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Dermbits

Are stronger retinoids more effective for Post-Inflammatory Hyperpigmentation compared to weaker retinoids?

Pigmentary Disorders

You retinoids in PIH is a story than a plot that continues to thicken. In my opinion. There have been some studies that have shown, for example, that tazaratine zero one cream was more effective than adaptoline .3 gel in treating PIH. So the question is, are all retinoids created equal for post inflammatory hyperpigmentation? And in my opinion they're not. And I think you have to use the strongest retinoid vehicle you can with minimizing irritation because you don't want to get a retinoid dermatitis, especially in a skin of color patient, and then subsequently get PIH from the retinoid dermatitis. So make sure you're selecting based on vehicle and skin type and having that discussion with your patient.