Facial pigmentation can occur due to various skin conditions. It can be distressing for patients and frustrating for the treating medical professionals. Oral tranexamic acid has been used "off label" to treat pigmentary dermatoses that affect the skin. This video looks at the conditions that could benefit, the dosage used and potential side effects.

Oral tranexamic acid in the treatment of hyperpigmentation disorder beyond melasma: A review. DOI: 10.1111/jocd.15561

Combination treatment of low-fluence Q-switched Nd:YAG laser and oral tranexamic acid for post- inflammatory hyperpigmentation due to allergic contact dermatitis to henna hair dye. Young Bok Lee, Sae Mi Park, Jin-Wou Kim & Dong Soo Yu. DOI: 10.3109/14764172.2015.1114634

Lichen Planus Pigmentosus in North Africa: A Series of 17 Cases
Hakima Benchikhi, MD. doi: 10.17140/DRMTOJ-4-135

A pilot study for triple combination therapy with a low-fluence 1064 nm Q-switched Nd:YAG laser, hydroquinone cream and oral tranexamic acid for recalcitrant Riehl’s Melanosis. Hyuck Hoon Kwon, Jungyoon Ohn, Dae Hun Suh, Hae Young Park, Sun Chul Choi, Jae Yoon Jung, In Ho Kwon & Gyeong-Hun Park. DOI: 10.1080/09546634.2016.1187706.



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