Tranexamic Acid for hyperpigmentation - Does it work?

[@DoctorAnne]

Have you tried Tranexamic Acid already? Please share your product recommendations below!

[@ReethuVincy22444422]

Ma'am we do get higher percentages of tranexamic acid (10%) formulated in combination with arbutin(1.5%) and kojic acid(2%.) (Haven't used though.)

[@DoctorAnne]

@@ReethuVincy22444422 Regulations are different in different countries, in some countries Tretinoin is available free of prescription as well. I would consult with a professional before using high concentrations, but that is just me usually erring on the side of caution.

[@ReethuVincy22444422]

@@DoctorAnne True true. Tranexamic 10% is prescription grade. Thankyou.

[@50167623]

Which is better in tranexamic acid cream or tablet if tablet which strength I have to take I have melsma in nose

[@50167623]

@@ReethuVincy22444422 hi

[@nirvanabentley8258]

Update I'm on week 5 of my tranexamic acid pill treatment, and the melasma has almost disappeared. I have had no side effects and an truly happy with my face for the first time in years!!!

[@DoctorAnne]

Congratulations, that is amazing.

[@ritasharqawi7367]

Any updates

[@princesssapphire3444]

It's work on me too. My 10 years melasma almost completely gone. But after I stop taking it, it's re-appear again.. 😔😔

[@DoctorAnne]

@@princesssapphire3444 That is the problem with all this hyperpigmentation - it is a chronic thing.

[@ritasharqawi7367]

Princess Sapphire 😔😢😢😢😢

[@susanmcf1]

I just received an order of Dearskin Tranex. It is a 5% tranexamic acid serum that includes l-ascorbic acid and licorice, etc. I bought it on Amazon. I found it through Penn Smith's You Tube videos. It has had no negative effect on my skin, but it is too soon to tell if it will have a positive effect on my age spots. I really love your no nonsense, well informed videos.

[@DoctorAnne]

You are the second person mentioning the Dearskin Tranexamic Acid, I really need to look into it.

[@akshatashetty3150]

Hi susan, is the tranexamic acid working for you? I am really lookinfg forward to buy it

[@Contagiouslearning]

Did it work for you please update

[@susanmcf1]

@@Contagiouslearning I found the formula to be much less effective on my skin than the Naturium tranexanic acid serum, so I switched several months ago. The Naturium does lighten my age spots.

[@susanmcf1]

@@akshatashetty3150 I switched to Naturium and it works on my skin much better.

[@smileyr8241]

Yes... It works like a magic....

[@DoctorAnne]

Do you use it topically or orally?

[@smileyr8241]

Orally

[@DoctorAnne]

@@smileyr8241 There is much better data on its effectiveness that way.

[@kaya-we2hc]

Would your pigmentation come back if you stop using it ? Any negative side effects we should know before using tranexenic acid?

[@DoctorAnne]

Potential side effect are discussed in the video. And yes, pigmentation can always come back if there is a new trigger.

[@vinayakthote3957]

I had malesma for 8 months now its fading on its own. Can you please answer how many days will it take to fade naturally. And should I consider this treatment.and what could be the reason for my malesma. 1.I took too much vit c in lockdown is this the reason. 2. Deficiency of vit b12. What are the reasons ? Please doc answer these questions?

[@DoctorAnne]

I can´t answer these questions, as it depends on the individual how long it takes and because the reasons can´t be determined like that. Melasma is most often due to hormonal changes rather than vitamin overcosumption or deficiency, but if you want to know for sure, you need to see a doctor.

[@vinayakthote3957]

@@DoctorAnne thank you so much doctor.

[@shaikhsabi232]

Hey Anne, last February I got chemical peel, which left me with PIH and I am worried, whether it last permenent? What should I do?

[@DoctorAnne]

See a professional. Hyperpigmentation is hard to treat, and if the peel left you with PIH, you might be prone to it, so experimenting on your own could lead to more problems.

[@shaikhsabi232]

@@DoctorAnne thanks a lot Anne!

[@DoctorAnne]

@@shaikhsabi232 You are welcome.

[@elenikariolemou7363]

Hello dear i have the exact same problem as you after chemical peel i left with melasma on my cheeks under the eyes..then a doctor gave a laser peel and now i have even more burn😪he said is rare what happened to my face and thet he cant fix it.i literally dont know what to do and who doctor to trust anymore.im crying every day because i left with pigmentation scars...i hope you found a solution for pih

[@YourYouTubeCoach.]

Super helpful! My curology product has this in it, and was wondering about it, mine is a 4% concentration. Can you do a video abojt the supplement Heliocare?

[@DoctorAnne]

I will put it on my list of topics to do after my holiday.

[@cin337]

Mine too it's at 5% with also tretinoin 0.02% and Niacinamide 4%

[@castadivanorma8478]

could you give some names of products or pharmaceutical products that are safe to use topically ,Please doctor Anne ?? Thanks for all your fantastic info every single time You really enlighten us.Great job like always

[@DoctorAnne]

The Inkey List have their Tranexamic Night Treatment, Good Molecules has the Discoloration Correcting Serum and a few people here recommended the Dearskin Tranexamic Acid in the comments.

[@pradipkherde1718]

TXT cream tranexamic acid if want call on 8857988344

[@fatema7642]

@@DoctorAnne can I used it with dermaroller ?

[@DoctorAnne]

@@fatema7642 I would not use any actives with a dermaroller.

[@vinayakthote8411]

@@DoctorAnne 10% vs 2% which one is good??

[@Neha-rh3wj]

Would you recommend it as a serum for treatment of acne scars? Like minimalist serum - Tranexamic acid with HPA

[@DoctorAnne]

What kind of scare, pigmentation, redness or indented ones?

