may occur but is possibly rare.
@@DiscoverDermatology Alright thanks! Yes it is quite a common side effect according to my research. But just wanted to get a medical insight regarding the thought that if something hinders melanin production is it likely to cause greying of hair as well? And if thats true the greying could also be caused by oral glutathione?
Also please let me know which one is more effective oral glutathione or tranexamic for melasma?
@@SK-tt9ix Its o a side effect I have seen in my practice. Oral tranexamic acid is superior to oral glutathione.
@@DiscoverDermatology Alright, Thank you!
@@DiscoverDermatology answer my question that I just typed above.
It is secure to take tranezamic acid tab for melasama or Any risk
Generally it seems to ve quite a safe drug to use.
Thank You Doctor for this informative video..
I'm on isotretinoin 10 mg treatment along with some topical creams .. I have severe kp, pih and acne.. so can i have oral tranexamic acid while I'm on isotretinoin treatment ???
There is no significant interaction between isotretinoin and tranexamic acid, however it is always best to ask the doctor who is prescribing it about potential interactions.
@@DiscoverDermatology Thank You Doctor.. May God Bless U..
Hi sir. I'm suffering from Keratosis pilaris and bcoz of it ,I'm suffering from body pigmentation as well. I'm already taking Isotreitoine from past 2 months. Can I take oral tranexamic acid for kp hyper pigmentation??? Please reply
Tranexamic acid has been used mainly for facial pigmentation, so it's hard to know if it will help post KP pigmentation. Tinted sun screens are probably important to prevent further darkening of the skin. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
Hi, I'm 25 years old female. I have very old like 7 to 8 years old spot on my face its like a group of flat moles under my right eye it very visible but almost two years ago it started to appear all over my back now i also have this on my upperlips, it also started on my left cheek and my nose. Doctor recommended my TA capsules of 250mg as well as TA serum to take and apply twice a day. After taking first day capsule i suffered with stomach symptoms and headache. So they told me to take this once a day. What do you say about this. Should i continue taking it twice a day or once. Will both of these things benefits me? Please answer I really want to get rid of these spots on my face they are really dark and visible. I have also taken microneedling treatment and laser for this. But stopped after 10th session because there was not 1% difference.
If there are side effects with any medication, it would be useful to try a lower dose for a few days till our body settles into it. The dose to which each person responds is different and difficult to predict. If there are any pigmentary changes in the skin, it is important to use tinted sunscreens to prevent worsening of the problem. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
Hello, doctor. I am 28 years old . I am very worried. Please tell me if I can take a 500 mg Tranexamic tablet once a day. I am concerned if it will cause any issues during my period. Please reply.”
Generally it is a safe mediation as the dose used in dermatology is much lower than other indications. It is unusual to get side effects when used for skin conditions.
I developed severe hyperpigmentation after a chemicall burn, all over my face, its been 2 years the pigmentation slightly lightened but for the most part it is visible, can i use trenaxemic acid and see changes?
Tranexamic acid has been used mainly for melasma and other conditions mentioned in the video. It’s probably worth trying in other conditions like mentioned in your question. Tinted sunscreens are also very important to prevent further worsening of the pigmentation. Here is a video on it.
m.ruclips.net/video/u3cPL4T1g3c/видео.html
Here is another video on other treatments for facial pigmentation
m.ruclips.net/video/nCAI4PE073k/видео.html
Hello doctor, i have mild pcos and irregular periods problem can i take tranexamic acid tablet for my skin barrier issue? If yes then how? And Can i take that with vitamin c tablet? Plz reply 🙏🙏
Oral tranexamic acid is usually used for pigmentary problems. For skin barrier issues, a good moisturiser is required. This video looks at how to treat sensitive facial skin. Though it mentions rosacea, the principles are similar for anyone with sensitive facial skin.
ruclips.net/video/4aFSAKprFj0/видео.html
Hello doctor my face is clear but my forehead is darker since 2 year ! sometimes my forehead look some clear but they look darker again can you suggest me tha. Best solution for this
Using tinted sun screens may be the nest way to prevent the skin darkening in the first instance. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
Bonjour Docteur. J'ai 21 ans et je suis atteinte de melasma dermique sur les joues et sur la moustache. Depuis j'ai tenté de voir avec des dermatologues mais rien n'y fait, ils n'ont même pas pu me diagnostiquer ce problème qui me hante clairement la vie. Peut être parce qu'il manque ici énormément de dermatologues pour peaux noires...
