Has anyone used a compounded cream with tretinoin + tranexamic acid + kojic acid for hyperpigmentation?
My dermatologist just prescribed me a compounded cream for dark spots/hyperpigmentation. It contains tretinoin, tranexamic acid 5%, kojic acid 2%, vitamin C 2.5%, hydrocortisone 1% and hyaluronic acid.
The directions say to start every other night and work up to nightly.
Right now, my skincare routine includes Cetaphil cleanser, vitamin C, niacinamide, azelaic acid, moisturizer, sunscreen, and tretinoin/other brightening products at night. Since this new prescription already has several strong actives, I’m planning to simplify and stop my separate tretinoin and other strong nighttime actives.
I’d love to hear what people used in the morning while on a similar compound. Would something like cleanser → vitamin C → niacinamide → moisturizer → SPF 50 be enough, or did you still use azelaic acid too?
I’m also curious about:
How long it took to see improvement
Whether you used it nightly or every other night
Peeling/irritation
Whether it helped with stubborn pigmentation
Any rebound pigmentation after stopping
I have brown/Indian skin.