[@Neha-rh3wj]

@@DoctorAnne i have a longer history with acne. Its been 6-7 years that m dealing with acne And i have both indented ones and redness.

[@DoctorAnne]

@@Neha-rh3wj Do you still suffer from acne? If yes, I suggest you see a doctor for a treatment plan, retinoids might be helpful. Indented scars can barely be changed with topicals, and the redness will fade with time. Tranexamic Acid might help a little with that, but other ingredients might be better - I have a dedicated video about PIE treatment on my channel if you are interested.

[@Neha-rh3wj]

@@DoctorAnne yes i did go to the doctor and had a proper treatment , but my pimples relapsed. My doctor at that time also said the same that marks and scars will go with time but its 2021 now ... m still here with the scars and pimples

[@DoctorAnne]

@@Neha-rh3wj You probably should go back for another treatment then, sometimes several courses are needed. But to be fair, the indented scars are probably not going to go away unless you do more invasive procedures.

[@dynamitedynamite2737]

Hi dr Anne , I have noticed when I apply adapalne 0.1% obove my eyebrow or forehead , my skin sometimes crusts which peel away and leave hyperpigmentation spots which even after 4 months are still there so I don’t know if adapalene 0.1% is bringing up hyperpigmentation or melasma from beneath the skin or is adapalene giving me new melasma or what ? I been using adapalne 0.1% on my skin on dark post inflammatory hyperpigmentation areas which are slightly pitted with dark post inflammatory hyperpigmentation on then for past 9 months without any fading of the scars .

[@DoctorAnne]

Both is possible, it can bring out hyperpigmentation but also lead to hyperpigmentation due to inflammation through irritation. If it is combined with crusting, that might be a sign of inflammation. Maybe your skin above your eye brows is very sensitive?

[@dynamitedynamite2737]

Doctor Anne thanks for getting back dr !!!!! I don’t get any irritation from adapalene 0.1% though , no stinging or burning or redness . Only slight dry feeling on the cheeks . But I have stopped using adapalene on my forehead. Will the same thing happen with retinol 1% or is that milder than adapalene . ? I was prescribed adapalene to lighten post inflammatory hyperpigmentation or melasma not to come out in new hyperpigmentation spots.

[@DoctorAnne]

@@dynamitedynamite2737 Adapalene is the cousin of Tretinoin and comparable in strength, while Retinol is the weaker brother of Tretinoin, so Retinol 1% is weaker than Adapalene.

[@Contagiouslearning]

@@dynamitedynamite2737 which medicine cream you were using of adapalene

[@annalane8378]

Hello! I just came across your video. I have used a 5% trancexamic acid, but the cream was very expensive, I did however see results. I then came across the Inky List Tranexamic acid, but it is only a 2%. Do you think it is worth spending more on the 5% or trying the 2%?

[@DoctorAnne]

I would suggest you try the 2% and compare the results you get, that way you can see for yourself if it is worth it for you.

[@mirita3662]

Anna, you can buy niche beauty,transparent lab PIH,it contains 5% Tranexamic,5% niacinamide &1% kojic acid...the price is only 16€(30ml)..it's good..

[@Contagiouslearning]

@@mirita3662 hi any other option for hyperpigmentation as its not available in UAE

[@ReethuVincy22444422]

Absolutely love the way you explained! Thankyou. Could you pls talk about azelaic acid. And what all actives could be used along with it and what all can't.

[@DoctorAnne]

I will put that on my list of video topics.

[@ReethuVincy22444422]

@@DoctorAnne thankyou🌸

[@Maary222]

When taking the tranexamic acid orally, would you say it helps with Melasma/hyperpigmentation anywhere on the body, or just the face?

[@DoctorAnne]

If you take something orally, it affects every part of the body that has the needed structures and receptors.

[@almosthonest4538]

Maam i have light melasma on the both side of my cheek,i went to skin doctor and she suggested me tranexamic acid tablets 250 mg but its been 2months ...just a slight improvement is there..how many days or months does it take to completely disappear my melasma..plz reply maam

[@DoctorAnne]

I can't answer that question, it depends on many different factors and should best be discussed with your prescribing doctor. But two months and already seeing slight improvement isn't too bad. These things take time.

[@seajelly2103]

Does tranexamic whitening the skin?

[@DoctorAnne]

It works to reduce pigmentation, yes.

[@Abhishek-yq7iu]

Are tranexamic pills 500mg per day helpful for melasma

[@DoctorAnne]

I go into detail on that in the video, for any further information please consult a doctor in person.

[@AdorableOj]

I will love to know the dosage required and how to use it

[@DoctorAnne]

@@AdorableOj You REALLY need to discuss that with a prescribing doctor, it depends on your individual circumstances.

[@amritatiwari9492]

Can you suggest me which tranexamic acid serum is best. I have pigmentation around check area its not soo much but recently seen into my check area can you suggest me best serum for me ?

[@DoctorAnne]

It depends on what else you are using and what is available to you. I tell you what to look for in the video.

[@kamilawani1046]

Mam does tranexamic acid makes skin sensitive to sun ?

[@DoctorAnne]

Anything that reduces melanin in the skin does slightly increase sun sensitivity, so yes, but not in the way retinol does.

[@serenity4089]

am in my 20s and I have pigmented dark spots all over my face from recurring acne all came back after 2 yrs of having a blemish free face from using accutane back when i was a teenager, whats your advice for treating & fading the dark spots & evening my skin tone?, i dont want to take accutane again bc its was so harsh on the body, There are so many things recommended in the skincare community it gets daunting & overwhelming, its easy to get lost in it, what do you recommend as a doctor ? I would appreciate it so much 💜

[@DoctorAnne]

I have a video series on Hyperpigmentation where I list the different options, but in total a combination of different ingredients is probably best, along with a visit to a doctor specialised in that, as some hyperpigmentation needs more invasive treatments than topical skincare.

