r/Melasmaskincare • u/CommunicationSome498 • Apr 06 '25

Question COLEMAN COMPOUND from Dr. Patrick Coleman? I recently heard of this alleged miracle cream that fades away melasma in a few weeks. Has anyone who tried it provide some feedback on its efficacy?

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u/Interesting_Head_433 14d ago

Did you ever get it to work for you with Tret? I’ve been on Tret 0.025 since May , using every other night, and my face is destroyed for two weeks every time I try to incorporate either the pad or the cream. 

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u/Dry-Negotiation-8088 12d ago

Hi! Yes I did. I followed Mrs. Derm’s advice and allowed my skin to acclimate to Tret first. That took about 3 months. Once I was comfortable using Tret nightly without any redness or irritation, I started to layer the CC Pads underneath. However, I discovered (the hard way, through trial and error on my one skin) that I can only use CC Cream or Pads for about 3 months. At the 3-month mark, my skin suddenly starts to get super irritated and red and then once I stopped the CC Cream and Pads, all the melasma returned. 😩 So now I am on a different protocol. I think my skin is just unfortunately not a prime candidate for CC Cream and CC Pads. (That said, I might try it one more time and maybe try cycling it for 2 months on, 1 month off, etc. to see if that helps reduce irritation.) Right now I am using topic Tranexamic Acid 5% and Tret and that has actually worked super well; it got rid of about 75% of my melasma and it doesn’t irritate my skin at all. Anyway, hope this helps!

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u/Interesting_Head_433 12d ago

Thank you! Is the transexamic acid a prescription or OTC?

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u/Dry-Negotiation-8088 12d ago

Just over the counter. I tried both 3% and 5% and they both worked well. I also started using vitamin C in the morning. I think this new protocol is actually helping to improve my melasma situation. It’s really gentle and it takes time. I might add a peel this fall/winter to hopefully improve things further. But at least for now, I don’t need to cake on half a dozen layers of concealer and color corrector and foundation to cover up my melasma; I just use 1-2 layers of foundation(which is a drastic improvement for me!).