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Getting Rid of Age Spots

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Q. Recently I heard that there was a cream or ointment for getting rid of age spots. I think I heard it referred to as Hydroxycordone but I am not sure. Is there such a product that can be bought over-the-counter? I would like to get rid of my brown sun spots.

A. The compound you heard of is hydroquinone. It is a bleaching agent that is applied to darker areas of skin (such as age spots or "liver" spots) to lighten them. Such spots are usually a result of sun damage.

Hydroquinone is available in many OTC lightening or fade creams. The compound is controversial, however. It has been banned in Australia, Europe and Japan because of concerns about possible cancer-causing activity.

The FDA proposed a ban on hydroquinone several years ago, but has not yet taken any action. More research has been initiated, but it will be years before there is a definitive answer about the safety of this chemical.

One possible alternative is tretinoin (Avita, Retin-A, Renova). This prescription acne cream can also smooth wrinkles and help fade age spots (American Journal of Clinical Dermatology, Aug, 2009). Although the brand name is pricey, you can get this cream as a generic for around $40 a tube.

Regardless of how you try to lighten your spots, avoid the sun or use a sunscreen.

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Please advise cause of seborrheic keratoses. How can they be removed? I call them my "barnacles". Love your program and website.

PEOPLE'S PHARMACY RESPONSE: WE HAVEN'T YET FOUND A HOME REMEDY FOR SEBORRHEIC KERATOSES, BUT WE ARE ON THE LOOKOUT FOR ONE. BECAUSE THEY ARE NOT DANGEROUS, IT RARELY MAKES SENSE TO ASK THE DERMATOLOGIST TO REMOVE THEM.

My PA at Kaiser froze two small keratoses on my forehead with liquid nitrogen--it worked! There's barely a shadow of them remaining. An elderly friend of mine had a very large one surgically removed. It was painful and needed daily dressing changes, but now it's beginning to heal and will probably leave a pale scar. She never received a report on the biopsy, but didn't expect one as keratoses are considered benign growths. My PA calls them "horns of wisdom." Hope this information helps someone else.

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