Skip to main content
    GenerationPharmacy
    Home/Dermatology/Melasma & Dark Spot Formulas

    Melasma & Dark Spot Formulas

    Formulas for melasma and dark spots, with or without hydroquinone. Prescription only.

    Available Formulations

    4 compounds available — each one compounded to the strength and vehicle your prescriber specifies.

    Melasma & Dark Spots
    Rx

    Hydroquinone + Tretinoin Cream (Rx)

    Generation Pharmacy

    Hydroquinone-based cream for melasma and dark spots, compounded to the prescriber's order. Dispensed in an airless pump.

    Key Ingredients

    Hydroquinone
    Kojic Acid
    Tretinoin
    Niacinamide

    Prescribed for

    Melasma
    Dark spots
    Post-inflammatory hyperpigmentation (PIH)
    Melasma & Dark Spots
    Rx

    Tranexamic Acid + Azelaic Acid Cream (Rx)

    Generation Pharmacy

    Hydroquinone-free formula for melasma and dark spots, compounded to the prescriber's order.

    Key Ingredients

    Tranexamic Acid
    Azelaic Acid
    Niacinamide

    Prescribed for

    Melasma
    Post-inflammatory hyperpigmentation (PIH)
    Melasma & Dark Spots
    Rx

    Tranexamic Acid Capsules (Rx)

    Generation Pharmacy

    Oral tranexamic acid, compounded to the prescriber's order (off-label for melasma).

    Key Ingredients

    Tranexamic Acid

    Prescribed for

    Melasma (off-label, prescriber-selected)
    Melasma & Dark Spots
    Rx

    Tranexamic Acid + Vitamin C + Glutathione Capsules (Rx)

    Generation Pharmacy

    Capsule combining tranexamic acid, vitamin C and glutathione, compounded to the prescriber's order.

    Key Ingredients

    Tranexamic Acid
    Vitamin C (Ascorbic Acid)
    Glutathione

    Prescribed for

    Hyperpigmentation, as an add-on (prescriber-selected)
    Ingredient Spotlight

    How These Ingredients Work

    Understanding what's in your formula — in plain language.

    Hydroquinone

    HQ

    Turns down the skin's pigment-making process so dark patches fade over time.

    Melasma
    Dark spots
    PIH

    ⚠️ Irritation/dryness

    Tranexamic Acid

    TXA

    Helps calm the signals that tell skin to overproduce pigment—especially in melasma.

    Melasma
    PIH
    Uneven tone

    ⚠️ Oral TXA requires medical screening

    Kojic Acid

    Helps reduce excess pigment production and supports a brighter, more even tone.

    Dark spots
    Melasma
    PIH

    ⚠️ May be irritating in sensitive skin

    Tretinoin

    Retinoid

    Speeds skin renewal and supports collagen—improves texture, pores, fine lines, and uneven tone.

    Wrinkles
    Texture
    Acne
    Pigment

    ⚠️ Dryness/peeling early

    Glutathione

    Antioxidant support sometimes used in brightening-focused regimens as an adjunct ingredient.

    Adjunct tone support

    ⚠️ Not a substitute for sunscreen/topical plans

    Niacinamide

    Vitamin B3

    Strengthens the skin barrier and helps calm redness while supporting a more even tone.

    Redness
    Sensitivity
    Uneven tone

    Questions About a Skin Prescription?

    Share these formulas with your prescriber. Their office can call our pharmacists with questions about strengths and bases.