i have been using melacare cream for the past 3 yrs..now i have got dark spots in the chin and in some parts around the nose!if i continue to use that,dark spot is mild...if i fail to use,its getting worse...waht is the remedy doctor:(:(:(i got really fed up with tis cream...kindly help
**1. melacare is bleaching agent containing hydroquinone, tretinoin, and mometasone (topical steroid) and ADR [adverse drug reaction] on stopping the drug is hyper-pigmentation [which is there in your history]PS.  prolonged use results in post inflammatory hyperpigmentation or if it is used over long periods of time results in cutaneous ochronosis, which is permanent.2. In best Interest it will be wise to see a Dermatologist for proper evaluation and management, prior to appointment you can/may incorporate following guidelines:. Stay away from the sun during peak hours [11 AM to 4 PM] or ensure a good sunscreen applied on the area to limit damages.. wash your face with Besan and luke warm water after coming from outside (best natural bleaching agent), removing excess sebum and dead skin cells, and acts as a deep cleanser.i. Use fresh vegetables and fruits, stay hydrated (drink 10-15 glasses of water/ day)ii. Avoid: Sugar (in any form), caffeine, cheese, oily-spicy-dry-fried food, chocolates, cakes, iodized salt, soft drinks.iii. Avoid exposure of the skin to severe climatic conditions.PS:  . take a proper guidance and follow up with a good dermatologist, get your vitamin B12 level checked, as its deficiency can cause darkening of skin. . To get proper result, you are suggested to use any face pack or cream for 3 to 4 months. You may ask for Prescription Drugs, maily: aloe vera cream, kumkumadi oil, khadira arishta,saariva assav.