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PERBETE

Skincare ingredients for dark spots and hyperpigmentation

Our research data links 29 ingredients to dark spots and hyperpigmentation. Strongest evidence comes first, each with the studies behind it.

A research list, not medical advice. If a skin condition worries you, see a dermatologist.

Which ingredients have the most evidence for dark spots and hyperpigmentation?

In our data, the strongest evidence for dark spots and hyperpigmentation is behind Azelaic acid, Isobutylamido thiazolyl resorcinol, and Tranexamic acid.

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Top 5 at a glance
IngredientEvidenceStudied atRating
Azelaic acid🧪 Clinical evidencemelasma 20%; papulopustular rosacea 15%Moderate concern
Isobutylamido thiazolyl resorcinol🧪 Clinical evidencemelasma clinical 0.2%Low concern
Tranexamic acid🧪 Clinical evidencetopical clinical 3%, 5%Low concern
4-Butylresorcinol🧪 Clinical evidenceclinical 0.1%, 0.3%Low concern
Niacinamide🧪 Clinical evidenceclinical 2-5%; Korean notice whitening 2-5%Low concern
  1. Azelaic acidModerate concern

    Studied at melasma 20%; papulopustular rosacea 15%

    • Reference: Balina and Graupe, 1991
    • Reference: DailyMed drug label, 2020

    Pregnancy: not advised against on skin · Listed in 86 products

  2. Studied at melasma clinical 0.2%

    • Reference: Lima et al., 2021
    • Reference: Lekhavat et al., 2026

    Pregnancy: not rated yet · Listed in 5 products

  3. Tranexamic acidLow concern

    Studied at topical clinical 3%, 5%

    • Reference: Janney et al., 2019

    Pregnancy: not rated yet · Listed in 452 products

  4. Studied at clinical 0.1%, 0.3%

    • Reference: Huh et al., 2010
    • Reference: Khemis et al., 2007

    Pregnancy: not rated yet · Listed in 28 products

  5. NiacinamideLow concern

    Studied at clinical 2-5%; Korean notice whitening 2-5%

    • Reference: Bissett et al., 2004
    • Reference: Draelos et al., 2006
    • Reference: Kimball et al., 2010
    • Reference: Korea Ministry of Government Legislation, 2023

    Pregnancy: not rated yet · Listed in 8,542 products

  6. Acetyl Glucosamine

    Studied at clinical 2%

    • Reference: Bissett et al., 2007
    • Reference: Kimball et al., 2010

    Pregnancy: not rated yet · Listed in 474 products

  7. Studied at clinical 2%

    Vehicle-controlled in solar lentigines of the hands; the same effect cannot be promised for facial melasma and freckles.

    • Reference: Katoulis et al., 2010

    Listed in 10 products

  8. L-Ascorbic AcidLow concern

    Ascorbic Acid

    Studied at clinical 5%; photoprotection combination product 15%

    • Reference: Humbert et al., 2003
    • Reference: Espinal-Perez et al., 2004
    • Reference: Murray et al., 2008

    Pregnancy: not rated yet · Listed in 1,422 products

  9. Oxidized Glutathione

    Studied at clinical 2% w/w

    • Reference: Watanabe et al., 2014

    Pregnancy: not rated yet · Listed in 1 product

  10. Studied at Korean notice 3%; uncontrolled clinical 10%

    • Reference: Kameyama et al., 1996
    • Reference: Korea Ministry of Government Legislation, 2023

    Pregnancy: not rated yet · Listed in 191 products

  11. Studied at combination raw material clinical 28%; individual ingredient % N/A

    A small solar-lentigo study. The ingredient composition is unclear, so it cannot be broken down into the effects of pure AG and arginine separately.

