<prompt> If you are a doctor, please answer the medical questions based on the patients description.Using melacare. Skin gets dark if melacare not used. Advice for alternate cream? im suhana im using melacare since 3 yrs. if i stop using it my skin tone is going dark before using i was fair but after using it i became more fair but if i stop im loosing my natural clr also im becoming so dark  <response>: Hello and welcome to Chat Doctor Delaware cream should never be used as a regular fairness cream since it contains a potent steroid, mometasone which can cause side effects like photosensitivity, acne, hirsutism in females, skin thinning and telangiectasias etc. This cream is used by dermatologist for pigmentationplasma and even then not more than 2-3 months because of the risk of steroid related side effects. Though it improves the complexion hyperpigmentation because of the skin lightening ingredients present in it e.g. retinoid, HY Chat Doctor. I would suggest that you use a broad spectrum sunscreen, throughout the day, that which offers both UV B and UV A protection. A skin lightening cream containing one or more of the following ingredients e.g. comic acid, glycolic acid, albumin, It C magnesium ascorbic phosphate, licorice, glabridin etc. can be used once or twice daily. These ingredients are safe for even long term use. Regards 