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The efficacy and safety of topical tranexamic acid (liposomal or lotion with microneedling) vs conventional hydroquinone in the treatment of melasma

Journal of Cosmetic Dermatology Nov 04, 2020

Xing X, Chen L, Xu Z, et al. - Since there is a lack of robust evidence on the efficacy of topical tranexamic acid (TA) on melasma in the Chinese population, researchers sought to assess the effectiveness and safety of 1.8% liposomal TA and microneedling with 5% TA solution on melasma. To receive 1.8% liposomal TA twice daily, microneedling with 5% TA solution weekly or 2% hydroquinone every night, 60 melasma patients were recruited and randomized. The authors concluded that 1.8% liposomal TA and microneedling with 5% TA solution are both safe and effective for melasma.

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