Ma question est la suivante: pensez-vous que dans mon cas l'acide tranexamique oral puisse marcher? Si oui, pendant combien de temps cela pourra prendre le traitement?
Et dernière question, est-ce qu'il est possible qu'il ait des conséquences sur la fertilité et autre problème sur la santé?
Merci pour le savoir que vous nous partagez!✨️
Hello, good to hear from you! Tranexamic acid is an option for anyone with melasma irrespective of the colour of their skin. It needs to be used foe about 3 to 6 months. It should not be used during pregnancy. However, it has no effect on fertility long term. Would also suggest the use of tinted sun screens too prevent the pigmentation from worsening. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
@@DiscoverDermatology Merci infiniment Docteur!
@@aureekmb1130
Je vous en prie
Hello Doctor thank u for ur excellent explanation..
Is tranexamic acid prescribed only for female??
Can a male ingest this??
Can it be injected directly in the surface of bleeding site to stop bleeding??
If any one take cap tranexamic acid 500 mg once daily is it ok??
Tranexamic acid has been trialled on on women so there is no data for men. It has been injected by some doctors but there is no good study on it. The usual does is 250mg but 500mg can also be taken.
Hello dr.my skin become full of hyperpigmentation and discoloration..dull dark..I tried lot of things and also take laser treatment but not to work.. what to do..
Tranexamic acid is useful for pigmentation of many causes. There are various creams that may be helpful too. Here is a video on it
ruclips.net/video/nCAI4PE073k/видео.html
Hi doctor. My question is can a person who had spontaneous miscarriage take oral TXA to treat melasma ?
For anyone trying to conceive, the best option may be to use topical (cream) treatment. This includes both prevention )with tinted sunscreens) and also lightening agents. here are two videos that explain this.
ruclips.net/video/u3cPL4T1g3c/видео.html
ruclips.net/video/nCAI4PE073k/видео.html
I have lupus nephritis ,can i take it?? For how long do i have to take it and will the tablet fade the pigment for permanently???
If the rail function is normal, most drugs are safe to use. Tranexamic acid has been used for at least 3 months in most studies and may have to be continued for longer in some.
When we left traunxamic acid melasma will worsen or not????pls reply
Yes, the pigmentation can recur when tranexamic acid is stopped. Other treatments like oral glutathione can be considered for the long term. Here is a video on it
ruclips.net/video/vkjtJW96P6w/видео.html
Can Tranexamic 250 mg tablets be taken along with glutathione 500 mg tablets?
Both have different actions and as fas=r as I am aware there is no reason why it cannot be used together.
How to use ? Can you please explain
It is taken orally as a tablet as mentioned in the video.
Hello doctor
I'm 26 years old and i have pigmentation due to hormonal imbalance can i take tranexmic acid tablet plz plz reply
Tranexamic acid seems to be beneficial for pigmentation of various causes. It may be worthwhile consulting your own doctor before commencing it. Certainly a worthwhile treatment to consider.
I heard that this medicine can cause grey hair. Is it true?
Im afraid I have not hear about this. This is a video on grey hairs
ruclips.net/video/9A0DTp_QEs8/видео.html
What laser do you recommend for melasma?
I am not too sure about which laser is best as it varies according to the skin type. It may be best to see a local dermatologist about it.
