A Randomized, Double-Blind, Split-Face Study of Topical Silymarin vs 2% Hydroquinone Cream in Melasmas.
randomized, double-blind, split-face
EVIDENCE COMPARISON
Gold StandardStudies show hydroquinone reduces pigmentation 1.70 times more effectively than silymarin for improving skin tone.
Effect ratio
Favored
Studies
Comparison
Tone
Direct comparison with enough study context for public-facing comparative wording, with limits noted for mixed endpoint quality.
The published evidence does not currently show a major generalization warning beyond the listed study limits.