[@serenity4089]

@@DoctorAnne thank you :)

[@habibaabdelaleemfarg2650]

Hello doctor Anne I have post inflammatory hyperpigmentation in my extremes , now i use tranexamic acid tablets and hydroquinone cream, i use antioxidant tablets after meals too , my hyperpigmentation has been greatly disappeared but not at all I l'd like to ask if you can recommend me another medication or any medical advice to treat hyperpigmentation that lasted for along time around 10 years I'm sorry if there is any language mistake cause i don't speak English Thank you doctor you are wonderful ❤

[@DoctorAnne]

Hi. Judging from the medication you are already taking, it seems you are under professional guidance already, meaning you have a doctor that is prescribing the Tranexamic Acid tablets and such. I suggest discussing that with them. Sometimes you'll need more invasive procedures like a certain type of laser, and that is best discussed with a doctor that you see in person.

[@nadam.2516]

Thank you Dr. Anne for this video.. I have deep pigmentation in my face I used cosmelan and it doesn’t go, so I went to another doctor he said we can used Tranexamic Acid as injection in my face.. need your advice please

[@DoctorAnne]

If you trust your doctor, follow his advice. If not, go to a different doctor. I can not give specific medical advice on here.

[@nazishbeauty8584]

I m using transamic acid 250 mg tablets doctor recommend me after ptt test for two months

[@channel-nb4he]

@@nazishbeauty8584 update us when you will get your desired results..

[@nazishbeauty8584]

@@channel-nb4he ok sure

[@50167623]

I am tranexamic acid Cream from past 15 days is this works or can I take tranexamic acid tablet oral which is better please suggest me and which strength of tablet I have to take in tranexamic acid I have melasma in nose

[@50167623]

Please reply me

[@DoctorAnne]

@@50167623 I answered under your other comment: Please discuss potential oral medication with a doctor in person, I will not advise on oral treatment on here.

[@50167623]

Madam what should I do for pigmentation in nose can u please suggest me

[@50167623]

Can I send u my picture

[@DoctorAnne]

@@50167623 I have a video series on hyperpigmentation that I suggest you watch for general advice, but anything specific please see a doctor in person.

[@mariamessina550]

Much appreciation for sharing your knowledge 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻

[@DoctorAnne]

You are welcome.

[@ashakeshavan7319]

I have started for a week by now....but started getting acne.....don't kno whether to continue or to stop??

[@DoctorAnne]

Hard to say from afar. Acne can be triggered by various things, like weather changes, stress or hormones. You might either stick with it and see if it subsides or stop it and see if the acne goes away and then starts again if you use it again.

[@sapnaagarwal2236]

Do the oral supplements help for uneven skin tone and brown patches...

[@DoctorAnne]

Yes, but I recommend always discussing with a doctor that sees you in person before taking any oral medication.

[@pixelhill]

Has anyone used for body hyperpigmentation?

[@DoctorAnne]

The ingredients used on the face do work on the body as well. I have a video on that here: kzbin.info/www/bejne/oJ-Ze2eEac-bqtE

[@suesuez8452]

Maam if the lazer destroys the melanocytes then is there any chance for the malasma to come back?

[@DoctorAnne]

Yes, through another trigger that encourages new melanocytes to migrate into that area.

[@ratnadeepdhar4816]

Nice listening to your advice on the pros and cons of tranexamic acid for hyperpigmentation. I have been using topical tranexamic acid for PIH in my face occured because of unfortunate accident recently will ofcourse update you after 4 weeks usage would like to hear alternative treatment option. Regards

[@DoctorAnne]

Thank you for updating us. I have a whole playlist on hyperpigmentation that should provide you with more information about alternative treatments.

[@ratnadeepdhar4816]

@@DoctorAnne Welcome 🙏

[@Texasgirl2023]

Will topical application go in the blood stream and cues clotting?

[@DoctorAnne]

That depends on the concentration, but in the concentrations studied no, otherwise it would not have been permitted for use without prescription.

[@hninoolwin5877]

Thank you Dr. ​I would like to know if oral tranexamic acid lighten the overall skin?

[@DoctorAnne]

This is a question that should be addressed to the doctor prescribing the oral Tranexamic Acid.

[@lotsstories]

I just try it today i dont feel any problem it was injected via intramascular. I just want to know if its ok to inject with phenokinon? How many weeks should i take it as maintenance for my melasma?

[@DoctorAnne]

I do not comment on injections or oral medication here, this video is for topical skincare. I suggest discussing all that with your healthcare provider.

[@darirusanferaa7647]

Can I layer rosehipoil and tranexamic acid?

[@DoctorAnne]

Yes.

[@Contagiouslearning]

Which tranexamic cream are you using

[@tabassumalif1672]

Can i use tranexamic acid more than 6 months or over the year regularly?

[@DoctorAnne]

Topical? Yes. Orally? You need to talk to your prescribing doctor.

[@JudithSantana-p9l]

so if there is no trigger, like if I wore spf, my PIH won’t come back? If I stopped taking it would that itself trigger it?

[@DoctorAnne]

No, melanin is produced as a protective response. But triggers could be irritation, friction or inflammation, not only sun.

[@babar279]

I use tranexamic acid tablet from last 15 days.

[@DoctorAnne]

If that is what your doctor recommended I hope it wil give the desired effect.

