How To Stop Using Melacare And Its Safe Substitute?

Hello, Melacare is a very potent cream, and once one gets used to it for years, the skin becomes dependent on it. You suddenly stop it, and the darkness comes back worse than before; that is what we call rebound pigmentation, common with long-term use of creams containing steroid + hydroquinone + tretinoin. Now that you are planning to conceive, this becomes even more important because Melacare is NOT safe in pregnancy. The steroid and hydroquinone components should be avoided when trying for pregnancy. Why your skin becomes very dark when you stop Melacare is because, after all these years, your facial skin has become thin and sensitive. The steroid in Melacare keeps suppressing natural pigmentation. And when suddenly you stop it, the skin reacts and produces even more pigment. So the darkness you see is not because the cream was “helping you,” but because your skin has become dependent on it. What you should do now is a safe and practical approach. Do not abruptly stop Melacare. If you cut it off overnight, the rebound will get worse. You need to slowly taper it by reducing frequency over weeks. A dermatologist will be able to guide you exactly regarding that. You MUST stop Melacare before planning pregnancy. This is non-negotiable for safety. Your skin will be needing a transition plan. Once you taper it, switch to pregnancy-safe alternatives like vitamin C serum, Niacinamide serum, and Azelaic acid cream (safe in pregnancy). Ensure strict use of sunscreen daily. These do not cause rebound and are safe when planning pregnancy. You should avoid all strong depigmenting creams containing steroids or hydroquinone throughout your pregnancy. Honestly, visiting a dermatologist is the best step because your skin has been exposed to this strong combination for 6 years. You need a professional to help you taper safely. You cannot continue Melacare if you are planning to conceive. But you also should not stop it suddenly on your own. You need a slow withdrawal plan and replacement with safe creams that do not harm you or the baby. It will get better with the right routine; it just needs to go through the adjustment phase. Take care. Hope I have answered your question. If you have any further query I will be happy to help. Wish you good health. Regards, Dr. Usaid Yousuf, General and Family Physician