online medical treatment

Online Prescription for Oral and Topical Medications for Spots and Melasma - Mona Clinic

For those concerned about sunspots, melasma, or dullness, we recommend a combined care approach of oral tranexamic acid and topical hydroquinone. Tranexamic acid helps improve melasma and post-inflammatory hyperpigmentation, while hydroquinone, with its strong whitening effect, suppresses melanin production. With online consultations, your medication will be delivered directly to your home without the need for a clinic visit.

  • Tranexamic acid oral medication targets blemishes, melasma, and dullness.
  • Hydroquinone topical treatment for intensive spot care
  • Online Consultation & Same-Day Shipping (Fastest)
  • Walk-ins and same-day appointments welcome | Open daily
Available daily from 9:00 AM to 10:00 PM
Available daily from 9:00 AM to 10:00 PM
5-minute walk from the station
5-minute walk from the station
A clean clinic with a white-based interior
A clean clinic with a white-based interior
Online consultations: same-day shipping at the earliest
Online consultations: same-day shipping at the earliest
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.

First, what you need to know: Treatment varies depending on the type of blemish

Type

Characteristics

Main Approach

Senile Pigment Spots (sun spots)

Brown spots with clear outlines

Topical (hydroquinone, tretinoin), laser

Melasma

Symmetrically spreading vaguely around the cheekbones

Oral medication (tranexamic acid) is the first choice. Lasers carry a risk of worsening the condition.

Freckles

Small, pinpoint spots, present since childhood

Topical treatment, light therapy

Post-inflammatory hyperpigmentation

Acne scars, wounds

Oral medication + topical treatment + time


Melasma, in particular, can worsen with self-diagnosed laser treatment. "Start with oral medication" is the rule of thumb.

Oral Treatment | Whitening 3-Piece Set

Oral Medication

Role

Tranexamic Acid

Blocks melanin production signals. Central to melasma treatment.

Cenal (Vitamin C)

Suppresses melanin production and supports reduction

Yuvela (Vitamin E)

Antioxidant + promotes blood circulation to support skin cell turnover


Since the three have different roles, taking them as a set is efficient. Please consider continuing for 2-3 months as a guide.


→ Details of each medication: [Tranexamic Acid]・[Yuvela] (internal links)

Topical Treatment | Hydroquinone and Tretinoin

Topical

Role

Hydroquinone

A topical whitening agent also known as "skin bleach." Powerfully suppresses melanin production. Medical institutions can prescribe higher concentrations than over-the-counter cosmetics.

Tretinoin

Powerfully promotes skin cell turnover and expels melanin. Often used in combination with hydroquinone.

How to Use Topical Treatments and Precautions (Please Read Carefully)

  • Use only at night, and always apply sunscreen during the day (treated skin becomes sensitive to UV rays)

  • Redness, peeling, and stinging may occur as reactions. If severe, please consult us again to adjust the frequency of use.

  • Apply precisely with a cotton swab to avoid contact with areas other than the spots.

  • Tretinoin cannot be used by those who are pregnant or may be pregnant.

  • Long-term use should be under medical supervision. Self-prescribed high concentrations or long-term use carries risks such as vitiligo.

Mona Clinic's Online Treatment Process

  1. Book and complete medical questionnaire via smartphone (daily 9:00-22:00, open all year round)

  2. Online consultation – Please prepare photos of your entire face and the areas of concern. We will assess the type of spots and propose oral/topical treatment or a combination.

  3. Shipped as early as the same day. Easy to continue with regular delivery.

  4. Follow-up care, such as adjusting for redness/peeling and confirming effectiveness, is also available online.

Who Cannot Take/Use or Needs to Exercise Caution

  • Tranexamic acid: Please be sure to inform us during your consultation if you have a history of thrombosis, are at risk, or are taking birth control pills.

  • Pregnant or breastfeeding individuals (tretinoin is not allowed; other medications should be discussed individually).

  • Individuals with ongoing medical conditions or taking other medications.

 

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よくある質問

Frequently Asked Questions

Q Is tranexamic acid effective for conditions other than melasma?
A

In addition to melasma, it is also used to improve post-inflammatory hyperpigmentation and overall dullness.

Q What concentration of hydroquinone should I start with?
A

It varies depending on skin type and condition. It's common to start with a low concentration and adjust while monitoring your skin's condition.

Q What are the benefits of using both?
A

By combining oral tranexamic acid with topical hydroquinone, an approach from both inside and outside the body can be expected.

Q What should I do if I experience irritation?
A

If the condition does not improve after discontinuing use and observing for a while, please consult us during your appointment.

Q How soon can I expect to see results?
A

While there are individual differences, most people notice changes after several months of continuous use.