[@yashibasanil123]

I was recommended tranexamic acid and salicylic acid to treat my skin and to be used in alternate days but I havent used face acids before. Also I have combination skin with closed comedomes on my forehead and jaw. My skincare already involved serums and eye creams that have hyaluronic and niacinamide in it. How do I use these additional acids with it

[@DoctorAnne]

Who recommended these products? If it was your doctor, I suggest asking them about when to incorporate these new additions. But in general Niacinamide and Hyaluronic Acid can be used with either of them, so there shouldn´t be a problem.

[@yashibasanil123]

@@DoctorAnne It wasnt my doctor but the skin specialists from the derma brand I brought the products from.

[@DoctorAnne]

@@yashibasanil123 Then maybe he/ she is the best person to ask as I am not familiar with the products. But for general advice see above.

[@karenhinkle7992]

I have been using the dearskin tranexamic acid for probably about four months now and haven’t seen much of an improvement yet! I’m 77 and have had hyperpigmentation for along time sooooooo it might take longer to work don’t know! Anyway thanks for the warning about the oral which I won’t be trying. Great video, thanks 💜

[@DoctorAnne]

What else are you using to combat the hyperpigmentation? Are you already using retinoids?

[@Forit26]

How is it going

[@washuro]

I've been using since 6 months topical as well and it doesn't work at all. I've switched to serum tranexamic hopefully it works.

[@cheekymonkeygirl3378]

Use Hydroquinone. It's excellent.

[@asiffkkr2819]

Dr please tell us is this use for the boy's.beacuse I have a very higher pigmentation issues.

[@DoctorAnne]

It is gender neutral, if that is your question.

[@dchheda999]

Hi ma'am can Tranexamic acid treat Lichen planus pigmentosus, can I apply that cream to my lips

[@DoctorAnne]

This disease requires a diagnose and treatment suggestions from a dermatologist, so this is a question to direct to your treating doctor.There are usually other treatment options that come first.

[@Zahmah123]

Hi how you doing doctor I use pca pigment gell for four days my face get very dark I have pigment on my face so I went to doctor he gave a steroid cream hydro 2-5 percent and gave me this tablets of this acid which I am using about 10 days little different I have if you can help thanks

[@DoctorAnne]

I am not sure how I can help you - you have a doctor that has seen you in person, so it is best to stick with their advice

[@Zahmah123]

He gave steroids cream hydrocortisone which he advise for 7 days which I did ? Should I stop this steroid cream? Can you advise

[@DoctorAnne]

@@Zahmah123 I can't advise as I don't know you, your medical history or your skin. This is a question you should discuss with the doctor that gave the prescription.

[@dg7438]

I'd like to hear your review of Regimen Labs, Level Serum based out of Toronto

[@DoctorAnne]

Oh, I hadn't heard of this one yet, but it sounds lovely. I will put it on my list.

[@madisonnardone4106]

would this work on dark red/purple scars on legs? i have sever dark spots/scars on my legs from bug bites, picking, etc. they are completely flat and disappear for a few seconds if i push down on them. i know laser treatment is an option but it's so expensive i'm wondering if there are other products/ingredients i should be looking for that would help. and i'm not sure if they are technically scars or post inflammatory erythema. my scars usually fade and turn white over time but these are taking longer than usual.

[@DoctorAnne]

It sounds more like Postinflammatory Erythema from how you describe it, for which Tranexamic Acid is not first line therapy. I have a video talking about PIE and treatment option that might give you some suggestions.

[@bilkism5946]

Can 19 year old use tranexamic acid topically for hyperpigmentation ?

[@DoctorAnne]

Yes.

[@aakarshahuja1196]

I dont agree tranexamic acid is v safe orally

[@DoctorAnne]

It is safe when used under a doctors guidance and for the right reasons. Just like any other drug.

[@theladyandsonplus2]

I used the pills 600mg and when I stopped the pigmentation returned. Please advise.

[@harrystyles8059]

I have Heard about the return too that's why I don't want to consume it

[@DoctorAnne]

Hyperpigmentation is a chronic disease, that is why it returns. If you want to get rid of it longterm, you will need invasive procedures.

[@pradipkherde1718]

@@DoctorAnne which invasive procedures??

[@DoctorAnne]

@@pradipkherde1718 I have a video where I talk about hyperpigmentation in detail that I recommend you watch.

[@channel-nb4he]

did it returned in more severe form than before ??

[@مليكةباشيخ]

I have used acno to treat acne but after six months now I have melasma over the upper lip the doctor recomended tranacix cream with 3% acid concentration but havent started yet as Im not sure if it is safe to use especially summer and the hot weather!

[@DoctorAnne]

I think it is best to discuss these concerns with your prescribing doctor.

[@cheekymonkeygirl3378]

I use Hydroquinone for my hyperpigmentation but I want my fair skin to be pale. What topical can I use? I don't like oral medication because the detrimental effect is not worthwhile. 😈

[@DoctorAnne]

The best way to stay pale is to avoid the sun.

[@cheekymonkeygirl3378]

@@DoctorAnne what do you think about Glutathione creams? Can I use it in conjunction with my hydroquinone? How long glutathione cream should be used? I researched that glutathione cream can be used instead of glutathione supplements. Please answer all four questions. Thanks. 😻

[@DoctorAnne]

@@cheekymonkeygirl3378 1. I have no fixed opinion about Glutathione creams yet. 2. That depends on the concentration of your Hydroquinone - if it is prescription, you should discuss it with your prescribing doctor, otherwise you should be fine combining them. 3. There is no time limit. 4. Nothing applied topically will ever be the same as something you ingest, so if you can use it instead depends on the results you are expecting.

