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BETAMED-N .. contain steroid  , so it's useful in treating melasma 

Betamed N /

Betamethasone + Neomycin Sulphate

Betamed N Cream Uses/

Itch or rash

• Skin problems
• Psoriasis
• Skin inflammation
• Cutaneous diseases
• Ataxia telangiectasia
• Phimosis
• Adjunctive therapy in hepatic coma
• Preoperative preparation of the bowel
• Bacterial infections

Is melasma treatable?

For some women, melasma disappears on its own. This typically occurs when it’s caused by pregnancy or birth control pills.
There are creams your healthcare professional can prescribe that can lighten the skin. They might also prescribe topical steroids to help lighten the affected areas. If these don’t work, chemical peels, dermabrasion, and microdermabrasion are possible options. These treatments strip away the top layers of skin and may help lighten dark patches.
These procedures don’t guarantee that melasma won’t come back, and some cases of melasma can’t be completely lightened. You might have to return for follow-up visits and stick to certain skin treatment practices to reduce the risk of the melasma returning. These include minimizing your sun exposure and wearing sunscreen daily.

Causes and risk factors of melasma

It isn’t totally clear what causes melasma. Darker-skinned individuals are more at risk than those with fair skin. Estrogen and progesterone sensitivity are also associated with the condition. This means birth control pills, pregnancy, and hormone therapy can all trigger melasma. Stress and thyroid disease are also thought to be causes of melasma.
Additionally, sun exposure can cause melasma because ultraviolet rays affect the cells that control pigment (melanocytes).
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