Image for illustrationMelasma Cream
Maximum-Strength Hydroquinone 8%
$45/mo
vs $48/mo billed monthlyBilled $270 every 6 months · free shipping · cancel anytime
Compounded by a licensed 503A pharmacy
6-month plan includes
- Billed every 6 months, shipped every 6 months
- Ships on the same prescription until it expires
- Adjust your refill date whenever you like
- Pause or cancel before the next billing date
- Ongoing prescriber messaging throughout
Important. This medication is compounded by a licensed 503A pharmacy against a prescription. Not a substitute for medical care; do not use if pregnant, nursing, or under 18.
Rx only. Compounded medications are not FDA-approved; the FDA does not verify their safety, effectiveness or quality. Prescribed only after review by a licensed prescriber. Individual results vary. Product images are for illustration; your medication ships in the compounding pharmacy’s own labelled vial. Full disclosure.
The details.
Overview
Melasma is a pattern of dark patches, often on the cheeks and forehead. The best-studied prescription approach combines hydroquinone, a retinoid and a mild steroid, and an FDA-approved triple-combination cream uses hydroquinone at 4%. This compounded cream uses hydroquinone 8%, twice that strength, with tretinoin 0.05% and hydrocortisone 2.5%, and is not FDA-approved. A higher strength means more irritation, so courses are kept short with breaks. Daily sunscreen is essential; melasma often returns with sun exposure.
Best for: Adults with melasma that has not responded to standard-strength products.
What it does
- Hydroquinone studied for melasma and dark patches
- Tretinoin studied alongside hydroquinone for melasma
- Hydrocortisone to temper irritation
- Three prescription ingredients in one step
What's included
- One 20 g tube of compounded Hydroquinone 8% + Tretinoin 0.05% + Hydrocortisone 2.5% cream
- Ongoing messaging with your prescriber
Delivery and cycle
- Delivery
- Topical
- Cycle length
- 30-day supply
- Category
- Skin & hair
- Storage
- Room temperature
Shipping
Free shipping from our licensed 503A pharmacy. Tracking is available in your portal once your order ships.
Questions?
(212) 344-4247 · Mon–Fri, 9a–6p ET
Safety information.
Possible side effects
- Redness, peeling, dryness or stinging
- Increased sensitivity to the sun
- Skin thinning or small visible blood vessels with prolonged steroid use
- Uneven lightening, or a pale halo around treated areas
- Bluish-grey darkening of the skin (ochronosis) with long-term use, rarely
Contraindications
Tell your prescriber if any of these apply to you. Your intake is screened against them before anything is approved.
- Pregnancy, planning a pregnancy, or breastfeeding
- Eczema, rosacea, sunburn or broken skin on the treatment area
- Using benzoyl peroxide or other peroxide products at the same time (can stain the skin)
- Known hypersensitivity to hydroquinone, tretinoin, hydrocortisone or any ingredient
Not exhaustive and not medical advice. Talk to your own healthcare provider about your history and medications before starting.
Image for illustrationSkin & hair
Melasma Cream
Maximum-Strength Hydroquinone 8%
$45/movs $48/mo billed monthly
Billed $270 every 6 months · free shipping · cancel anytime
- Billed every 6 months, shipped every 6 months
- Ships on the same prescription until it expires
- Adjust your refill date whenever you like
- Pause or cancel before the next billing date
- Ongoing prescriber messaging throughout
- Only charged if approved
- Free shipping
- Physician-reviewed
- Cancel anytime
Rx only. Compounded medications are not FDA-approved; the FDA does not verify their safety, effectiveness or quality. Prescribed only after review by a licensed prescriber. Individual results vary. Product images are for illustration; your medication ships in the compounding pharmacy’s own labelled vial. Full disclosure.
The details.