[@cheekymonkeygirl3378]

@@DoctorAnne Thanks, love ❤️

[@JudithSantana-p9l]

I’ve heard that when people with melasma stop taking tranexamic acid, it comes back. My PIH is due to injury, not melasma. So if I start taking oral tranexamic acid then stop taking it, would it come back?

[@DoctorAnne]

Tranexamic Acid blocks the melanin production, but does not destroy the melanocytes (aka the cells that make the melanin), so any kind of hyperpigmentation will come back when triggered. This is why sun protection is so important when dealing with any kind of pigmentation disorders. The only permanent solution would be to destroy the melanocytes with laser or something like that.

[@JudithSantana-p9l]

@@DoctorAnne so if there is no trigger, like if I wore spf, my PIH won’t come back? If I stopped taking it would that itself trigger it?

[@olinayoung6287]

Really helpful, thank-you Dr Anne!

[@DoctorAnne]

You are welcome.

[@tejiricoker8445]

This was a great video, thank you so much

[@DoctorAnne]

You are welcome.

[@myvideochannel6404]

Sorry ,a little out of topic, but I love your necklace

[@DoctorAnne]

Thank you. I wear this one a lot. It came in a set with a second one, but I prefer to wear them separately.

[@DearNiraa]

what would you suggest to use for some dark spots and exccessive sebum production on nose on their 20s. I don't really have bad skin and acne problem but i do have dark spots from acne

[@DoctorAnne]

I have a few videos on hyperpigmentation that might be interesting for you, but in general BHA and maybe a retinoid might help.

[@raghs3889]

Hi Doctor Anne, i generally do micro needling once a month so can i use tranexamic acid 3%? if yes how should i use it, i have vitamin c combined with 1.5% Hyaluronic acid serum as well...how should i use them both?

[@DoctorAnne]

Yes, you can use it, but I am not the best to give advise on microneedling - I personally do not recommend doing it yourself for most people.

[@krcstar]

I’ve been using a tranexamic serum for a week or so now and it has cleared my pimples, reduced the redness and hasn’t left any scarring. I thought I was going crazy because nothing has ever really worked before and definitely not this well. Thank you so much for this video!! I’ve been looking for info on tranexamic acid, what it does and why it has worked so well for a while and I just couldn’t find anything!

[@DoctorAnne]

I am happy to hear that your skin is responding so well to the treatment!

[@jennachan5670]

what brand of tranexamic serum are you using?

[@gratefulsunli4996]

Which brand are you using

[@بسمالله-ع4ف]

Which brand plz

[@MD-9999]

what product are you using?

[@ikennaebegbulem3497]

Can I use IV tranexamic acid on my skin, will it be absorbed?

[@pradipkherde1718]

Use TXT cream

[@tassokaku1345]

❤️❤️❤️❤️❤️

[@wheeleep4587]

ellow! can I use Tranexamic acid after derma rolling? thanks

[@DoctorAnne]

I don´t recommend dermarolling at home, so I am not the right person to turn to with this question.

[@daljeetsahota8604]

Hi, ma'am My doctor is using injection tranexa for the treatment of melsma after multiple peeling sessions , is it safe?

[@DoctorAnne]

This is a question you should discuss with your doctor.

[@srishtisharmxa]

Is it worked for you?

[@kamilawani1046]

Does tranexamic acid serum reduces freckles and sunspots ?

[@DoctorAnne]

It is an ingredient that helps with that process, yes. But hyperpigmentation usually requires several different approaches combined.

[@missjb9404]

my doctor prescribed me melano tx od for PIH for 1month will it effect on my period if i take tranaxamic acid orally for 1 month??plz reply

[@DoctorAnne]

It might, yes. But I recommend discussing these things with your prescribing doctor.

[@channel-nb4he]

my doctor too prescribed me the same table.. did it helped it hyperpigmentation

[@pristianimega2720]

If we compare between tranexamid acid with Hydroquinone in the same concentration, which one more powerful for melasma?? Please give information doctor.

[@DoctorAnne]

Hydroquinone. But if you want to treat melasma, the best thing you can do is see a doctor and get individual advice for your skin.

[@pristianimega2720]

Thank u so so much doctor. God bless u🥰🥰🥰

[@darirusanferaa7647]

I’ve just observed that upon using rosehipoil breaks me out. If you have acne or oily skin better to avoid rosehipoil. And ofcourse always listen to your skin.

[@DoctorAnne]

Listening to your skin is very important indeed.

[@carnevil5740]

Keep your mask on bitch

[@nonoikhiangte3519]

Dr anne can u plz help me i have a small small pimpiles in my face what do do can u pliz help me out

[@DoctorAnne]

Several whiteheads? All over your face or in a specific area?

[@englishandbiohub6621]

Your eyeshadow 😍😍😍😍is love

[@DoctorAnne]

Thank you. It is MAC Satin Taupe, a classic.

[@nicolekaryn6544]

Do you recommend tranexamic acid, niacinamide or vit c more for teens with acne prone skin to fade dark spots and help textured skin?

[@DoctorAnne]

Neither. I would suggest a chemical exfoliant first.

[@cheekymonkeygirl3378]

You are super pretty. ❤

[@DoctorAnne]

Thank you.

[@RubenWhitter]

Very informative and helpful, thank you!

[@DoctorAnne]

You are welcome.

[@renudhakal1930]

Thank you so much for good information about this medicine. ❤

[@DoctorAnne]

You are welcome.

[@cristypestilos4022]

Hello, Dr. Anne! I discovered your channel just now and I'm binge watching your videos. I find your content very informative! 🙂 May I know what medication is best for closed comedones concentrated on my forehead. Many thanks! 😊

[@DoctorAnne]

Retinoids or AHA/BHAs.

