Test for allergy by applying Melanex to a small portion of your skin at or near the affected areas as directed below. Do this test only once. If no redness or itching occurs within 48 hours after application, begin to use your prescription of Melanex as directed.

IF ANY IRRITATION OR REACTION OCCURS AT ANY TIME, DISCONTINUE USE AND CALL THE OFFICE.

Apply Melanex twice a day every day unless directed otherwise, to achieve the results you want. Your pigmentation problem occurs deep within your skin. You are not going to see overnight results. The bleaching process will take many weeks, possibly several months. Be patient.

I recommend that you follow the routine outlined:

IN THE MORNING

1. Wash your face.

2. Apply Melanex by tilting the bottle and rubbing the applicator over the affected area gently, avoiding the eye area. Be sure to apply enough Melanex to we the affected area thoroughly. Allow it to dry and be absorbed into the skin.

3. Apply a sunscreen (SPF 15 or higher) every morning.

4. Apply your regular cosmetics if you wish.

IN THE EVENING

1. Wash your face.

2. Apply Melanex as above, and allow it to dry and be absorbed in the skin, again avoiding the eye area, every evening.

3. Apply your night moisturizer if you wish.

Remember, sunlight can be a major contributor to your pigmentation problems. Increased exposure to the sun will only make your condition worse. To protect your skin from the sun's damaging rays, use a sunscreen (SPF 15 or higher) every morning. You should avoid unnecessary exposure to the sun. If you must be outdoors for an extended period of time, reapply your sunscreen frequently and wear protective clothing in the sun to avoid repigmentation.

Should you have any difficulties or skin irritation at any time during the treatment, discontinue use and call the office. If no improvement is seen after three months of use, discontinue use and contact me.

The depigmenting effect of this product may not be noticeable on very dark skin. Melanex should not be used on children under 12 years of age. Keep this and all medications out of the reach of children. Avoid contact with the eyes.