Overview
Melasma is a pattern of dark patches, often on the cheeks and forehead. The best-studied prescription approach combines hydroquinone, a retinoid and a mild steroid, and an FDA-approved triple-combination cream uses hydroquinone at 4%. This compounded cream uses hydroquinone 8%, twice that strength, with tretinoin 0.05% and hydrocortisone 2.5%, and is not FDA-approved. A higher strength means more irritation, so courses are kept short with breaks. Daily sunscreen is essential; melasma often returns with sun exposure.
Best for: Adults with melasma that has not responded to standard-strength products.
What it does
- Hydroquinone studied for melasma and dark patches
- Tretinoin studied alongside hydroquinone for melasma
- Hydrocortisone to temper irritation
- Three prescription ingredients in one step
What's included
- One 20 g tube of compounded Hydroquinone 8% + Tretinoin 0.05% + Hydrocortisone 2.5% cream
- Ongoing messaging with your prescriber
Delivery and cycle
- Delivery
- Topical
- Cycle length
- 30-day supply
- Category
- Skin & hair
- Storage
- Room temperature
Shipping
Free shipping from our licensed 503A pharmacy. Tracking is available in your portal once your order ships.
Questions?
(212) 344-4247 · Mon–Fri, 9a–6p ET
Safety information.
Possible side effects
- Redness, peeling, dryness or stinging
- Increased sensitivity to the sun
- Skin thinning or small visible blood vessels with prolonged steroid use
- Uneven lightening, or a pale halo around treated areas
- Bluish-grey darkening of the skin (ochronosis) with long-term use, rarely
Contraindications
Tell your prescriber if any of these apply to you. Your intake is screened against them before anything is approved.
- Pregnancy, planning a pregnancy, or breastfeeding
- Eczema, rosacea, sunburn or broken skin on the treatment area
- Using benzoyl peroxide or other peroxide products at the same time (can stain the skin)
- Known hypersensitivity to hydroquinone, tretinoin, hydrocortisone or any ingredient
Not exhaustive and not medical advice. Talk to your own healthcare provider about your history and medications before starting.
Keep exploring.
Shop allThree steps. That's it.
No waiting rooms- 1
Tell us about you
A five-minute online assessment: your goals, health history and medications.
- 2
A physician reviews it
Dr. Elder decides every prescription himself. Nothing is charged unless he approves.
- 3
Delivered to your door
Made to order by a licensed 503A pharmacy and shipped free.
Questions? Answered.
All FAQsHow does Eternal Longevity work?
You complete a short online intake about your health. Dr. Bader Elder, DO, a licensed physician, reviews it and decides whether to prescribe; he may decline or ask you questions first. At checkout you save a card, and nothing is charged unless he approves. A physician usually reviews your intake within 1 business day. After approval, the pharmacy typically prepares and ships within a few business days.
Which states do you ship to?
We currently serve members in New Jersey, New York, Pennsylvania and Michigan. Our prescriber is licensed in each of them, and orders ship only to addresses in them. We're adding states as we expand. If you're somewhere else, send us a note through our contact page and we'll tell you when we go live in your state.
Is there an age requirement?
Yes. You must be 18 or older. Some treatments have their own health criteria, which the prescriber applies during his review.
Are these medications FDA-approved?
No. Our medications are compounded preparations, including PT-141, and compounded medications are not FDA-approved; the FDA does not verify their safety, effectiveness or quality. Some contain ingredients that are also found in FDA-approved drugs. Each is prescribed only after a physician's review and prepared by a state-licensed 503A pharmacy.
How are medications shipped?
Shipping is free. Temperature-sensitive medications ship cold-chain in insulated packaging; others ship by standard service. You'll get a tracking number when your order ships.
What is your refund policy?
If the prescriber declines, you are not charged. Once the pharmacy has prepared or shipped your medication we can't refund it, because compounded medications can't be re-dispensed. If a shipment arrives damaged, contact us within 7 days and we'll replace it at no cost.
Ready when you are.
Five minutes online. Reviewed by a physician. Nothing charged unless approved.