Usefulness of homoeopathic treatment in the management of melasma – A prospective study

Objectives: Melasma is a common acquired hyperpigmentation disorder. It is characterised by symmetrical, dark brown macules with irregular contours but clear limits, on photoexposed sites. It commonly occurs among Indians with a greater incidence in women. Sun exposure, pregnancy, use of oral contraceptive pills, certain medications and family history are among the factors responsible for the development of melasma. The primary objective of this study was to determine the usefulness of homoeopathic treatment in melasma using the modified melasma area and severity index (mMASI). The secondary objective was to assess the quality of life in melasma after homoeopathic treatment using the melasma quality of life scale (MELASQOL). Material and Methods: This was a prospective study conducted on patients who attended the peripheral outpatient department of Bakson Homoeopathic Medical College and Hospital, Greater Noida, Uttar Pradesh. A total of 35 women aged 18–59 years who were clinically diagnosed were included. The mMASI and MELASQOL scores were statistically analysed using a paired “ t ” test at baseline and 6 months. Results: There was a mean reduction of 0.75 ± 0.77 and 6.05 ± 6.30 in mMASI and MELASQOL scores at the end of the 6 th month ( P < 0.0001). Conclusion: The study demonstrated a statistically significant improvement in the mMASI and MELASQOL scores before and after treatment with homoeopathic remedies. Further evaluation involving larger sample sizes and longer study duration is necessary.