Triluma Hydroquinone Tretinoin Fluocinolone Cream (15g)

Triluma Cream Price in Bangladesh – Galderma Triluma (Hydroquinone 4%, Tretinoin 0.05%, Fluocinolone 0.01%) 15g

Searching for the original Triluma cream price in Bangladesh? Triluma Cream from Galderma is a prescription-only triple-combination cream used for the short-term treatment of moderate to severe melasma of the face. It combines three active ingredients in one cream: hydroquinone 4% (a depigmenting agent), tretinoin 0.05% (a retinoid) and fluocinolone acetonide 0.01% (a mild corticosteroid). You can check the current Triluma price at the top of this page and order the genuine 15g tube from Derma.com.bd with fast delivery inside Dhaka and nationwide home delivery.

Important: Triluma is a medicine, not a cosmetic fairness cream. It should only be used under the supervision of a dermatologist, for a limited period, on the specific patches that need treatment. Misuse – especially long-term use or use on the whole face as a "whitening cream" – can cause serious and sometimes permanent skin damage. This guide explains how Triluma works, how it should be used safely, what results to expect and why medical supervision matters.

About Galderma

Galderma is a Switzerland-based global dermatology company founded in 1981, dedicated entirely to skin health. Its portfolio includes Triluma, Benzac, Epiduo, Differin and Cetaphil. Explore Galderma products on our Galderma brand page, including Epiduo Gel and Benzac AC 5% Gel.

What Is Melasma?

Melasma is a common pigmentation disorder that causes brown or grey-brown patches, usually on the cheeks, forehead, bridge of the nose, upper lip and chin. It is much more common in women and in people with brown skin, which makes it very common in Bangladesh. Triggers include sun exposure, visible light and heat, hormonal changes (pregnancy, oral contraceptives), genetics and certain cosmetics. Melasma is a chronic condition: it can be controlled and improved, but it often returns, especially after sun exposure. DermNet provides a detailed overview of melasma and its treatment.

The Three Active Ingredients

• Hydroquinone 4%: Blocks tyrosinase, the enzyme needed to make melanin, and reduces the activity of pigment cells. It is one of the most effective depigmenting agents but must be used for limited periods.
• Tretinoin 0.05%: A vitamin A derivative (retinoid) that speeds up skin cell turnover, helps remove pigmented surface cells and improves penetration of hydroquinone.
• Fluocinolone Acetonide 0.01%: A low-potency corticosteroid that reduces the irritation caused by hydroquinone and tretinoin and also has its own mild effect on pigment cells.

The combination works better than each ingredient alone, which is why triple-combination creams are considered one of the most effective topical treatments for melasma when used correctly.

Uses of Triluma Cream

• Short-term treatment of moderate to severe facial melasma, as prescribed by a dermatologist.
• Sometimes used by dermatologists for other stubborn hyperpigmentation, at their discretion.

Triluma is not intended for general skin lightening, tanning, acne marks on the whole face, or for use on the body.

Why Triluma Is Misused in Bangladesh – and Why It Matters

Because Triluma can lighten pigmentation quickly, it is sometimes sold or shared as a "fairness" or "glow" cream, applied to the entire face every night for months or even years. This is dangerous. The steroid component, even though it is mild, can thin the skin with long-term use, cause redness, visible blood vessels, steroid acne and a condition called topical steroid dependence, where the skin flares badly whenever the cream is stopped. Long-term hydroquinone can cause exogenous ochronosis, a blue-grey or black discolouration that is much harder to treat than the original melasma. Dermatologists in South Asia regularly see patients with skin damaged by unsupervised use of triple-combination creams.

Used correctly – on the right patches, for a limited time, with sunscreen and medical follow-up – Triluma is a valuable treatment. The problem is not the medicine itself but how it is used.

What Results Can You Expect?

In clinical studies, many patients with moderate to severe melasma saw significant improvement within 4 to 8 weeks of nightly use. Some people notice lightening within the first few weeks. However, melasma tends to return if sun protection is poor or treatment is stopped without a maintenance plan. Your dermatologist will usually switch you to a gentler, non-steroid maintenance treatment once the patches have improved.

Maintenance After Triluma

Because melasma is chronic, maintenance is essential. After a course of Triluma, dermatologists often recommend non-steroid options such as azelaic acid (Aziderm 20% Cream), kojic acid, niacinamide, tranexamic acid or glycolic acid (Micro Glyco 6%), along with strict daily sunscreen. Some doctors use Triluma in a "pulse" schedule – for example, a few nights a week for a limited time – but this should only be done under their supervision. In-clinic treatments such as chemical peels may also be part of a long-term plan.

Sun Protection: The Most Important Step

No melasma treatment works without sun protection. UV rays and even visible light from the sun can trigger melasma, and tretinoin makes the skin more sensitive to sunlight. Use a broad-spectrum sunscreen of SPF 30–50 every morning; tinted sunscreens containing iron oxides can offer extra protection against visible light. Reapply every two to three hours when outdoors, wear a wide-brimmed hat or use an umbrella, and avoid the midday sun. Heat from cooking and hot environments can also worsen melasma, so keep the skin cool where possible. The American Academy of Dermatology also stresses sun protection as the foundation of melasma treatment.

Who Should Not Use Triluma?

• Pregnant women or those planning pregnancy.
• Breastfeeding women, unless the doctor advises otherwise.
• People allergic to hydroquinone, tretinoin, fluocinolone or sulphites.
• Anyone with eczema, rosacea, skin infection or broken skin on the treated area.
• Children and teenagers, unless specifically prescribed.
• Anyone who wants a general "whitening" cream – Triluma is not for this purpose.

