Melasma · Maximum-Strength
For the pigmentation that gentler treatments couldn't move.
Melasma · Maximum-Strength
For the pigmentation that gentler treatments couldn't move.
If you've already tried the serums, the vitamin C, even a gentler prescription — and your melasma is still there — this is where you go next.
Built with prescription hydroquinone, the gold standard for stubborn melasma, alongside kojic acid to slow new pigment formation, tretinoin to accelerate cell turnover, and niacinamide to keep maximum-strength treatment comfortable. A hydroquinone-based compounded formula designed for the pigmentation that needs a stronger answer.
Common concerns:
Designed by board-certified dermatologists. Prescribed by a board-certified dermatologist on our clinical team.
all-in, no surprises
$79/mo
Cancel anytime. Skip or delay refills.
Short assessment · Reviewed within 24 hours
The clinical team
The Brightening Solution Rx wasn't formulated by an algorithm or pulled from a generic template. Its protocol was designed by Dr. Lindsey Zubritsky, Dr. Mamina Turegano, and Dr. Jenny Liu — three board-certified dermatologists with combined decades of clinical experience treating women whose melasma has resisted every brightening serum, peel, and laser they've tried.
Your prescription is then written by a board-certified dermatologist on our clinical team, working from the protocol they built. Dermatologist-built medicine, delivered to your door.
The Brightening Solution Rx is our maximum-strength melasma prescription, built around hydroquinone — the most powerful topical brightening active in clinical dermatology. It's the right fit if your pigmentation has resisted other treatments, runs deep, or covers larger areas of your face. Because hydroquinone requires careful protocols, a board-certified dermatologist on your care team will guide you through a cycling regimen — periods of use followed by planned breaks to support long-term safety.
Dealing with deep or persistent melasma that hasn't responded to gentler treatments.
Looking for a stronger prescription with hydroquinone for faster pigment correction.
Experiencing discoloration that covers larger areas of the face.
Ready for a maximum-strength brightening protocol with cycling, as confirmed during your assessment.
Comfortable with planned breaks between treatment cycles, as directed by your care team.
Pregnant, nursing, or trying to conceive — hydroquinone and tretinoin are not safe during pregnancy
New to prescription melasma treatment — a board-certified dermatologist on your care team may want to start you on The Dark Spot SolutionRx first
Looking for a long-term continuous formula without cycling — The Dark Spot SolutionRx is built for that
Have a known allergy or sensitivity to hydroquinone
Using oral isotretinoin (Accutane) or have used it in the past 6 months
On other prescription brightening protocols that are working — talk to a board-certified dermatologist before changing
What to expect
The Brightening Solution Rx stacks four actives, with hydroquinone leading the work. Hydroquinone directly inhibits the enzyme that produces melanin — it's the most powerful topical brightening active in clinical dermatology and the standard of care for deep, stubborn melasma. Kojic acid works alongside it to slow new pigment formation. Tretinoin drives the cell turnover that lifts existing pigmentation. Niacinamide reduces irritation and helps make a maximum-strength formula livable for ongoing protocols. Four ingredients working at the same time, on the same problem — because for deep, resistant melasma, one active was never going to be enough.
My melasma had been resistant to everything I tried. The advanced formula was the first treatment that made a visible difference. My skin tone is the most even it has been in over a decade.
Rosa M.
I had been dealing with deep pigmentation from pregnancy for years. DermClick prescribed the advanced formula and within two months the change was undeniable.
Angela F.
I tried the gentler option first but my melasma needed something stronger. The advanced formula through DermClick finally gave me the correction I needed.
Claudia V.
Realistic timeline
Hydroquinone-based melasma treatment works faster than non-hydroquinone protocols because it acts directly on the enzyme that produces pigment. Here's what most patients experience with consistent nightly use, daily SPF, and the cycling protocol a board-certified dermatologist on your care team sets.
Results vary. Timelines depend on your starting skin, your formula strength, and how consistently you apply your treatment.
Weeks 1–2
Weeks 3–6
Weeks 6–12
Cycling protocol
Results vary. Timelines depend on your starting skin, your formula strength, and how consistently you apply your treatment.
