Forks are medications that treat papules and pustules, including: Ivermectin Metronidazole Azelaic acid Sodium sulfacetamide/sulfur Modified release doxycycline Spoons should be utilized for persistent background erythema, such as: Brimonidine Oxymetazoline Finally, knives are device-based treatments: Pulsed dye laser KTP IPL Electrosurgery Why Combination Therapy
Finally, some cosmetics, photosensitizing drugs (e.g., phenothiazines, sulfonamides, sulfonylureas, thiazide diuretics, tetracyclines, tricyclic antidepressants, promethazine, piroxicam), and steroid hormones (e.g., contraceptive pills, estrogen replacement therapies) increase the melanogenic effect of sun exposure and should be substituted to enable successful melasma treatment [24,25,26,27]
Journal of Contemporary Clinical Practice
These references are provided solely to describe areas of scientific investigation and must not be interpreted as medical or cosmetic claims
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