    • Reference: Takada et al., 2024

    Not in our product list yet

  12. Kojic acidModerate concern

    Studied at clinical 1-2%; EU limit 1% face and hands

    • Reference: Deo et al., 2013
    • Reference: Lim, 1999
    • Reference: European Union

    Pregnancy: not rated yet · Listed in 85 products

  13. ArbutinModerate concern

    Studied at Korean notice 2-5%; EU face limit 7%

    • Reference: Korea Ministry of Government Legislation, 2023
    • Reference: European Union

    Pregnancy: not rated yet · Listed in 329 products

  14. Studied at Korean notice 2%; stand-alone clinical N/A

    • Reference: Korea Ministry of Government Legislation, 2023
    • Reference: Takada et al., 2024

    Pregnancy: not rated yet · Listed in 621 products

  15. CysteamineLow concern

    Studied at free base stand-alone N/A; study product cysteamine 5%, salt basis not confirmed

    • Reference: Mansouri et al., 2015

    Pregnancy: advised to avoid · Not in our product list yet

  16. 3-O-Ethyl Ascorbic Acid

    Studied at Korean notice 1-2%; stand-alone clinical N/A

    • Reference: Korea Ministry of Government Legislation, 2023

    Pregnancy: not rated yet · Listed in 468 products

  17. alpha-ArbutinModerate concern

    Studied at stand-alone clinical N/A; EU limit face 2%, body 0.5%

    • Reference: European Union

    Pregnancy: not rated yet · Listed in 165 products

  18. Studied at Korean notice 2%; stand-alone clinical N/A

    • Reference: Korea Ministry of Government Legislation, 2023

    Pregnancy: not rated yet · Listed in 259 products

  19. GlabridinLow concern

    Studied at N/A

    • Reference: Cantelli et al., 2020
    • Reference: Korea Ministry of Government Legislation, 2023

    Listed in 2 products

  20. Phenylethyl Resorcinol

    Studied at N/A

    • Reference: Chatterjee et al., 2021

    Listed in 28 products

  21. Studied at stand-alone N/A; combination product 7% + LAA 10%

    • Reference: Fitzpatrick and Rostan, 2002

    Pregnancy: not rated yet · Listed in 280 products

  22. Hexylresorcinol

    Studied at N/A

    • Reference: Shariff et al., 2022

    Listed in 41 products

  23. LiquiritinLow concern

    Studied at N/A

    • Reference: Amer and Metwalli, 2000

    Not in our product list yet

  24. Cysteamine HCl

    Studied at N/A; kept apart from free base 5%

    • Reference: Mansouri et al., 2015

    Pregnancy: advised to avoid · Listed in 1 product

  25. Nonapeptide-1Low concern

    Studied at N/A

    • Reference: Chatterjee et al., 2021

    Pregnancy: not rated yet · Listed in 365 products

Which ingredients for dark spots and hyperpigmentation need a doctor?

4 ingredients here are prescription-only or for in-clinic use in the US. We list them so you can look them up; they never go into a PERBETE routine.

  1. HydroquinoneHigh concernPrescription only (US)

    Studied at stand-alone comparison clinical 3-4%; 2% is a combination product

    • Reference: Balina and Graupe, 1991
    • Reference: Espinal-Perez et al., 2004
    • Reference: Janney et al., 2019
    • Reference: Lim, 1999

    Pregnancy: advised to avoid · Listed in 1 product

  2. MequinolModerate concernPrescription only (US)

    p-Hydroxyanisole

    Studied at combination clinical 2% + tretinoin 0.01%; stand-alone N/A

    Evidence from a solar-lentigo combination drug. The score is attributed to the mequinol 2% + tretinoin 0.01% study, and the stand-alone effect size is not separated.

    • Reference: Fleischer et al., 2000

    Pregnancy: not rated yet · Not in our product list yet

  3. All-trans-Retinoic Acid (Tretinoin)High concernPrescription only (US)

    Retinoic Acid

    Studied at PIH clinical 0.1%; solar lentigo combination 0.01%

    Regulates epidermal turnover, including pigment. Irritation needs to be managed according to prescription and formulation.

    • Reference: Bulengo-Ransby et al., 1993
    • Reference: Fleischer et al., 2000

    Pregnancy: advised to avoid · Not in our product list yet

  4. Fluocinolone AcetonideHigh concernPrescription only (US)

    Studied at combination drug 0.01%; stand-alone whitening N/A

    The score is for a supporting role in short-term melasma combination treatment. This steroid is not recommended as a stand-alone whitening or everyday long-term soothing ingredient.

    • Reference: DailyMed, 2024

    Not in our product list yet

Which ingredients for dark spots and hyperpigmentation are advised against in pregnancy?

In our data, pregnancy guidance advises avoiding Hydroquinone, All-trans-Retinoic Acid (Tretinoin), Cysteamine, and Cysteamine hydrochloride. Each ingredient page names the source.

Pregnant or breastfeeding? Check new products with your doctor or midwife.

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