Twelve companies have been issued warning letters about selling over-the-counter skin lightening products containing hydroquinone, the U.S. Food and Drug Administration announced Tuesday.
What is hydroquinone?
Hydroquinone is a skin-lightening agent that bleaches the skin by decreasing the number of melanocytes present. Melanocytes make the melanin that produces your skin tone. Hydroquinone can be effective in treating different forms of hyperpigmentation where more melanin is present.
Hydroquinone is typically used to treat skin conditions related to hyperpigmentation. This includes:
- acne scars
- age spots
- freckles
- melasma
- post-inflammatory marks from psoriasis and eczema
Hydroquinone can cause you to experience severe side effects depending on your skin type. In fact, it may worsen hyperpigmentation in darker skin tones.
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Unapproved skin lightening products
The products are unapproved drugs that are not recognized as safe and effective, according to the FDA, which has received reports of serious side effects including rashes, facial swelling and skin discoloration that may be permanent.
The FDA said consumers should not use these products due to the potential risks. Instead, they should talk to their health care provider about treatment options for certain skin conditions, including dark or age spots.
There are no FDA-approved or otherwise legally marketed over-the-counter (OTC) skin lightening products. Some manufacturers and distributors have already removed such products from the U.S. marketplace, and the FDA said it plans to take action against businesses that continue to market what it called “potentially harmful and illegal” products.
The companies that received warning letters were told to immediately correct their violations. They were given 15 days to tell the FDA what actions they’ve taken to address violations and prevent them from happening again.
Currently, a prescription product called Tri-Luma is the only FDA-approved therapy containing hydroquinone. Tri-Luma is approved for short-term treatment of dark spots associated with moderate-to-severe melasma (patchy brown discoloration) of the face. The FDA said Tri-Luma should only be used under the supervision of a licensed health care professional.
Consumers or health care providers are asked to report problems associated with OTC skin lightening products to the MedWatch, the FDA’s safety information and adverse event reporting program, by completing and submitting the form found here.
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Natural alternatives
Before trying out any skin product, you should talk with your dermatologist and perform a skin patch test to make sure the product is safe and won’t cause any side effects.
If you are looking to lighten your skin/even your skin tone out without the use of hydroquinone, there are several natural alternatives available:
- Antioxidants. Vitamins A and C are commonly used in anti-aging products to brighten the skin and improve your overall tone. When used over time, antioxidants may also help lighten areas of hyperpigmentation.
- Plant-based acids. Contrary to popular belief, acids aren’t always chemically based. Many acids in skincare products are actually derived from plants. For hyperpigmentation, you might try kojic or ellagic acids. These work by slowing down your skin’s melanin production.
- Vitamin B-3. Commonly labeled as “niacinamide,” this ingredient has the potential to prevent darker areas of pigmentation from rising to the surface of your skin.