Conditions · FAQ
Can I treat melasma during pregnancy or breastfeeding?
Short answer
Melasma treatment during pregnancy or breastfeeding needs a medication review. Daily sun protection is a useful starting point. Topical retinoids such as tretinoin should be avoided during pregnancy, and hydroquinone is generally avoided. Tell your physician if you are pregnant, planning pregnancy, or breastfeeding before starting any lightening cream.
Pregnancy can trigger melasma because of hormone changes. Patches may fade after pregnancy, but they can also persist. Results vary. Daily sunscreen, shade, and a wide-brimmed hat are important starting points that do not require a prescription lightening medicine.
Do not assume a cream is appropriate in pregnancy simply because it goes on the skin. Topical retinoids, including tretinoin, should be avoided during pregnancy. Hydroquinone is generally avoided because it can be absorbed through the skin and pregnancy safety data are limited. Your physician may discuss other options, such as azelaic acid, based on your situation.
Breastfeeding requires a separate review of each ingredient. Avoid placing medicated products on the breast or where your baby's skin or mouth could touch them. Wash your hands after application.
Tell your physician about pregnancy plans before treatment begins. If you become pregnant while using a melasma prescription, pause the product and contact your physician for advice about its ingredients. An exposure does not automatically mean harm occurred, but it deserves an individual review.
Sources
Written by the Verra clinical team · Medical review pending
General information, not medical advice. If you're in crisis, call or text 988.