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Treatment typically starts with 0.25 mg for 4 weeks as an initiation dose (not intended for glycaemic control), then increases to maintenance doses of 0.5 mg, 1 mg, or 2 mg, depending on individual response and tolerability

Most patients respond to the combination of oral tranexamic acid, topical hydroquinone and either Q switched Nd:Yag or clear and brilliant laser treatments within 3-4 weeks