Hydroquinone Fluocinolone Tretinoin Cream

Compounded triple-combination cream for melasma (Tri-Luma alternative)

Prescription status

Available by prescription only. Your prescriber decides the ingredients, strength, form, quantity, and directions.

Preparation timing

Typically 24–48 hours.

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Dermatology
Prescriber-led preparation

Compounding is used when the prescription needs something different from a ready-made product.

A compounded triple-combination cream containing hydroquinone 4%, fluocinolone 0.01%, and tretinoin 0.05% — the same formulation as Tri-Luma — for treating melasma and hyperpigmentation.

Common preparation forms

Topical cream
What to know

Information to review with your prescriber or care team

These notes are educational and do not replace directions from your prescriber or the label on your prescription.

What is This Cream?

This is a compounded triple-combination cream containing hydroquinone 4%, fluocinolone 0.01%, and tretinoin 0.05%. It is the compounded equivalent of Tri-Luma Cream, available when the commercially manufactured product is not.

A 2007 study found that 73% of patients using this triple combination achieved improvement of more than 75%, compared to 49% using hydroquinone alone.

How Do the Three Ingredients Work Together?

Each ingredient targets melanin production through different mechanisms:

  • Hydroquinone (4%) — blocks melanin formation by inhibiting tyrosinase and reducing melanosome production
  • Fluocinolone (0.01%) — a low-potency corticosteroid that interrupts inflammatory cytokines that stimulate melanocytes, while also reducing skin irritation from the other ingredients
  • Tretinoin (0.05%) — a retinoid that increases epidermal cell turnover, reducing melanin content by accelerating the shedding of pigmented cells and reducing UVB-induced pigmentation

Questions about this preparation?

We can explain prescription details, storage, packaging, refill planning, and what to ask before the prescription is changed.

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Monday to Friday, 9:00 AM - 6:00 PM. Call before coming in if timing, storage, or availability matters today.

Send prescription details

[email protected]. Please avoid sending urgent clinical questions by email.

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Compounding Support

Keep compound refills easier to follow

  • Request refills for ongoing prescriptions
  • Follow pickup or delivery updates
  • Keep pharmacy messages in one place
  • Set reminders before refills run low
COMMON QUESTIONS

Questions?
About Hydroquinone Fluocinolone Tretinoin Cream

Our compounded cream contains the same active ingredients at the same concentrations as Tri-Luma (hydroquinone 4%, fluocinolone 0.01%, tretinoin 0.05%). It is available when the commercially manufactured product is not.
Studies have shown that the triple combination is significantly more effective than hydroquinone 4% alone for moderate to severe melasma, with similar safety profiles.

This website does not provide medical advice. The information is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or qualified health care provider.

Compounding overview

Need help with this prescription?

Send the prescription or call the pharmacy. We can review preparation requirements, timing, and storage questions before you come in.

Call (204) 233-3469