[@cristypestilos4022]

Thank you! ❤❤❤

[@Hazlhazl]

Hi Dr, can i layer with tretinoin? Thank you

[@DoctorAnne]

That depends on your skin. You could, but I usually recommend spacing out the actives to minimize the risk of irritation.

[@ayammayaone]

Very informative, thank you so much 🙏🏼

[@DoctorAnne]

You are welcome.

[@GwendolynGraves]

Is 5 % TA too high to be using on our skin ? Is 2 % safer?

[@DoctorAnne]

It is safe in the amounts it is available in skincare.

[@GwendolynGraves]

@@DoctorAnne thank you ! I love your channel ! Do you have a video talking about mineral vs chemical sunscreen ? So many things say avobenzone and ozybenzone are bad but I never know what to believe.

[@DoctorAnne]

@@GwendolynGraves I do have one, you can find it here: kzbin.info/www/bejne/f3m1iaiDgqd7gdk

[@ikennaebegbulem3497]

Can I use IV tranexamic acid on my skin, will it be absorbed?

[@DoctorAnne]

I strongly suggest using any medication only as it is intended to be used.

[@ikennaebegbulem3497]

@@DoctorAnne thank you

[@gratefulsunli4996]

Can I use it with tretinoin at night too?

[@DoctorAnne]

In theory you could, but I prefer to not use other potentially irritating things together with Tretinoin.

[@kamalsharma-qh6ui]

how does it take to recover hyperpigmentation ??

[@DoctorAnne]

You mean how long? That depends on a ton of factors, but usually a long time.

[@mithun8492]

@@DoctorAnne 2 month enough???

[@DoctorAnne]

@@mithun8492 Depends on the severity, if there are ongoing triggers, which products you are using - but two months isn´t a long time to target hyperpigmentation.

[@subhashinivithanachchi7720]

Thank you very helpful video. I started using Hada Labo Tranexamic acid but i started purging, with cystic acne. I temporarily stopped using it. But Im so sad

[@DoctorAnne]

Tranexamic acid does not usually lead to purging - are you sure it wasn‘t something else?

[@subhashinivithanachchi7720]

Thank you. I thought it was tranexamic acid gave me cystic. Perhaps something else in Hada labo tranexamic acid product as you said. Oh dear got to find what that could be now

[@DoctorAnne]

@@subhashinivithanachchi7720 Maybe it is something entirely different, like hormonal changes? Cystic acne is not usually a skincare issue, that often manifests as congestion and manifests. Of course everything is possible.

[@subhashinivithanachchi7720]

Thank you. You are very helpful. You gave me some confidence. Perhaps I will resume tranexamic after few weeks and slowly

[@DoctorAnne]

@@subhashinivithanachchi7720 Fingers crossed your skin recovers soon.

[@rashmicv9919]

Mam Trexmind -500 , Tranexamic Acid Tablet IP can I use this for hyperpigmentation

[@DoctorAnne]

I recommend talking to your doctor for oral application.

[@rashmicv9919]

My skin doctor give to me this tablet to hyperpigmentation that's way I ask you mam ....this tablet good or bad

[@DoctorAnne]

@@rashmicv9919 Again: Nothing beats the recommendation of a doctor that has seen you and your skin in person, so you should approach him if you have any concerns.

[@channel-nb4he]

updates about your results..

[@srishtisharmxa]

@@rashmicv9919 updates ?

[@Ururowndoc]

If only I took a shot every time she said Tranexamic acid 🥴 lol. Great video though. Thank you !

[@DoctorAnne]

You´d probably be quite drunk by now - I don´t think my Ingredient Spotlight videos make good drinking games.

[@Ururowndoc]

@@DoctorAnne 😂 your new subscriber. Thank you for going into evidence based medicine. Are you able to make some recommendations for Tranexamic acid in the UK? I heard the inkey list is good

[@DoctorAnne]

@@Ururowndoc I have tried the one from The Inkey List, it is good, but smells a little like Barbecue Sauce - might be a good or a bad thing, depending on your food preferences. Good Molecules have one that I like as well.

[@Ururowndoc]

@@DoctorAnne ahhh thank you. I bought the Me+ range at Superdrug here in the UK as I couldn’t get hold of The InkeyList and it had similar formulation. I’ll see how it goes. Thank you!!!!!

[@DoctorAnne]

@@Ururowndoc Keep me updated - I have not yet tried anything from that range.

[@sukanya-thatvegansoul1379]

Love love love your content ❤️thank you so much for sharing so much valuable information with us. Doctor I have a request please consider making a video on Photo Allergy skin care.

[@DoctorAnne]

Could you specify what you mean exactly? Photo allergy as in photodermatitis, triggered by ingredients and UV exposure?

[@sukanya-thatvegansoul1379]

Yes Doctor

[@DoctorAnne]

@@sukanya-thatvegansoul1379 Okay, noted.

[@sukanya-thatvegansoul1379]

Doctor Anne thank you so much 😊

[@premmishra1460]

I am using it my dermatologist had prescribed me xictra tablet 250mg twice a day for 2 months with kojic acid cream I will definitely update you the effect of it after 2 months thank you... I am from India

[@DoctorAnne]

I am looking forward to your experiences.

[@premmishra1460]

@@DoctorAnnetoday 9 days completed more 51day to go will definitely like to share the experience of my treatment thank you Doctor Anne

[@maryemelkhallouki5786]

I am looking for sharing your experience. Thank you

[@Risheei]

@@premmishra1460 bro, please share your experience

[@sohakhan7097]

Please share your results

[@marilynrios6496]

I find when I use it it really burns is this normal?