Sir this medicine can i use for contact dermatitis. My doctor is doing continuously q switch laser weekly twice .is it safe to use q switch laser every week.thank you
If it is the post inflammatory stage of contact eczema it may be helpful. Certain lasers are beneficial, however the lasers could also cause pigmentation in those with dark skin, so it is a bit tricky. A test patch is usually done before treatment is used. I am not sure how frequently lasers need to be sued as I do not do laser treatment myself. @@winifredfernandes9611
@@DiscoverDermatology thank you so much Sir
Hi Doc, I live in Canada and we can only get Tranexamic Acid tablets in 500 mg pills and they are film coated. Can I split the tablets or should I get sustained release 250 mg tablets from India? Please advise.
Yes, it will be fine to split the tablets. Ideally the 250mg tablets form India may be the best long term plan.
Thank-you so much! You’re amazing!!!
You are most welcome! @@sumitralen3329
Doc, can we use 250 mg tranexamic acis twice a day for one month for overall eventoned face and glow?
There have been no studies on oral tranexamic acid to improve the evenness of skin tone. The pigmentary problems usually tend to settle only when oral tranexamic acid is used for many months. There are a couple of other options for skin pigmentation. First is glutathione and here is a video on it
ruclips.net/video/vkjtJW96P6w/видео.html
The other is to use tinted sunscreens to ensure that the existing colour on our face does not get darker. here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
Thanks so much Doc! You are the best!!!
@@DiscoverDermatology Dr can glutathione tablets and oral traxemic tablets taken together or not.
There is no interaction between the two, so they can be used together @@wajeehamalik4611
Male people can use this or not
There is no data on male patients at present. Another option is oral glutathione. Here is a video on it
ruclips.net/video/vkjtJW96P6w/видео.html
Hello doctor! Once i stop tranexamic acid will melasma reoccur...
There are no long term studies on it, but melasma can recur when TXA is stopped.
Thank you doctor...
Will this work for body pigmentation like Dark armpits knees elbows?
There ar no good studies looking at its effect on armpits and other areas. There is evidence that turmeric can help in pigmentation under the armpits. Here is a video on it
ruclips.net/video/Go37SJF5EhY/видео.html
Thank you
Glad it was helpful!
Hi sir my age was 40 and I have pigmentation in my face till 15 years can I use this drug
Tranexamic acid can be used for pigmentation of various causes as mentioned in the video. There are various creams that could also be helpful. Here is a video on it
ruclips.net/video/nCAI4PE073k/видео.html
How to time in use
Sorry not sure what the question is? Can you rephrase it as I do not understand. Thanks.
Hi sir, I am Indian,my doctor prescribed transamic acid 650mg pills after my blood tests but I am hesitant knowing the side effects of thrombosis.
What are the chances of developing thrombosis after start using it
Please advise
In a fit person without other medical issues the risk of thrombosis seems very low.
Thank you sir,my reports was normal,but what is your opinion sir is safe to use it or not
I am worried about future blood clots pls reply sir
@@MounikaR-i1e I have used it for my patients and none have had blood clots till now. It is very rare for it to occur if we use it for short periods like 4 months at a time.
I would like to know
If oral tranexamic acid is prescribed
then is there any chance to prevent Menstruation as it is a antifibrinolytic
Usually there are no significant changes in the periods with this medication. It is used for excessive periods by gynaecologists
@DiscoverDermatology thank u for ur kind response
Can we stop hydroquinone after 6 months ?? If we stop it then can melasma or pigmentation reverse ??
it depends on the underlying condition. If it is post inflammatory pigmentation, the condition may not recur. Other inflammatory conditions like lichen planus and melasma may come back . One treatment that may prevent pigmentation or at leats prevent it getting worse is the use of tinted sun screens. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
Sir hydroquinone kitny tym tk use krni h??@@DiscoverDermatology
Agr transmic acid 250n ho available Dr Ny apko bd m kha ho use k kia hmm OD m. Use kr skty hn 500mg or apko eyes infection ho kia us main us k side effects to NH h
Ppllz reply kjga
@@faizaawan4773 Usually all tretaments are used for at leats 4 to 6 months
Sir iam suffering from H S for past 25 years could you kindly refer a Doctor in Chennai,Hyderabad,Bangalore or any place in India sir
In Chennai, Dr V R Janaki, Dr Sarveshawari, and Dr Ananad Nott are very good. I do not know anyone in Bangalore or Hyderabad Im afraid
Hello Doc how about Tranexamic acid via iv injection
Im afraid I have not heard of it being use IV.
