Unfortunately, a cure for melasma still remains elusive in the year 2015. The newest, latest treatments including: Tranexamic acid oral medication, and QS-Lasers and other lasers, may improve and clear melasma but only temporarily. The majority of people get a recurrence of their melasma even with only mild sun exposure. Some physicians are trying (off-label) tranexamic acid orally long term in their patients because recurrence of melasma is certain within two months of stopping the medication. Tranexamic acid is not recommended in people who have a history of a clotting or blood disorder, are pregnant or nursing, or take aspirin.