Combination Topical Tranexamic Acid and Vitamin C for the Treatment of Refractory Melasma.

Melasma Topical tranexamic acid Vitamin C

Journal

The Journal of clinical and aesthetic dermatology
ISSN: 1941-2789
Titre abrégé: J Clin Aesthet Dermatol
Pays: United States
ID NLM: 101518173

Informations de publication

Date de publication:
Jul 2023
Historique:
medline: 10 8 2023
pubmed: 10 8 2023
entrez: 10 8 2023
Statut: ppublish

Résumé

Melasma is a widespread condition that affects people of many ethnicities and is prevalent in the Middle East. To date, the therapeutic arsenal is still not effective, especially in countries with high ultraviolet light index. New treatment options are needed. The aim of this pilot study was to assess the efficacy of topical tranexamic acid (TA) 2% combined with vitamin C 2% in the treatment of resistant melasma in the Mediterranean region. This prospective interventional pilot study included 10 women, aged 18 to 55 years, with resistant melasma. Intervention consisted in application of a topical formulation containing 2% TA and 2% vitamin C, every night for eight weeks. The primary outcome was the Melasma Area and Severity Index (MASI) score measured at baseline and at Weeks 4 and 8. Melasma Quality of Life Scale (MelasQoL) and Physician Global Assessment (PGA) were used at baseline and at Weeks 4 and 8 of treatment, and they were set as the secondary outcomes. The mean MASI score varied from 12.76±3.91 at baseline to 7.00±4.85 at Week 4 ( Our pilot study demonstrated the possibility of a topical combination of TA 2% and vitamin C 2 %, which may be a useful therapeutic strategy in the treatment of resistant melasma in the Middle east, a region of the world with high UV index. This combination treatment is a safer alternative to dangerous bleaching treatments that are still being used.

Sections du résumé

Background UNASSIGNED
Melasma is a widespread condition that affects people of many ethnicities and is prevalent in the Middle East. To date, the therapeutic arsenal is still not effective, especially in countries with high ultraviolet light index. New treatment options are needed.
Objective UNASSIGNED
The aim of this pilot study was to assess the efficacy of topical tranexamic acid (TA) 2% combined with vitamin C 2% in the treatment of resistant melasma in the Mediterranean region.
Methods UNASSIGNED
This prospective interventional pilot study included 10 women, aged 18 to 55 years, with resistant melasma. Intervention consisted in application of a topical formulation containing 2% TA and 2% vitamin C, every night for eight weeks. The primary outcome was the Melasma Area and Severity Index (MASI) score measured at baseline and at Weeks 4 and 8. Melasma Quality of Life Scale (MelasQoL) and Physician Global Assessment (PGA) were used at baseline and at Weeks 4 and 8 of treatment, and they were set as the secondary outcomes.
Results UNASSIGNED
The mean MASI score varied from 12.76±3.91 at baseline to 7.00±4.85 at Week 4 (
Conclusion UNASSIGNED
Our pilot study demonstrated the possibility of a topical combination of TA 2% and vitamin C 2 %, which may be a useful therapeutic strategy in the treatment of resistant melasma in the Middle east, a region of the world with high UV index. This combination treatment is a safer alternative to dangerous bleaching treatments that are still being used.

Identifiants

pubmed: 37560507
pmc: PMC10409511

Types de publication

Journal Article

Langues

eng

Pagination

63-65

Informations de copyright

Copyright © 2023. Matrix Medical Communications. All rights reserved.

Déclaration de conflit d'intérêts

DISCLOSURES: The authors report no conflicts of interest relevant to the content of this article.

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Auteurs

Jerome Kaikati (J)

All authors are with the Dermatology department and Faculty of Medicine at Saint-Joseph University in Beirut, Lebanon.

Nizar El Bcherawi (N)

All authors are with the Dermatology department and Faculty of Medicine at Saint-Joseph University in Beirut, Lebanon.

Jad Abou Khater (JA)

All authors are with the Dermatology department and Faculty of Medicine at Saint-Joseph University in Beirut, Lebanon.

Serena Maria Dib (SM)

All authors are with the Dermatology department and Faculty of Medicine at Saint-Joseph University in Beirut, Lebanon.

Elio Kechichian (E)

All authors are with the Dermatology department and Faculty of Medicine at Saint-Joseph University in Beirut, Lebanon.

Josiane Helou (J)

All authors are with the Dermatology department and Faculty of Medicine at Saint-Joseph University in Beirut, Lebanon.
Additionally, Dr. Helou is a Professor in the Chief of the dermatology department and Faculty of Medicine at Saint-Joseph University in Beirut, Lebanon.

Classifications MeSH