Brilliance
A compounded topical cream prepared by Strive Pharmacy and prescribed after a provider evaluation. It is not FDA approved.
Compounded drugs are not FDA approved. FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.
See it before your first visit
Photographs of the medication as dispensed.
What it is
Brilliance is a compounded topical cream that combines azelaic acid, tranexamic acid, and niacinamide. It does not contain hydroquinone. Strive Pharmacy prepares it for use as part of a provider-guided skin care plan.
It is a compounded medication. It is not FDA approved, and the FDA has not evaluated it for safety, effectiveness, or quality. A licensed provider decides whether it is appropriate for you.
How it works
Each ingredient is a separate active component applied to the skin. Azelaic acid is a topical acid used in skin care, tranexamic acid is applied topically in some skin care formulations, and niacinamide is a form of vitamin B3. Your provider will explain where and how much to apply.
Because this is a custom formulation, your provider can adjust the prescription based on how your skin responds.
What to expect
Your provider will tell you how and when to apply the cream and when to follow up. Some people notice mild tingling, dryness, or redness in the first weeks, and your provider may adjust how often you use it. Results vary from person to person, and no outcome is guaranteed.
Your prescription is filled by the compounding pharmacy and shipped to you with directions on the label.
Who it is for
Brilliance is prescribed by a licensed provider after an evaluation. It may not be appropriate for everyone. Tell your provider about your full medical history, including any history of blood clots or clotting disorders, and if you are pregnant, may become pregnant, or are breastfeeding.
Side effects
Topical products can cause skin redness, itching, dryness, burning, stinging, or irritation. Azelaic acid may cause tingling or mild peeling, especially early in use. Allergic reactions are possible.
Stop use and contact your provider if you develop a rash, swelling, severe irritation, or any unusual symptoms.
Read this before you start
Compounded drugs are not FDA approved. FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.
Medication availability, formulation, packaging and pharmacy fulfillment vary based on the patient's prescription and location.
Compounded medication. Brilliance is compounded by a pharmacy for an individual patient. It is not FDA approved, and the FDA has not evaluated it for safety, effectiveness, or quality.
Clotting history. Tranexamic acid taken by mouth affects blood clotting. Tell your provider if you have a history of blood clots, stroke, or a clotting disorder, or if you take hormonal medications.
Pregnancy and breastfeeding. Talk to your provider before using this cream if you are pregnant, may become pregnant, or are breastfeeding.
Use as directed. For external use only. Do not apply to broken or irritated skin, and keep away from eyes, mouth, and mucous membranes. Use sunscreen during the day.
Tell your provider about any allergies and all medications and skin products you use.
This page is for general information and is not medical advice.
Common questions
Is Brilliance FDA approved?
No. It is a compounded medication. The FDA has not evaluated it for safety, effectiveness, or quality.
What is in Brilliance?
Azelaic acid, tranexamic acid, and niacinamide in a topical cream. It does not contain hydroquinone.
Who prepares it?
Strive Pharmacy compounds it for each patient after a provider writes the prescription.
How do I use it?
Follow your pharmacy label and provider directions, and use sunscreen during the day.
Can I use it if I am pregnant or breastfeeding?
Talk to your provider before using it.
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