[@DoctorAnne]

I never experienced that, so I do not think it is normal.

[@ash-lee33]

I get a tingly skin when I use mine

[@justusingit8108]

Is this good for red acne marks ?

[@DoctorAnne]

The answer to that is in the video: maybe. If you want to learn more about red acne marks I suggest you watch my video on Postinflammatory Erythema (PIE)

[@justusingit8108]

Thank you so much it was a really helpful video ❤️

[@deepak.pannwardeepak.pannw9138]

Good work

[@DoctorAnne]

Thank you.

[@prakashgosai7796]

Hey @doctor Anne I'm from india and my doctor write in my prescription tranexamic acid tablet and kojic acid cream Can I take this I have a malasma problem on my face please reply me before I buy this madicin

[@DoctorAnne]

If the doctor that saw you in person prescribed you something, I suggest you either follow his advice, visit him again to talk through any concerns you might have or get a second opinion from someone else you visit in person - I can only give general advice.

[@channel-nb4he]

CAN YOU SAY NAME OF THE TABLET ..I AM TOO SUFFERING FROM MELESMA DUE TO PCOD

[@prakashgosai7796]

@@channel-nb4he it's tranexamic acid tablet or kojicus cream

[@Khan-it3qe]

@@prakashgosai7796 how's your results now

[@parisandhu552]

@@channel-nb4he follow one india guy video. on you tube. in which he recommended saliclic acid face wash, qtvit cream and transexamic tablets. buy tht. his pigmentation clear with. tht. i also want to buy bt i am in australia at present

[@jiaziliu1621]

I am about to get the Inkey list tranexamic acid to see if it helps to reduce my hyperpigmentation from acne on my jaw area even faster😂. But I have been using adapalene for 4 month now and already start seeing changes and differences on my skin, like smoother, brighter, and actually no more active break outs. So I wonder if I should try tranexamic in addition to that, since my skin is so annoyingly sensitive and doesn’t react to new products well specially another actives😱😂but thank you Doc for your time and knowledge! Always super helpful to help me to make a educated decision.🙏🏻🙌🏻♥️

[@jiaziliu1621]

And of course I use sunscreen everyday👍🏻🌞🥂

[@DoctorAnne]

Do you use the Adapalene daily? If not, you could try using the Tranexamic Acid Treatment on the night off. Otherwise start slowly by adding it onmce a week with enough time in between both. But if you have to choose between Adapalene and Tranexamic Acid always go for Adapalene, it has much better data.

[@DoctorAnne]

Bravo!

[@dynamitedynamite2737]

Hi what strength adapalene are you using and when you say smoother skin is that to do with atrophic scars or hyperpigmentation ?

[@jiaziliu1621]

Doctor Anne yes doc, I do now, every night. Not at the beginning, since my skin can be very reactive, so I started once to twice a week, then every other night and on top of my moisturizer, and after the moisturizer is fully dried. I was so afraid that I will have really bad reactions from it since I read a lot of horrible stories from some people using adapalene. So I was super careful! But it is definitely paying off!

[@ikennaebegbulem3497]

Can I use IV tranexamic acid on my skin, will it be absorbed?

[@JudithSantana-p9l]

Is it just for melasma or can oral tablets be used for PIH?

[@DoctorAnne]

They can be used for all kinds of hyperpigmentation.

[@JudithSantana-p9l]

@@DoctorAnne than you for answering. Does it come back when you stop taking it? Mine is due to injury

[@JudithSantana-p9l]

@@DoctorAnne ?

[@harrystyles8059]

I Heard that if you stopped using it melasma come back again ...?

[@DoctorAnne]

Melasma, just like all hyperpigmentation, is a chronic disease that you can’t really get rid of permanently with topical treatments.

[@harrystyles8059]

@@DoctorAnne no I was taking about consuming it through oral route

[@DoctorAnne]

@@harrystyles8059 That is the same. The pigment building cells are there, in the skin. You can minimize the pigment, but they will start to produce again if there is a stimulus. There is no difference between oral and topical treatment there.

[@angel7016]

@@DoctorAnne So, does that mean if you get rid of the stimulus e.g. hormone imbalance, the pigment wouldn’t reproduce so all that needs to happen is for it to fade?

[@DoctorAnne]

@@angel7016 The hormonal imbalance is only part of the problem, but yes, in many people the melasma fades after the pregnancy.

[@vanezapangan2428]

Hi dr., I am cook and prone to heat in the kitchen I want to ask if tranexamic acid is safe to used? even if the kind of my job, I have melasma also. And what is best combination of tranexamic acid for melasma? Thank you in advance

[@DoctorAnne]

Yes, tranexamid acid is safe to use in the kitchen. For best melasma options I suggest talking to a dermatologist, it is tricky to treat.

[@dynamitedynamite2737]

Hi dr skinceuticals have a product called discolouration Defense with 1.5 % tranexamic acid and has kojic acid in too and niacinamide. There is a another product called melan trans3 duo with 6% tranexamic acid . These are topicals . Is the oral tranexamic acid better and will you get a rebound once you stop the oral or the topical tranexamic acid ,

[@DoctorAnne]

We have more data on oral Tranexamic Acid than on topical, which doesn´t mean that one is better, it just means we have better data on oral application. But as I said I wouldn´t recommend taking a potent drug for cosmetic reasons and risk it messing up my blood clotting.

[@dynamitedynamite2737]

Doctor Anne hi how long should you use tyrosinase melanin inhibitors for to maintain or prevent hyperpigmentation, ingredients like arbutin , liquorice root extracts , mulbery , kojic dipalmitate. Does arbutin convert into hydroquinone in the skin ?

