Acne Cream
Triple-action topical for acne: antibiotic (clindamycin + erythromycin) and antifungal (ketoconazole). Covers bacterial and fungal acne.
Cream
from $139/mo
Applied to the skin · Once a day
Dark spotsEven toneHydroquinone 4%
ClearTone Cream
ClearTone: a five-ingredient prescription cream for uneven tone and dark spots, with hydroquinone 4%, azelaic acid 10%, tranexamic acid 5%, niacinamide 4% and kojic acid 2%.
- Hydroquinone 4% with azelaic, tranexamic and kojic acids targets pigment several ways
- Niacinamide and azelaic acid also calm redness and support the skin barrier
- Applied once a day, in courses your physician sets
- Monthly$149/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
- How
- Applied to the skin
- How often
- Once a day
- Each shipment
- 1 tube
- Strength
- 10 / 4 / 2 / 5 / 4%
What is ClearTone?
(hydroquinone 4% + azelaic acid + tranexamic acid + niacinamide + kojic acid)
ClearTone combines a moderate strength of hydroquinone with four agents that act on pigment at different steps: azelaic and kojic acids slow melanin production, tranexamic acid calms the signals that trigger melasma, and niacinamide reduces the transfer of pigment to the surface. It is a prescription cream compounded by a licensed pharmacy. Because it contains hydroquinone, it is used in courses, with sunscreen every day.
What's in it
- Azelaic Acid10%Unclogs pores, evens tone
- Hydroquinone4%Slows pigment production
- Kojic Acid2%Slows pigment production
- Tranexamic Acid5%Fades stubborn dark patches
- Niacinamide4%Evens tone, calms redness
4%
hydroquinone, combined with four supporting brighteners
Results usually show after 6 to 12 weeks. Like every hydroquinone cream, it is used in courses and needs daily SPF 30+.
Is it right for you?
Who it's for
People with dark patches who cannot use tretinoin or steroids.
What sets it apart
Five brighteners and no tretinoin or steroid: hydroquinone 4% with tranexamic, azelaic and kojic acids.
Worth knowing before you start
Used in cycles of two to three months with breaks. Daily sunscreen or the patches return.
What to expect
Daily SPF is part of the treatment
without it, spots return and can get darker
Gradual fading
most people see change after 4 to 8 weeks
Used in courses
breaks between courses lower the risk of ochronosis
More even tone
a maintenance plan keeps results after the course
How prescription brightening creams work
Week 1
A physician reviews your skin, your spots and your health, and chooses the formula and how long to use it. You test the cream on a small area first.
1Weeks 2–4
Some redness, dryness or peeling is common while the skin adjusts. Daily sunscreen starts now and does not stop.
2Weeks 4–8
Spots begin to fade. Brightening Cream usually completes its short course around week 8.
3Months 2–4
Hydroquinone courses usually end by 3 to 4 months, followed by a break and a gentler maintenance plan your physician sets.
4
Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Applied to the skin
- Where
- affected area
- Dose
- 1 to 2 pumps
- How often
- Once a day
- When
- At bedtime
- Each shipment
- 1 tube
- Pharmacy label
- Apply 1 to 2 pumps to the affected area at bedtime once daily, for 30 days.
A sample week
- M
- T
- W
- T
- F
- S
- S
Once a day
The science of hydroquinone creams
Azelaic acid and topical tranexamic acid have each shown benefit in melasma. Combining them with hydroquinone and niacinamide works on pigment at several points.
It contains hydroquinone, so the same precautions apply: avoid it in pregnancy and breastfeeding, stop if the skin gets darker, and protect the skin from the sun every day.
Learn moreImportant safety information and common side effects
These creams contain hydroquinone and are prescription treatments. Do not use them if you are pregnant, trying to become pregnant or breastfeeding; Brightening Cream also contains tretinoin, which must not be used in pregnancy. Do not use them if you are allergic to hydroquinone or sulfites, and tell your physician if you have asthma. Apply only to the dark spots, never on broken or irritated skin, and keep away from the eyes and lips. Use a broad-spectrum SPF 30+ every day. Hydroquinone is used in courses with breaks: with long continuous use it can rarely cause ochronosis, a blue-black darkening of the skin. If the treated skin gets darker instead of lighter, stop and contact your physician. Do not use peroxide products such as benzoyl peroxide on the same area. A new or changing mole or spot needs an in-person check, not a brightening cream.
Every plan includes
- Personalized, physician-guided plan
- Monthly plan
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.
2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.
3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.
ClearTone educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Frequently asked questions
How do I use ClearTone Cream?
Applied to the skin, once a day, at bedtime. The starting prescription is 1 to 2 pumps each time. Your physician sets your own dose and it is printed on your label.
What exactly is in it?
Azelaic Acid 10%, Hydroquinone 4%, Kojic Acid 2%, Tranexamic Acid 5%, Niacinamide 4%.
How much arrives in each shipment?
1 tube at the starting strength, shipped to your door from a licensed US pharmacy.
How is ClearTone different from the other brightening creams?
ClearTone uses a lower hydroquinone strength (4%) supported by azelaic, tranexamic and kojic acids and niacinamide. GHK-Cu Brightening Cream uses 6% hydroquinone with niacinamide, and Brightening Cream adds tretinoin and a steroid for a short, stronger course. Your physician chooses based on your skin and your spots.
Which brightening cream is right for me?
GHK-Cu Brightening Cream (hydroquinone 6% with niacinamide) is the usual first choice: gentler, for melasma, sun spots and acne marks, in courses of 3 to 4 months. Brightening Cream adds tretinoin and a mild steroid: stronger and faster, for stubborn melasma, but more irritating and only for up to 8 weeks; it is not for eczema, rosacea or pregnancy. ClearTone uses a lower hydroquinone strength (4%) with azelaic and tranexamic acids. If you are not sure, choose GHK-Cu Brightening Cream: your physician confirms the right one or switches you.
Can I use it while pregnant or breastfeeding?
No. Hydroquinone is avoided in pregnancy and breastfeeding, and the tretinoin in Brightening Cream must not be used in pregnancy. Tell your physician right away if you become pregnant.
Do I really need sunscreen every day?
Yes. Sun exposure triggers new pigment and undoes the treatment. Use a broad-spectrum SPF 30 or higher every morning, reapply outdoors, and add a hat in strong sun.
What if my skin gets darker?
Irritation can make spots look darker for a short time. If the treated skin keeps darkening or turns gray or blue-black, stop the cream and message your physician: with long use, hydroquinone can rarely cause ochronosis.
Even tone, one course at a time.
Acne Cream with Tretinoin
Acne treatment combining antibiotics (clindamycin/erythromycin/ketoconazole) with tretinoin for faster clearance and post-acne healing.
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Brightening Cream
Stronger prescription cream for stubborn melasma and dark spots: hydroquinone 6% with tretinoin, hydrocortisone, kojic acid and vitamins C and E. A short course, usually up to 8 weeks.
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Clarity Cream
Acne and post-acne formula combining azelaic acid, niacinamide, clindamycin, and tretinoin. Anti-inflammatory and cell-renewing.
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The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Sources
- 1
Hydroquinone prescribing information: depigmentation, sulfites, ochronosis and use in pregnancy.
US prescribing labels (DailyMed) - 2
Fluocinolone, hydroquinone and tretinoin cream for melasma: indicated for up to 8 weeks.
Tri-Luma prescribing information (DailyMed) - 3
Topical tranexamic acid and azelaic acid in melasma.
PubMed
ClearTone Creamfrom $149/mo