@@DiscoverDermatology thank you
@@DiscoverDermatology The brand is Traminex
Dr completing 3 months course for melasma if we stop medicine will melasma hit back .or how we will maintain this.
It is difficult to predict melasma. To prevent it recurring, it may be worthwhile using tinted sun screens so that the facial skin does not darken. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
There are other over the counter creams that can maintain the colour of the facial skin. The cream mentioned in the middle to end of this video may be helpful.
ruclips.net/video/nCAI4PE073k/видео.html
@DiscoverDermatology thxs a lot Dr..prayers for you from pakistan 🇵🇰
@DiscoverDermatology Dr during monthly cycle these oral trax tablet must be stopped for 3 or 4 days or should be continued pls guide ?
Thanks for your kind words!@@wajeehamalik4611
It can be continued throughout and does not need to be changed for the periods. The dose is different when it is used for continuous periods. For melasma it is used all the time. @@wajeehamalik4611
هل يستخدم اثناء الرضاعة
Usually not used during breast feeding.
My friend taking TA for heavy mense, her melasma faded and her skin lightened up!
Very interesting observation and helpful for others to reflect on!
does it comes back after finishing the treatment?
@@syedanaqvi6181 Yes, it can recur after cessation of treatment.
Hello doctor! Thank you so much for the information... once we disconnect OTA , is there chance of reoccurring ... if reoccurs ... how we treat it...?!
There are no long term studies with oral tranexamic acid, and it appears that it can recur when stopped. The use of creams may help the recurrence of melasma. Here is a video on it
ruclips.net/video/nCAI4PE073k/видео.html
Sir Can i take dis medicine when I'm trying for Baby ??
Ideally, no oral tablet is taken during pregnancy due to its potential actions on the baby. Using tinted sunscreens is a cream and is safe to use during pregnancy. This will prevent further darkening of the skin
ruclips.net/video/u3cPL4T1g3c/видео.html
@@DiscoverDermatology Thank you So much Sir
Thank you sir for wonderful explanation.
Sir I had cyst couple of years ago and right now I am thinking of taking oral medication for my hyperpigmentation. The hyperpigmentation is all over my body and severe around folds. Please do suggest what can I take without much side effect, if not tranexamic acid due to the history of cyst.
The most important step is to identify the cause of the increased pigmentation. You will need to see a dermatologist for that. A common cause of hyperpigmentation in the flexures is acanthosis nigricans and that requires another medication called metformin. Here is a video on it.
ruclips.net/video/__Sy0RXZTK8/видео.html
Once your doctor has made a diagnosis the treatment can be more streamlined
Hello Doctor! I'm a 19 years old female who has been diagnosed with post inflammatory hyperpigmentation all around my lips in big patches. I've taken Zimax antibiotics for 3 months and used azelaic acid 20% for 2 months but still no improvement. Can I take oral tranexamic acid for this?
Tranexamic acid has been reported to be helpful in post inflammatory pigmentation, so may be beneficial in that setting. There are other topical agents that could be helpful too. Here is a video on the evidence based treatments that are effective for melasma and other causes of facial pigmentation.
ruclips.net/video/nCAI4PE073k/видео.html
Dr. I used skin shine cream after two months my face turned black more treat ment no result now before two months my dermatology dr. Prescribed trenasma plus 250 twice daily for six months biluma and dremz cream at night will it cure my black face doctor pls reply sir
The treatment suggested seems fine though your doctors id the best person to advice on it as he/she has your full medical history. It is worthwhile using tinted sunscreen as it prevent worsening of the pigmentation. Here is a video on it
ruclips.net/video/u3cPL4T1g3c/видео.html
@@DiscoverDermatologyyes doctor i used venusia sun tint he prescribed.
