Tri-Luma (Topical application)
Generic Name: fluocinolone, hydroquinone, and tretinoin (Topical application route)
floo-oh-SIN-oh-lone a-SEET-oh-nide, hye-droe-KWIN-one, TRET-i-noin
Medically reviewed by Drugs.com. Last updated on Dec 1, 2019.
Commonly used brand name(s)
In the U.S.
Available Dosage Forms:
Therapeutic Class: Corticosteroid Combination
Pharmacologic Class: Fluocinolone
Chemical Class: Retinoid
Uses for Tri-Luma
Fluocinolone, hydroquinone, and tretinoin topical is a combination of medicines used to treat moderate to severe melasma (skin discoloration) of the face. Melasma usually happens with hormone changes in women.
Fluocinolone is a corticosteroid (steroid medicine), hydroquinone is a bleaching agent, and tretinoin is a retinoid (related to vitamin A).
This medicine is available only with your doctor's prescription.
Before using Tri-Luma
Appropriate studies have not been performed on the relationship of age to the effects of fluocinolone, hydroquinone, and tretinoin topical combination in the pediatric population. Safety and efficacy have not been established.
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of fluocinolone, hydroquinone, and tretinoin topical combination in the elderly. However, elderly patients are more likely to have kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving this medicine.
Interactions with medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- Aminocaproic Acid
- Tranexamic Acid
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Interactions with food/tobacco/alcohol
Other medical problems
- Cushing syndrome (adrenal gland disorder) or
- Diabetes or
- Glucosuria (sugar in the urine) or
- Hyperglycemia (high blood sugar)—Use with caution. May make these conditions worse.
- Sulfite allergy—Use with caution. This medicine contains sodium metabisulfite.
Proper use of Tri-Luma
It is very important that you use this medicine exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects like skin irritation. This medicine is not for long-term use.
This medicine comes with a patient information insert. Read and follow the instructions carefully. Ask your doctor if you have any questions.
This medicine is only for use on the skin. Do not get it in your eyes, nose, or mouth. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.
This medicine should only be used for the skin condition that your doctor is treating.
- Wash your hands with soap and water before and after using this medicine.
- Wash your face and neck with water and a mild soap. Rinse well and pat dry.
- Apply a small amount of the medicine to each affected area of the skin and include about 1/2 inch of normal appearing skin around each lesion. Gently rub it in.
- Do not cover the treated area with a bandage unless you are told to do so by your doctor.
Use a sunscreen with a sun protection factor of SPF 30 or higher during the day. Wear protective clothing, such as a hat, when you are outdoors.
Moisturizers and cosmetics may be used during the day.
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For topical dosage form (cream):
- For melasma:
- Adults—Apply a thin layer to the affected area(s) of the skin at least 30 minutes before bedtime.
- Children—Use and dose must be determined by your doctor.
- For melasma:
If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Store in the refrigerator. Do not freeze.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Precautions while using Tri-Luma
It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to use it.
Make sure your doctor knows if you are pregnant or planning to become pregnant. If you become pregnant while using this medicine, tell your doctor right away.
This medicine may cause a skin condition called exogenous ochronosis, which is a blue-black discoloration of the skin. Check with your doctor right away if you have a gradual darkening of the skin.
This medicine may make your skin more sensitive to sunlight, wind, and cold weather. Avoid sunlamps and tanning beds.
Skin reactions such as dryness, redness, peeling, burning, or itching can occur when you use this medicine. Use a moisturizer as needed to lessen these skin problems.
Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor right away if you have more than one of these symptoms while you are using this medicine: blurred vision, dizziness or fainting, a fast, irregular, or pounding heartbeat, increased thirst or urination, irritability, or unusual tiredness or weakness.
If you have a sunburn, stop using this medicine until your skin is healed.
Do not use any other medicines on the treated skin areas without talking to your doctor. Avoid using any skin care products that can dry or irritate your skin. These include rough skin cleansers, wart removal products, soaps or cosmetics that cause dryness, or products that contain alcohol, astringents, spices, or lime.
Tri-Luma side effects
Check with your doctor immediately if any of the following side effects occur:
- Redness, peeling, drying, itching, or burning of the skin
- Darkening of normal skin color
- irritated skin
Incidence not known
- Blistering, crusting, or flaking of the skin
- burning and itching of the skin with pinhead-sized red blisters
- lightening of normal skin color
- redness and scaling around the mouth
- severe redness, soreness, or scaling of the skin
- thinning of the skin with easy bruising
- Blemishes on the skin
- burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- raised, dark red, wart-like spots on the skin
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More about Tri-Luma (fluocinolone / hydroquinone / tretinoin topical)
- Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- Compare Alternatives
- Pricing & Coupons
- En Español
- 72 Reviews
- Drug class: topical depigmenting agents