Custom Prescription Treatments

This page lists currently prescriptions TeleTest offers to individuals for specific skin conditions.

Melasma, Acne Scarring, Post-Inflammatory Hyperpigmentation (PIH)

Single Compound Creams

Medication	Treatment Duration
Azaleic Acid (10% - 20%)	24 weeks
Adapalene (0.1% - 0.3%)	Continuous
Kojic Acid (1% - 4%)	12 weeks
Hydroquinone (2% - 4%)	12 weeks
Tretinoin (0.025% - 0.10%)	Continuous
Tazarotene (0.045% - 0.10%)	Continuous
Tranexamic Acid Cream (3% - 5%)	12 weeks
Vitamin C (10% - 20%)	Continuous

Dual Combination Compounds

Medication	Duration
Dexamethasone (0.1%), Hydroquinone (4%)	12 weeks
Hydrocortisone (1%), Hydroquinone (4%)	12 weeks

Triple Combination Compounds

Medication	Duration
Kojic Acid (2%) + Glycolic Acid (10%) + Hydroquinone (2%)	12 weeks
Tretinoin (0.1%), Dexamethasone (0.1%), Hydroquinone (4%)	12 weeks
Tretinoin (0.05%), Fluocinolone (0.01%), Hydroquinone (4%)	8 weeks
Tretinoin (0.05%), Hydrocortisone (1%), Hydroquinone (4%)	12 weeks

Quadrule Combination Compounds

Medication	Duration
Tretinoin (0.025%), Fluocinolone (0.01%), Hydroquinone (4%), Kojic Acid (4%)	12 weeks
Tretinoin (0.025%), Hydrocortisone (1%), Hydroquinone (4%), Kojic Acid (4%)	12 weeks

Skin Brightening and Texture

Medication	Duration
Adapalene (0.1% - 0.3%)	Continuous
Azaleic Acid (10% - 20%)	24 weeks
Kojic Acid (1% - 4%)	12 weeks
Tazarotene (0.045% - 0.10%)	Continuous
Tretinoin (0.025% - 0.10%)	Continuous
Vitamin C (10% - 20%)	Continuous
Hydroquinone (2% - 4%)	12 weeks

Finding a Compounding Pharmacy

Can any pharmacy in Ontario make a custom cosmetic cream?

No, not all pharmacies in Ontario are equipped to create custom cosmetic products. Compounding pharmacies are specially licensed to make personalized formulations, including custom skincare. These pharmacies have the expertise and facilities to safely mix and prepare creams with specific ingredients, concentrations, and bases.

Miscellaneous Questions

What goes into a custom cosmetic cream?

Custom creams typically include:

• Active Ingredients: These are the components that address specific concerns, like retinoids for fine lines, vitamin C for brightness, or salicylic acid for acne.

• Bases: The base is the cream’s main structure, affecting texture, absorption, and feel on your skin. Depending on your skin type, you can choose from lightweight gels, rich moisturizers, or other options tailored to your needs.

A skin specialist or compounding pharmacist will work with you to select the ideal ingredients and base to match your skincare goals.

References

Reference Studies

Dayal et al

• Dayal S, Sahu P, Dua R. Combination of glycolic acid peel and topical 20% azelaic acid cream in melasma patients: efficacy and improvement in quality of life. J Cosmet Dermatol. 2017; 16(1):35-42. https://doi.org/10.1111/jocd.12260

Kodali et al

• Kodali S, Guevara IL, Carrigan CR, et al. A prospective, randomized, split-face, controlled trial of salicylic acid peels in the treatment of melasma in Latin American women. J Am Acad Dermatol. 2010;63(6):1030-1035. https://doi.org/10.10 16/j.jaad.2009.12.027

Lim et al

• Lim J. T. (1999). Treatment of melasma using kojic acid in a gel containing hydroquinone and glycolic acid. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 25(4), 282–284. https://doi.org/10.1046/j.1524-4725.1999.08236.x

Ahmad et al

• Ahmad Nasrollahi, S., Sabet Nematzadeh, M., Samadi, A., Ayatollahi, A., Yadangi, S., Abels, C., & Firooz, A. (2019). Evaluation of the safety and efficacy of a triple combination cream (hydroquinone, tretinoin, and fluocinolone) for treatment of melasma in Middle Eastern skin. Clinical, cosmetic and investigational dermatology, 12, 437–444. https://doi.org/10.2147/CCID.S202285

Bertold et al

• Bertold C, Fontas E, Singh T, Gastaut N, Ruitort S, Wehrlen Pugliese S, et al. Efficacy and safety of a novel triple combination cream compared to Kligman's trio for melasma: A 24-week double-blind prospective randomized controlled trial. J Eur Acad Dermatol Venereol. 2023; 37: 2601–2607. https://doi.org/10.1111/jdv.19455

Naseemullah et al.

• Naseemullah, Khan, A. Q., Khan, F. A., Awan, S. R., & Khan, S. R. (2022). Efficacy of 2% kojic acid containing formulation vs picosecond laser for treatment of melasma. Pakistan Journal of Medical & Health Sciences, 16(10), 368. https://doi.org/10.53350/pjmhs221610368