Dr will it cure . if i stop the tab my face turn black again pls reply
@@Miracleworldpeople11 It can recur in some, while it stays away for longer in others. We can know that only when the treatment is stopped. For lightening the skin, oral glutathione could be considered. Here is a video on it
ruclips.net/video/vkjtJW96P6w/видео.html
Thank you for your valuable information, dear colleague. Great video. I have sent you a private message to ask for some clarifications regarding you protocole management of melasma. Thank you
Hi, I did not get any private message about the management of melasma? I am happy to answer them here is required.
Doctor, I am female, living in the UK. I saw a dermatologist a few days ago and was prescribed oral minoxidil (half of a 2.5 mg pill a day) for androgenetic alopecia. I asked about Finasteride as well, but was told that they will prescribe it only if Minoxidil doesn't work). Do you think it's right? I am tempted to use an online pharmacy and ask them to prescribe Finasteride as well as I doubt that Minoxidil will work on its own, since it doesn't reduce DHT.
P.S. I am 44 and started to lose my hair about 1.5 year ago. I haven't thought anything about it at first as my hair was very thick, but my hair loss has been progressing...
We generally try and use oral Minoxidil on its own as it is fairly effective. Most dermatologists would feel uncomfortable prescribing finasteride in women, so I can understand why your doctor is hesitant to do so. One option to control the hormonal component may be to use spironolactone. We use it quite a bit for acne I women and it can be used in combination with minoxidil for hair loss too. Here is a video on spironolactone for acne, but the principles, side effects and dosage of the medication is discussed.
ruclips.net/video/04D24LKdp5U/видео.html
@@skylark386
I think oral medication works better compared to topical treatments. I’ve had an acne problem for around four years and tried multiple topical treatments, including Ayurvedic remedies and creams like salicylic acid and benzoyl peroxide, but none of them worked-not even a little. After I visited a dermatologist, he prescribed Isotretinoin, Levocetirizine, and some vitamin tablets. He suggested that I come back once a month for three months, but within a month, 95% of my acne was gone. Now, I occasionally get one or two pimples, but they come and go.
However, I also have some slight pigmentation problems, and I'm planning to take Tranexamic Acid tablets for that.
There are a few topical agents that can help pigmentation on the face. Here is a video on it
ruclips.net/video/nCAI4PE073k/видео.html
Skin of colour is different from white skin and here is a lecture that I includes information on acne in skin of colour.
ruclips.net/video/w2ThId_LH3c/видео.html
What are the side effects of tranexsmic acid
There are no significant side effects for most. The commonest is a bit of tummy upset.
Hi again Doc! I started taking 250 mg tranexamic acid tablets twice a day and it’s giving me stomach issues. Is it temporary?
Sometimes the tummy upset settles with time but if it does not, we may need to reduce the dose to one a day or one every other day.
Hello Doctor, Can I have a virtual appointment. I am suffering from pigmentation from 1.5 yr.
Instead of going to other dermatologist and talk about the content in this video ask for solution, I wish to get the treatment from the person who can look in to my problem and give me a permanent solution.
Im afraid my medical indemnity is for those in the UK so if you live here we can arrange a virtual appointment for you.
i am also suffering melasma. 2 days ago my doctor prescribe me tranexamic acid 250mg twise a day. any side effect for male?
The side effects are similar to females except, of course, the menstrual changes. Tummy upsets seem to be the most side effect.
#Disclaimer# Please note that this video is for education purposes. It is not meant for personal advice as your own doctor/dermatologist will be the best person to answer specific queries.
hows your condition now.?