Melasma is manageable but challenging to fully cure – especially on darker skin & with ARVs (some drugs like zidovudine can worsen pigmentation). Stress & sun are common triggers. But Good news is 50–80% improvement possible with consistent natural care (3–12 months)
Medicines Manjisthadi Kwath – 20 ml + 60 ml warm water morning empty stomach Kaishore Guggulu – 2 tablets morning + night after food Gandhak Rasayan – 250 mg morning + night with water Sarivadyasava – 20 ml + 40 ml water after lunch & dinner Kumkumadi Taila – for local use daily Warm Kumkumadi Taila – gentle massage on affected areas (cheeks, eyes, ears, neck) morning & night and leave 30 min then rinse (gold-standard for melasma lightening).
Diet Give daily: moong khichdi + ghee, pomegranate, coconut water, beetroot juice 100 ml. Avoid completely: spicy/sour, dairy after noon, excessive salt/sugar, sun exposure.
Lifestyle Strict sun protection – SPF50+ broad-spectrum sunscreen daily, hat/umbrella outdoors (melasma worsens with UV). Stress reduction: Anulom-Vilom pranayama 10 min daily (your main trigger). Sleep 10 PM – 6 AM.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Start with Mahamanjistadi kadha 15 ml twice daily after food with water Sarivasav 15 ml twice daily after food with water Kumkumadi oil on affected area at bedtime, keep overnight. Do not expose to direct Sun rays. Use Sunscreen SPF 50 during the day. Avipattikar tablet 1-0-1 after food with water Mix manjista powder turmeric powder besan powder with curds and apply on affected area twice weekly keep for 10 minutes and rub in circular movement and wash with clean water
Don’t worry take Arogya vardini vati 1tab bd, pancha tikta ghrita Guggulu 1tab bd, nalmaparadi tail external application enough u ll get results
MELASMA THAT DEVELOPS AFTER LONG TERM ARV USE IS SEEN DUE TO INTERNAL HEAT HORMONAL IMBALANCE AND LIVER LOAD THIS TYPE OF PIGMENTATION IS STUBBORN BUT CAN BE CONTROLLED AND LIGHTENED WITH CONSISTENT INTERNAL TREATMENT IT IS NOT A QUICK PROCESS BUT IMPROVEMENT IS POSSIBLE WITHOUT HARSH PRODUCTS
AYURVEDIC MEDICINES WITH DOSE
MANJISHTHA CAPSULE ONE CAPSULE TWICE DAILY AFTER FOOD WITH WARM WATER
AMALAKI CAPSULE ONE CAPSULE ONCE DAILY AFTER BREAKFAST
GUDUCHI CAPSULE ONE CAPSULE ONCE DAILY AFTER LUNCH
SARIVADYASAVA TEN ML WITH EQUAL WATER ONCE DAILY AFTER FOOD IF IT SUITS YOU
FOR EXTERNAL APPLICATION AT NIGHT PURE ALOE VERA GEL APPLY THIN LAYER ON AFFECTED AREAS DAILY
CONTINUE THIS REGIMEN REGULARLY FOR AT LEAST THREE TO SIX MONTHS WITHOUT CHANGING PRODUCTS FREQUENTLY EXPECT GRADUAL LIGHTENING AND STABILIZATION NOT OVERNIGHT RESULTS
Hello I totally get how frustrating it must be to deal with melasma for three years, especially when it’s all over your face and neck, and messing with your confidence. Thanks for being so open about it. And dont worry we are here to help you out 😊
YOUR CONCERN
–Melasma for three years, pretty bad, affecting your daily life. –Dark spots on your cheeks, around your eyes, ears, and neck. –Been on ARVs for seven years. –You’ve noticed stress makes it worse. –Tried a bunch of creams, but nothing helped. –Your skin’s naturally darker now, with uneven patches.
Big, important safety note (seriously )
–Since you’re on ARV therapy, we gotta be super picky about any internal Ayurvedic medicines. –We’re gonna stay away from harsh detox stuff, metals, or strong formulas. –The main focus will be on gentle, liver-friendly support, external treatments, balancing stress and hormones, and sun protection.
AYURVEDIC UNDERSTANDING
In Ayurveda, what you’ve got sounds a lot like Vyanga, or melasma. It’s usually caused by too much Pitta dosha (that’s like heat and pigmentation), Rakta dushti (an imbalance in your blood), stress from hormones and metabolism, a long-term load on your liver from meds, and emotional stress (which is a huge deal here). This is why those creams haven’t done squat.
CAN MELASMA BE FIXED??
Yes, you can manage it, and it can definitely get a lot lighter. But you’ll need patience, consistency, and the right approach – no quick-fix creams here. It might not vanish completely right away, but you’ll see a noticeable change.
AYURVEDIC PLAN (ARV-friendly):
1. What you can use on your skin (most important):
Natural Face Pack (2-3 times a week): –Mix sandalwood powder, manjistha powder, and a little rose water. –Put a thin layer on the dark spots for 15-20 minutes. –Wash it off with regular water (no scrubbing). –It’s safe, cooling, and helps with the dark spots over time.
Aloe Vera Gel (Daily): Use pure, unscented aloe vera gel. Put it on the affected areas at night. Super safe with ARVs.
INTERNALLY (Generally safe options)
1.Amla (Indian Gooseberry) powder: Half a teaspoon once a day with warm water. (Gently helps your liver and skin.)
DIET PLAN
✅INCLUDE Cooling foods, lots of water, fruits (papaya, apple, pomegranate), green veggies, home-cooked meals.
❌AVOID Very spicy foods, fried foods, too much sugar, alcohol, late-night eating.