What's in the bottle
Four ingredients. One purpose: maximum-strength pigment correction, with the cycling protocol that keeps it safe long-term.
Active Ingredients
THE GOLD STANDARD
The gold standard prescription brightening agent that directly inhibits melanin production to correct deep, stubborn pigmentation.
THE MELANIN INHIBITOR
Works alongside hydroquinone to slow melanin formation and support an even, brighter skin tone.
THE CELL TURNOVER ACTIVE
Drives cell turnover to lift deeper pigmentation and accelerate the visible fading of dark spots.
THE BARRIER SUPPORT
Helps even out tone, reduce irritation, and support the skin barrier throughout maximum-strength brightening treatment.Inactive Ingredients
THE CALMER
A clinically studied botanical that soothes irritation and supports recovery. Used in dermatology for decades. The quiet ingredient that keeps the loud ones comfortable.
THE BARRIER LIPIDS
Lipids that reinforce the skin barrier and help retain hydration while maximum-strength actives are at work.Exact concentrations are determined by your dermatology provider based on your assessment, your tolerance, and your skin's history.
Three steps. No appointments. Reviewed by a board-certified dermatologist within 24 hours.
Take our skin assessment. Share your concerns, your skin's history, what you've tried before, and a few photos. The more we know, the better the formula.
Your case is reviewed in 24 business hours, and your prescription is written by a board-certified dermatologist on our clinical team.
Hydroquinone
Kojic Acid
Tretinoin
NiacinamideYour formula is compounded by a licensed pharmacy and shipped to your door — usually within a week. Your dermatologist stays with you, adjusting your formula as your skin responds.
Hydroquinone directly inhibits tyrosinase — the enzyme that produces melanin. It's the most potent topical brightening active in clinical dermatology and has been the standard of care for stubborn melasma for decades. Other ingredients (kojic acid, tranexamic acid, niacinamide, vitamin C) work on melanin production through indirect or slower pathways. Hydroquinone works at the source.
Hydroquinone is highly effective but requires cycling to prevent side effects associated with continuous long-term use. DermClick's protocol follows standard clinical guidance: periods of active use followed by planned breaks, often stepping down to The Dark Spot Solutionᴿˣ for maintenance during off-cycles. A board-certified dermatologist on your care team will set your specific schedule based on your response and skin history.
It depends on your melasma. If your pigmentation is mild to moderate or you're new to prescription brightening, a board-certified dermatologist on your care team may recommend starting with The Dark Spot Solutionᴿˣ. If your pigmentation runs deeper, hasn't responded to other treatments, or covers larger areas, The Brightening Solutionᴿˣ may be the right starting point. Your assessment determines which tier fits.
No. The Brightening Solutionᴿˣ contains both hydroquinone and tretinoin, neither of which is safe during pregnancy or nursing. Melasma is extremely common during pregnancy, but it requires a pregnancy-safe approach — daily broad-spectrum SPF and trigger avoidance — with treatment starting after delivery and after breastfeeding ends. If you're pregnant or planning to be, contact your DermClick care team immediately.
Possibly — melasma is chronic, driven by hormones, UV exposure, and genetics. Most patients use The Brightening Solutionᴿˣ in cycles, with maintenance on The Dark Spot Solutionᴿˣ during breaks. Daily SPF and trigger avoidance reduce the rate of return. Some patients see lasting reduction; others use ongoing cycling treatment to keep pigmentation managed. A board-certified dermatologist on your care team will set realistic expectations based on your specific case.
When used as prescribed under dermatologist supervision, with proper cycling protocols, daily SPF, and ongoing check-ins, hydroquinone has a long clinical safety record. The risks come with unsupervised use, continuous long-term use without cycling, or use at concentrations that aren't matched to the patient. That's exactly what DermClick's protocol is designed to manage: cycling guidance, dermatologist check-ins, and the option to step down to The Dark Spot Solutionᴿˣ during off-cycles. Read the full Important Safety Information before starting treatment.
The Brightening Solution Rx is built for stubborn, resistant melasma. But the same skin that develops deep pigmentation often has more going on — whether you need a gentler formula for your off-cycle, targeted correction for individual marks, or a prescription that addresses aging in the same areas melasma affects. Here are the formulas that pair most naturally with it.
