Hello and welcome to healthcaremagic Melacare is a triple drug combination of Mometasone+Tretinoin+Hydroquinone. It is a prescription product used for Melasma/Facial Hyperpigmentation. It should not be used as a regular fairness cream and in any case not for more than 2-3 months on face since the steroid content of this cream can cause steroid related adverse effects like acne, photosensitivity, skin thinning and atrophy, hirsutism in females etc. Hydroquinone is banned in some countries because excessive and prolonged use of hydroquinone can cause a condition known as exogenous ochronosis, which is permanent. However, using it for 2-3 months at 2% or 5% concentration, in a combination like melacare is safe and dermatologists commonly prescribe it for hyperpigmentary skin conditions. Tretinoin is an antiageing molecule and it protects against the atrophogenic side effects of mometasone present in melacare cream. Though it can make the skin more sensitive to UV rays, therefore making it necessary to use a sunscreen along with it. Therefore melacare should always be used if your dermatologist prescribes you, not otherwise. Rather than using melacare cream you could use a cream containing other skin lightening agents like kojic acid, glycolic acid, arbutin etc. They are safe even when used over extended periods of time. Remember to wear a broad spectrum sunscreen, throughout the day. Regards