SUN AND SKIN CARE (crucial for melasma):
Wear broad-spectrum sunscreen every day (even indoors if it’s bright). Cover your face and neck when you’re outside. Don’t use harsh soaps, peels, or scrubs.
Managing stress (a big trigger for you) Stress makes melasma worse. Try deep breathing, light yoga, getting 7-8 hours of sleep, and some gentle self-care.
Your melasma isn’t your fault. Long-term meds and stress can kick it off. With a gentle, safe, and consistent plan, getting better is totally possible. We gotta respect your ARV treatment and work with it, not against it.
Warm Regards Dr. Snehal Vidhate
1.Panchtikta ghrita guggulu 1 tab twice daily with water after meals 2.Arogyavardhini vati 2 tab twice daily with water after meals 3.Mahamanjisthadi kwath 20 ml with 20 ml water twice daily after meals 4.Kumkumadi taila- massage gently with this oil and leave it overnight
⚠️ Important Considerations - Consistency is key: Ayurvedic medicines often take 2–3 months to show visible improvement. - Avoid triggers: Excess heat, spicy food, stress, and harsh sun exposure worsen pigmentation. - Dietary guidance: Favor cooling foods (cucumber, coconut water, leafy greens), avoid fried/oily items. - Lifestyle: Gentle yoga, pranayama (esp. Sheetali and Anulom Vilom), and adequate sleep support healing.
मैं समझ सकता हूँ कि यह आपके लिए कितना परेशान करने वाला रहा है, खासकर जब पिग्मेंटेशन ने आपकी प्राकृतिक त्वचा के रंग को बदल दिया है और आपके आत्मविश्वास को प्रभावित किया है। मेलास्मा, जो कई सालों की स्थिर सेहत के बाद दिखाई देता है, अक्सर आंतरिक कारणों जैसे लंबे समय तक ध्यान, तनाव, हार्मोनल बदलाव और लिवर से संबंधित मेटाबॉलिज्म में बदलाव से ट्रिगर होता है। भले ही आपने कई क्रीम्स आजमाई हों, बाहरी उपचार अकेले ऐसे मामलों में आमतौर पर काम नहीं करता क्योंकि जड़ कारण आंतरिक होते हैं। आप एआरवी पर हैं, इसलिए यह और भी महत्वपूर्ण है कि आप अपने उपचारों का समर्थन करें और कठोर उत्पादों से बचें।
आयुर्वेदिक दृष्टिकोण से, इस प्रकार की गहरी चेहरे की पिग्मेंटेशन आंतरिक गर्मी असंतुलन और खराब डिटॉक्सिफिकेशन के साथ तनाव की भागीदारी को दर्शाती है, इसलिए दृष्टिकोण धीमा, सुरक्षित और अंदर से बाहर होना चाहिए।
आंतरिक रूप से, आप शुरू कर सकते हैं:
- आमलकी रसायन 1 चम्मच गर्म पानी के साथ दिन में दो बार - गुडुची सिरप भोजन के बाद दिन में दो बार - महामंजिष्ठादि अरिष्ट 20 एमएल समान मात्रा में पानी के साथ भोजन के बाद दिन में दो बार - त्रिफला चूर्ण 1 चम्मच गर्म पानी के साथ रात में
यह दवा धीरे-धीरे आंतरिक असंतुलन को सुधारने और समय के साथ त्वचा की स्पष्टता को समर्थन देने में मदद करेगी बिना दीर्घकालिक उपचार में हस्तक्षेप किए।
प्रभावित क्षेत्रों पर रोजाना एलोवेरा जेल लगाएं। नलप्रमादी तैलम - पूरे चेहरे पर लगाएं, हल्की मालिश करें और 30 मिनट बाद धो लें।
दिन के समय, जिंक आधारित सनस्क्रीन का उपयोग करें।
कठोर, ब्लीचिंग एजेंट, स्क्रब्स, केमिकल पील्स और स्टेरॉयड क्रीम से बचें।
अत्यधिक धूप और गर्म, मसालेदार, तैलीय भोजन और बहुत देर रात से बचें।
पर्याप्त पानी पिएं और भोजन नियमित रखें।
चूंकि आप एआरवी पर हैं, कृपया अपनी वर्तमान चिकित्सा उपचार को न रोकें या न बदलें और कोई भी नई आंतरिक दवा शुरू करने से पहले अपने चिकित्सक को सूचित करें। आयुर्वेद धीरे-धीरे और सुरक्षित रूप से काम करता है और इस तरह की गहरी पिग्मेंटेशन में दृश्य हल्कापन आमतौर पर 3 से 4 महीने बाद शुरू होता है और 6 से 9 महीने में निरंतर सुधार होता है।
The text is already in English, so no translation is needed.
✔️ Do’s: ✔️ Stay Hydrated. Drink buttermilk. Limit dairy intake. Home cooked meal that is a balanced diet. Stress free lifestyle
❌ Dont’s: ❌ Exposure to sun or any kind of Rays and UV light. Oily and Spicy food. Processed food. Preserved food. Packed and ready to eat items. Pickles Papad Dried Fish Curd
💊 Medication: 💊
Cap. Marvin 2 caps twice a day before food Tab. Raktapachak Vati 2 tabs twice a day before food
Syp. Mahamanjisthadi Kadha 3 tsp thrice a day after food
Kumkumadi Tailam Apply 3-4 drops on one patch and massage lightly for 10 mins. Avoid exposure to sun or any kind of rays for next 3-4 hours.
Dermadew acne face wash Use 4-5 times a day for best results.
Remember More than medications, food is a cause. Check on with that.