Managing Irritation During Treatment

Redness, peeling and dryness are common because of the tretinoin and hydroquinone. To reduce irritation, apply Triluma to completely dry skin, use only a thin layer, avoid harsh cleansers and scrubs, and use a gentle fragrance-free moisturiser such as Hyalugel Plus in the morning. If irritation is significant, your doctor may reduce frequency. Do not apply extra layers or more often in the hope of faster results – this increases side effects without improving outcomes.

Triluma vs Other Pigmentation Treatments

Triluma is a strong, short-term treatment. Gentler options include Aziderm 10% Cream, Zeelab Kojic Acid Cream and Kozicare Skin Lightening Cream, which are more suited to long-term use for mild pigmentation or maintenance. Other triple-combination creams on the market, such as Melacare and Biluma, follow the same principles and carry the same warnings. Your dermatologist will choose based on the type and depth of pigmentation and your skin's sensitivity.

How to Use Triluma (As Directed by Your Dermatologist)

1. Use only once daily at night, at least 30 minutes before bedtime, unless your doctor gives different instructions.
2. Wash your face with a mild cleanser, rinse and pat dry.
3. Apply a thin film only to the melasma patches, including about half an inch of normal-looking skin around them.
4. Avoid the eyes, lips, nostrils and broken skin. Wash your hands after use.
5. In the morning, wash your face, apply a moisturiser if needed and use a broad-spectrum sunscreen of SPF 30–50. Reapply sunscreen during the day.
6. Do not use Triluma for longer than your dermatologist has advised – it is typically prescribed for up to 8 weeks.

Signs You Should Stop and See Your Doctor

• The treated skin becomes very red, swollen, blistered or painful.
• New dark, blue-grey or black patches appear, which may signal ochronosis.
• Pimples, redness or visible blood vessels develop on the treated area.
• Your skin flares badly whenever you try to stop the cream.
• You become pregnant during treatment.

Never restart or extend treatment on your own. Your dermatologist may change the plan, reduce frequency or switch to a different treatment.

Melasma and Hormones

Many women in Bangladesh first notice melasma during pregnancy (often called the "mask of pregnancy") or after starting hormonal contraceptives. Hormonal melasma can be especially stubborn. Triluma should not be used during pregnancy; instead, sun protection and gentle, pregnancy-safe options recommended by a doctor are used until after delivery and breastfeeding. If you have melasma alongside irregular periods, acne or excess hair growth, your doctor may check for underlying hormonal conditions.

Storage Tips

Hydroquinone and tretinoin can break down with heat and light. Store Triluma below 25°C, keep the tube tightly closed, and do not leave it in a hot car or in direct sunlight. If the cream changes colour noticeably (for example, turns dark brown), do not use it and ask your pharmacist or doctor.

Possible Side Effects

• Common: redness, peeling, dryness, burning, itching and mild irritation, especially in the first weeks.
• Possible: acne-like bumps, increased sensitivity to sunlight, temporary lightening or darkening of skin.
• With prolonged or incorrect use: skin thinning (atrophy), visible blood vessels (telangiectasia), stretch marks, steroid-induced acne or rosacea, and ochronosis – a blue-black darkening of the skin caused by long-term hydroquinone use, which can be very difficult to treat.

Stop using the cream and contact your doctor if you notice severe irritation, blistering, swelling or any unusual darkening of the skin.

Precautions

• Prescription only: Use only under a dermatologist's supervision.
• Not for long-term use: Follow the prescribed duration strictly.
• Not during pregnancy: Tretinoin should not be used during pregnancy; tell your doctor if you are pregnant, planning pregnancy or breastfeeding.
• Sun protection is essential: Avoid direct sun, sunlamps and tanning; use sunscreen daily.
• Avoid irritating products: Do not combine with other strong actives, scrubs, waxing or peels on treated areas unless advised.
• Not for children. Store below 25°C, keep tightly closed and out of reach of children.

Why Buy From Derma.com.bd?

Derma.com.bd is a trusted online shop for original dermatological products in Bangladesh, with proper storage and fast delivery. Please purchase and use Triluma only with a valid dermatologist's prescription. Explore other pigmentation products in our Dark Spots & Hyperpigmentation collection.

Frequently Asked Questions

What is the Triluma cream price in Bangladesh?

The current price is shown at the top of this page and may change with offers and stock.

Is Triluma a fairness cream?

No. Triluma is a prescription medicine for melasma. Using it as a daily fairness cream can seriously damage your skin.

How long can I use Triluma?

It is usually prescribed for up to 8 weeks. Your dermatologist will decide the duration and plan maintenance treatment afterwards.

Can I use Triluma on acne marks?

Only if your dermatologist recommends it. Gentler options are usually preferred for acne marks.

Can I use Triluma during pregnancy?

No. It contains tretinoin, which should not be used during pregnancy.

Will melasma come back after stopping?

It can, especially without sunscreen. A maintenance plan and daily sun protection help keep it under control.

Can I use it on my body?

No. Triluma is intended for facial melasma only.

Product Details

• Product: Triluma Cream
• Brand: Galderma
• Active ingredients: Hydroquinone 4%, Tretinoin 0.05%, Fluocinolone Acetonide 0.01%
• Net quantity: 15g
• Use: Short-term treatment of moderate to severe facial melasma
• Status: Prescription medicine

Final Words

Triluma is one of the most effective treatments available for stubborn melasma, but only when it is used correctly, for a short period and under a dermatologist's care, together with strict sun protection. Order original Triluma cream from Derma.com.bd with your prescription.

Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Triluma is a prescription medicine; do not use it without consulting a dermatologist.