Tri-Luma (Hydroquinone 4% Cream) Drug Information: Description, User Reviews, Drug Side Effects, Interactions

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May 26, 2012

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Tri-Luma

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TRI-LUMA® (hydroquinone 4% cream)
(fluocinolone acetonide 0.01%, hydroquinone 4%, tretinoin 0.05%) Cream

For External Use Only
Not for Ophthalmic Use

DRUG DESCRIPTION

TRI-LUMA® (hydroquinone 4% cream) Cream (fluocinolone acetonide 0.01%, hydroquinone 4%, tretinoin 0.05%) contains fluocinolone acetonide, USP, hydroquinone, USP, and tretinoin, USP, in a hydrophilic cream base for topical application.

Fluocinolone acetonide is a synthetic fluorinated corticosteroid for topical dermatological use and is classified therapeutically as an anti-inflammatory. It is a white crystalline powder that is odorless and stable in light.

The chemical name for fluocinolone acetonide is: (6 ,11 ,16 )-6,9-difluoro-11,21-dihydroxy-16,17-[(1-methylethylidene)bis(oxy)]-pregna-1,-4-diene-3,20-dione.

The molecular formula is C₂₄H₃₀F₂O₆ and molecular weight is 452.50. Fluocinolone acetonide has the following structural formula:

Fluocinolone acetonide Structural Formula Illustration

Hydroquinone is classified therapeutically as a depigmenting agent. It is prepared from the reduction of p-benzoquinone with sodium bisulfite. It occurs as fine white needles that darken on exposure to air.

The chemical name for hydroquinone is: 1,4-benzenediol.

The molecular formula is C₆H₆O₂ and molecular weight is 110.11.

Hydroquinone has the following structural formula:

Hydroquinone Structural Formula Illustration

Tretinoin is all-trans-retinoic acid formed from the oxidation of the aldehyde group of retinene to a carboxyl group. It occurs as yellow to light-orange crystals or crystalline powder with a characteristic odor of ensilage. It is highly reactive to light and moisture. Tretinoin is classified therapeutically as a keratolytic.

The chemical name for tretinoin is: (all-E)-3,7-dimethyl-9-(2,6,6-trimethyl-1-cyclohexen-1-yl)-2,4,6,8-nonatetraenoic acid.

The molecular formula is C₂₀H₂₈O₂ and molecular weight is 300.44.

Tretinoin has the following structural formula:

Tretinoin Structural Formula Illustration

Each gram of TRI-LUMA® (hydroquinone 4% cream) Cream contains Active: fluocinolone acetonide 0.01% (0.1 mg), hydroquinone 4% (40 mg), and tretinoin 0.05% (0.5 mg). Inactive: butylated hydroxytoluene, cetyl alcohol, citric acid, glycerin, glyceryl stearate, magnesium aluminum silicate, methyl gluceth-10, methylparaben, PEG-100 stearate, propylparaben, purified water, sodium metabisulfite, stearic acid, and stearyl alcohol.

What are the possible side effects of fluocinolone, hydroquinone, and tretinoin topical (Tri-Luma)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using this medication and call your doctor if you have any of these serious side effects:

darkening of the treated skin;
severe skin irritation, blistering, oozing, scaling, or crusting;
severe burning or swelling of the skin; or
irritation of your eyes, nose, or mouth.

Less...

Read All Potential Side Effects and See Pictures of Tri-Luma »

What are the precautions when taking hydroquinone 4% cream (Tri-Luma)?

Before using fluocinolone/tretinoin/hydroquinone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (e.g., hydrocortisone, prednisone); or if you have any other allergies. This product may contain inactive ingredients (such as sulfites), which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: asthma, open sores or broken areas of skin (especially on the face or hands), other skin conditions (e.g., eczema, psoriasis).

Too much bleaching of the skin might occur in some cases, resulting in an undesirable cosmetic effect in those with darker skin. Consult your doctor or pharmacist for more...

Read All Potential Precautions of Tri-Luma »

Last reviewed on RxList: 10/10/2008
This monograph has been modified to include the generic and brand name in many instances.