While prescription triple therapy creams remain the most effective treatment for melasma, alternative options exist. Sun protection is crucial in managing and preventing melasma across all treatment methods. Alternatives include azelaic acid, chemical peels, plant-based extracts, and clinic treatments like IPL and lasers. Topical treatments such as vitamin C and niacinamide can also help reduce hyperpigmentation. However, these alternatives are generally less effective than prescription options.
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