
Cysteamine: Can reduce melasma pigmentation in tested topical formulas. Licorice Root Extract: Some licorice-derived compounds are studied for uneven pigmentation.


Consider for diagnosed melasma when a suitable topical option is needed.
Consider as an optional pigment ingredient; independent clinical evidence is limited.
Can you use both?
Licorice is soothing and can help offset cysteamine irritation.
Compare uses by strength of evidence. Evidence level describes confidence in a benefit, not its size.










Affects melanin formation: Cysteamine acts through several pigment pathways. May help melasma: The formula, contact time and tolerance matter.
Schematic illustration; not a measurement of skin penetration. Effects vary with ingredient identity and formulation.

Contains several active compounds: Glabridin and liquiritin have different actions. May help uneven pigmentation: Extracts and clinical evidence vary.
Schematic illustration; not a measurement of skin penetration. Effects vary with ingredient identity and formulation.
Built from where each one usually sits in a routine. Introduce one at a time.
5% cysteamine cream is the main concentration studied for melasma. Contact time is product-specific; some studied formulas are short-contact treatments rather than overnight creams.
5%
Studied melasma cream
Controlled trials studied this strength. One short-contact trial used a specific cream; follow the current product’s instructions rather than copying a study schedule.
Choosing a strength: Choose a finished topical product with clear instructions for how long to leave it on and when to rinse.
Higher strengths: There is no established benefit from escalating beyond the studied strength. Burning, redness or a persistent rash are reasons to stop and reassess.
Formula matters: Stabilization, the base cream and exposure time affect tolerability. Different cysteamine formulations need not have identical instructions.
Licorice root extract contains multiple compounds, including liquiritin and glabridin. Whole-extract percentages do not reveal the dose of these individual compounds.
Choosing a strength: Look for the named extract or purified compound and evidence for the finished product.
Higher strengths: There is no established universal percentage range or proof that higher whole-extract concentrations improve pigmentation.
Formula matters: A small study of liquiritin cannot establish a recommended strength for every licorice extract, species, or formulation.
Approximate windows, not promises.
First few weeksAssess tolerance first; pigment change is usually slower.
First few weeksAssess tolerance first; pigment change is usually slower.
4–8 weeksSome studied regimens begin showing pigment improvement.
4–8 weeksSome studied regimens begin showing pigment improvement.
8–12 weeksA useful review point for benefit and irritation.
8–12 weeksA useful review point for benefit and irritation.
3–6 monthsMany melasma trials assess results over three to four months; recurrence is common.
3–6 monthsMany melasma trials assess results over three to four months; recurrence is common.
6–12 monthsLong-term use depends on the active; follow a monitored plan rather than extending treatment automatically.
6–12 monthsLong-term use depends on the active; follow a monitored plan rather than extending treatment automatically.
Odour, stinging and irritation may limit use; follow wash-off instructions.
Botanical extracts can cause allergy or stinging; check the complete formula.
Stop for persistent burning, swelling, blistering or a new rash. Seek urgent care for breathing difficulty or a severe allergic reaction.
Stop for persistent burning, swelling, blistering or a new rash. Seek urgent care for breathing difficulty or a severe allergic reaction.
Choose a simple formula and test a small area first. Avoid actively inflamed or broken skin unless the product is specifically directed for it.
Choose a simple formula and test a small area first. Avoid actively inflamed or broken skin unless the product is specifically directed for it.
Do not use a cosmetic product as a substitute for diagnosis of an unexplained, changing or persistent skin problem.
Do not use a cosmetic product as a substitute for diagnosis of an unexplained, changing or persistent skin problem.
Data in pregnancy are limited; ask the clinician managing your pregnancy before using.
Data are limited; ask the clinician managing your pregnancy.
On the skin. The finished product delivers cysteamine in a particular vehicle.
Entering skin. Below the 500 Da guideline; delivery still depends on the formula, solubility, stability and skin condition. Size does not prove effectiveness or penetration depth.
Conversion. No activation step is established as necessary for its intended topical role.
Skin response. Acts on pigment-related pathways; the cream, contact time and tolerance influence its practical effect.
Additional effects. Proposed pathways do not establish a measured depth of delivery or clinical benefit beyond the studies cited.
On the skin. The finished product delivers licorice root extract in a particular vehicle.
Entering skin. No single molecular mass. The 500 Da guideline cannot be applied to this whole ingredient family or mixture.
Conversion. No activation step is established as necessary for its intended topical role.
Skin response. Compounds such as liquiritin and glabridin have different pigment-related actions; they are not interchangeable extracts.
Additional effects. Proposed pathways do not establish a measured depth of delivery or clinical benefit beyond the studies cited.
Consider for diagnosed melasma when a suitable topical option is needed.
A small placebo-controlled study supports 5% cream over four months. Active-comparator studies are small and do not prove equal efficacy to hydroquinone. The mass shown refers to the free base, not its hydrochloride salt.
Consider as an optional pigment ingredient; independent clinical evidence is limited.
A 20-woman split-face study tested a specific liquiritin cream for four weeks with sun protection. It does not establish that all licorice extracts treat melasma or rosacea.
Sources