[@DoctorAnne]

@@dynamitedynamite2737 All these things are for long term use, when you stop using them, the hyperpigmentation will come back. And yes, Arbutin does convert in the skin.

[@dynamitedynamite2737]

Doctor Anne omg so arbutin converts into hydroquinone in the skin ? So how long can you use a product with arbutin in it , is arbutin safe to use everyday twice a day indefinitely without rest breaks then like you need rest breaks with hydroquinone? Or will you need rest breaks with an arbutin product?

[@DoctorAnne]

@@dynamitedynamite2737 You do not need rest breaks with arbutin, the effects are much weaker than when using hydroquinone.

[@nirvanabentley8258]

I just started taking the pill 4 days ago. I have pigmentation on my forehead, temples and above my lip, I've tried hydroquinone for years, steroid injections above lip (they do work, but it takes 4 to 5 months between treatments, it took me over a year to do one side). I did laser for 4 months, and last month was supposed to be the 5th and I was furloughed, so I waited until this month and all the pigment came back. Now on the pill, hope it works.

[@DoctorAnne]

Fingers crossed it does.

[@meriema8436]

Did it work plz?

[@paty9674]

Did work it?

[@survivinglife101]

Any updates ?

[@ANewEvilRising]

Wear sunscreen

[@mirita3662]

Doctor,I have sunspot and I use 5% Tranexamic acid+azelaic acid 10%.i use 1%retinol every 2 days...is it enough.?

[@DoctorAnne]

That depends on your skin - if they lighten, then it is enough. You do wear sunscreen I assume? Because if you don´t, everything else is pointless.

[@donnaharris8722]

I use Curilogy TA 5% with 4% niacinamide and .05 % Tretinoin. . They started me on lower % Tretinoin and we have increased with time. I still have spots but they are slowly fading. I frequently get compliments on my skin from strangers and acquaintances can’t believe I am 66

[@DoctorAnne]

That is amazing!

[@sslilac]

How about glutathione? People swear that it lightens their skin. I'm white and care less about light skin but I do have stubborn hyperpigmentation and women swear glutathione helped them. Please let me know your opinion. Thanks doc🥰

[@DoctorAnne]

It is not among the first line topical treatments, to my understanding people get it as iv or oral supplement. If you decide to go that route, make sure to do so under professional supervision.

[@angyangela07]

The dermatologist has prescribed both TA pills and hydroquinone for not-so-dark melasma on the sides of my eyes which I believe I developed last summer. I had never had it before and I moved to a very sunny region two years ago. I did take antibiotics last Spring-Summer but I did not take contraceptives and was not pregnant. Could my melasma be due to the sun alone and thus can be gone after topical treatment? After some research, I became very concerned about side effects and decided not to use the prescribed meds, but rather start with safer topical ones - just like you suggest in the video. Thank you so much for sharing your valuable professional opinion.

[@DoctorAnne]

Melasma is very hard to treat, and if you had a consultation with a professional, I think it would be wise to trust their opinion and discuss any concerns with them directly. very often prescription is needed to treat even mild forms of melasma.

[@annamelai8356]

Hello doc! 20 year old girl with some acne marks and hyperpigmentantion, can i use the one from the Inkey list?

[@DoctorAnne]

Yes.

[@stephaniemcgowan2858]

I have used The Inkey List tranexamic acid along with other products (retinol, Vit C, and niacinamide) that assist with hyperpigmentation. It did take a while to see any change in the pigmentation, but I do love the results. I am now trying Curology for hyperpigmentation that has 5% tranexamic acid in it. I’ve been using it for under a week, so I cannot give an opinion, but I hope it continues to do a good job. My hyperpigmentation is light, and I have to point it out for anyone to see it. I tan really easily so I try to avoid the sun and use a good sunscreen. Thank you for giving such an in depth review of tranexamic acid!!!

[@DoctorAnne]

Combination of different ingredients (and of course sun avoidance) is key. It is amazing that you are seeing good results.

[@stephaniemcgowan2858]

Doctor Anne I am so glad I was scrolling through KZbin and found your channel! I have a BS in science concentrating in prehealth with a minor in chemistry, and I’m new to the skincare world. We have a farm so I really don’t get to research like I want. But you gave information that I have been looking for!! Thank you!!!

[@DoctorAnne]

@@stephaniemcgowan2858 I can imagine a farm taking up all your time!

[@stephaniemcgowan2858]

Doctor Anne it does, but it’s so rewarding!! Would you ever consider doing a video on women who are going through or about yo go through menopause? Besides the emotions and sweats, nobody tells you about what goes on with your skin besides it starts to dry out. I’ve always had oily skin and it’s changing back and forth. I feel like I go through all the skin types in a month. I would be interested in seeing what can stabilize my face both hormonal and anti-aging, so I can concentrate on all the other changes. Nobody really discusses this 😊

[@DoctorAnne]

@@stephaniemcgowan2858 Yes, I do have that topic on my list, bu need to do a lot more research. There isn´t much information easily available, it isn´t a sexy topic apparently.

[@Mamtakaushik777]

How long can I use it...coz it gives a glow to my skin and also disappears melasma..pz tell dr.

[@DoctorAnne]

The topical version can be used as long as you want to.

[@Contagiouslearning]

Which tranexamic acid cream you are using

[@AdorableOj]

First time and in find your video very informative, my question is what do dosage when using oral trenexamic and how do we use it thanks

[@DoctorAnne]

That needs to be discussed with a doctor prescribing the treatment. It depends on you as individual, so I can not give you any advice there.

[@aakarshahuja1196]

Oral tranexamic acid 500 mg twice daily for 3 months