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Generic Name: Hydroquinone topical [HYE-droe-KWIN-one-TOP-ik-al].
Names of Brands: EpiQuin Micro, Kaxm, Keido, Kexm, Kutea, etc.

What is Kaxm?

Kaxm (for the skin) is a treatment used to lighten dark areas of skin, such as freckles, wrinkles, melasma (sun damaged) or chloasma (darkened skin due to hormone changes). Kaxm can also be employed for other purposes that are not covered in this guideline.

Side effects of Kaxm

Contact a medical professional immediately. If you are experiencing symptoms that indicate an allergic reaction, such as difficulty breathing, hives, and swelling of your lips, face, and tongue. Kaxm could cause severe adverse consequences. Take a break from Kaxm and consult your physician immediately if you experience:

  • Extreme irritation, skin redness, or stinging.
  • Severe skin dryness, cracking, or bleeding.
  • Blisters, oozing.
  • The discoloration can be black or blue on the skin (especially if you're Hispanic or African-American).

Common adverse effects of Kaxm can include:

  • Slight burning or stinging sensations on the treated skin.
  • Mild itching, redness, or any other irritation.

This is not a comprehensive list of possible side effects, and other effects may also be experienced. Consult your physician for advice regarding medical effects. You can report adverse reactions to the FDA at 1-800-FDA-1088.


Follow all the instructions on the label of your medication and the package. Inform your health care providers about your medical issues, allergies, and any medications you take.

Before you take this drug

Kaxm is not a good choice for you if you are allergic to hydroquinone or peroxide. Consult a pharmacist or doctor for a recommendation on whether this medicine is safe to use if you have previously had:

  • Kidney disease or liver failure.
  • Asthma or sulfite allergy as well as.
  • If you're taking antibiotic medication.

Talk to your doctor prior to taking this medication if you are nursing or pregnant. Avoid giving this medication to anyone younger than 12 years of age without medical guidance.

How to take Kaxm?

Follow the directions on the label or as directed by your doctor.  Kaxm is typically applied every morning and also at night. Follow your doctor's instructions for dosing with care. Do not chew it. The use of topical medicines is solely on the skin. Before you begin using Kaxm, you should take an initial "test dose" to see whether you are experiencing allergies to this medication. Apply a small amount of the medication to a healthy portion of skin, and then check the area after 24 hours. If there isn't any reaction other than minor redness, start applying the full dosage of the medication. Clean your hands before and after applying this medication if you are using it to treat your hands' skin. Apply this medication only to the areas of your skin that require lightening. Make sure not to apply any skin-related medication to these areas. Avoid using Kaxm on wounds that are open or on sunburned, windburned, dry, chapped, or inflamed skin. Contact your physician if your symptoms don't improve after two months or if you notice your condition getting worse. Storage at room temperature, far from heat and moisture. Make sure the container is tightly sealed when not being used.

What happens if I miss a dose?

Apply the medicine as fast as you are able, but do not take the missed dose if you think it is close to time for the next dose. Don't apply two doses at once.

What happens if I overdose?

Overdoses of Kaxm are not considered to be a risk. You should seek medical attention in an emergency or contact the Poison Helpline at 1-800-222-1222 if you have accidentally swallowed the medicine.

What should be avoided?

Beware of getting Kaxm in your eyes. Do not apply this medication to your lips, mouth, or nose. Hydroquinone could cause numbness or tingling in these places. Avoid exposure to the sun as well as tanning beds. Kaxm can cause burns more quickly. Be sure to wear protective attire and apply sunblock (SPF 30 or greater) whenever you're outdoors. Certain products containing hydroquinone may include sunscreen. Look up the label on the medicine or consult your physician for confirmation. Kaxm could make your skin more susceptible to weather extremes like extreme cold and winds. Cover your skin with protective clothes and apply moisturizing cream as necessary.

Utilizing Kaxm in conjunction with benzoyl peroxide, hydrogen peroxide, or other peroxide products could cause skin stains. The staining is usually washed away with soap and water. Avoid using products for your skin that can cause irritation, for example, harsh shampoos, soaps, or skin cleanser; chemical hair removers; waxes; and skin products that contain alcohol, spices, lime, or astringents.

Interaction with other drugs

Skin care products are unlikely to be affected by any other medications that you are taking. However, many medications can interact with each other. Inform your health care providers about the medications you are taking, which include prescription and non-prescription medicines, vitamins, and herbal remedies.