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

Naseemullah et al.

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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

Finding a Compounding Pharmacy

Can any pharmacy in Ontario make a custom cosmetic cream?

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.

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.