Brief Answer: Melacare Detailed Answer: Hello, Welcome to healthcare magic, Melacare and melacare forte cream contains a mid potent steroid mometasone, hydroquinone and retinoid and it is not an over the counter preparation. It should be prescribed by a dermatologist who knows which condition to start it for and when to stop. I do not recommend it daily for more than a month following which I taper it and stop and add on a non steroidal lightening cream. Moreover it is used in pigmentary disorders like melasma and not for improving skin tone. Long term use can cause steroid induced Rosacea, Acne, Thinning of skin, Redness and increased sensitivity to sunlight. The burning and tingling could be due to steroid induced rosacea. If a topical steroid is applied in large quantity over large surface, it can be absorbed into the body and can cause steroid side effects like amenorrhoea. But in my experience it rarely happens especially if you have applied this cream only on your face. So your amenorrhoea needs evaluation by a gynecologist. If you are sexually active you should rule out pregnancy. Hormonal abnormalities like Hypothyroidism, PCOD etc needs to be ruled out. For your steroid induced rosacea and for stopping melacare, you need to see an experienced dermatologist. It won't be easy. Broad spectrum sunscreen is essential and avoid direct sunlight exposure as much as possible. Topical metronidazole gel and topical tacrolimus 0.1% have been tried for steroid induced rosacea. Hope this helped, Take care.

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Brief Answer: Steroid induced rosacea Detailed Answer: Hello, Welcome back, What you are having will be steroid induced rosacea. Steroid induced rosacea can be cured completely. Niltan is a nonsteroidal lightening cream with sunscreen. It can be used and it won't cause any side effects in the future. Use a broad spectrum sunscreen (eg : Neutrogena ultrasheer dry touch spf 50) during mornings and re apply every 3 hours. You may apply a lightening gel containing kojic acid (eg : kojivit gel or Kojiglo gel) at night. Most of the patients cannot tolerate stopping melacare suddenly. Their faces will become red, itchy, or darker as soon as it is stopped. Such patients require medical treatment of steroid induced rosacea like metrogyl gel and tacrolimus gel. These are medicines, not sunscreens and should be prescribed by dermatologist and not purchased by yourself. Hope this helped, Take care.

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Brief Answer: Melacare Detailed Answer: Hello, Welcome back, Yes, you may use kojiglo and personally I prefer that over Niltan. Another reason for not Niltan is that I want you to use a sunscreen with higher spf than niltan in the mornings (Neutrogena) and use Kojiglo only at night. Allergy to kojic acid is rare and seen only in few. It can be use for long duration. As recommended earlier you need to consult a gynecologist for amenorrhoea. Hope this helped, Take care, Wish you good health.

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