<s>[INST] Hi... I am 25 yrs female from chennai.. i came to know about melacare through my sister and have been using it one and half months.. It worked well on my tanned skin and gave glowing soft texture.. I generally use herbal products which is home made so i have stopped using it by thinking the side effects. Now i visibly seeing acnes and my face gets dark. I m scared to continue that cream after reading out the side effects of it. Hydroquinone was found to cause cancer in rats and mice, which is why the European Union banned it from cosmetics as far back as 2001 - and it is also known to be irritant in the concentrations needed to lighten skin, particularly when combined with Tretoin. Tretoin makes the skin more sensitive to UVA and UVB rays, and therefore users are normally advised to avoid sunlight. please suggest me a good skin care cream which will stop whiteheads or blackheads and keep the skin healthy glowing.. please... [/INST] Hello and welcome to healthcaremagicMelacare is a triple drug combination of Mometasone+Tretinoin+Hydroquinone. It is a prescription product used for Melasma/Facial Hyperpigmentation.It should not be used as a regular fairness cream and in any case not for more than 2-3 months on face since the steroid content of this cream can cause steroid related adverse effects like acne, photosensitivity, skin thinning and atrophy, hirsutism in females etc.Hydroquinone is banned in some countries because excessive and prolonged use of hydroquinone can cause a condition known as exogenous ochronosis, which is permanent. However, using it for 2-3 months at 2% or 5% concentration, in a combination like melacare is safe and dermatologists commonly prescribe it for hyperpigmentary skin conditions.Tretinoin is an antiageing molecule and it protects against the atrophogenic side effects of mometasone present in melacare cream. Though it can make the skin more sensitive to UV rays, therefore making it necessary to use a sunscreen along with it.Therefore melacare should always be used if your dermatologist prescribes you, not otherwise.Rather than using melacare cream you could use a cream containing other skin lightening agents like kojic acid, glycolic acid, arbutin etc. They are safe even when used over extended periods of time.Remember to wear a broad spectrum sunscreen, throughout the day.Regards </s>