Dermatology

Your formulation.
Your Skin.

A combination Rx formula personalized for your skin, prescribed online by licensed Canadian clinicians. Delivered to your door at no charge.

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Free Assessment

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The skin conditions we treat

  • Close-up of lips and uneven skin tone around the mouth

    Melasma and hyperpigmentation.

    Dark patches, usually across the cheeks, forehead and upper lip. Driven by hormones and triggered by sun.

  • Close-up of uneven brown patches on a cheek

    Facial melasma

    Symmetrical brown or grey patches across the cheeks and forehead. They darken with any sun exposure.

  • Close-up of brown sun spots on skin

    Sun spots

    Years of UV exposure concentrate pigment into flat brown spots across the face, chest and hands.

  • Older hands crossed, showing age spots

    Age spots

    Flat brown marks on the areas that have caught the most sun over time. Harmless, but aging.

  • Woman's cheek with dark marks left by acne

    Acne marks

    Brown or purple marks where a breakout used to be. They often outlast the acne itself by months.

  • Close-up of freckled skin on the neck and collarbone

    Freckles

    Concentrated melanin that multiplies and deepens with sun exposure. Treatable if you want them lighter.

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How it works

  1. Complete your assessment

    Confidential, online, and takes less than 10 minutes.

  2. Get your prescription

    Reviewed by a licensed Canadian clinician within hours. Prescribed if appropriate.

  3. Delivered to your door

    Prepared and shipped free & discreetly across Canada.

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What you'll receive

Custom-formulated for you.

  • Custom · Topical

    One formula, personalized for your skin.

    A prescription-strength combination treatment: several active ingredients in one formula, tailored to your condition and skin type.

    • Hydroquinone and HQ-free options
    • Dermatologist-approved
    • Free delivery across Canada
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Active Ingredients

What goes into
your formulation.

Your physician selects from a range of evidence-based ingredients based on your assessment.

  • Hydroquinone

    What it does

    Effective skin-lightening agent that inhibits melanin production.

  • Azelaic Acid

    What it does

    A natural acid that reduces hyperpigmentation and inflammation.

  • Alpha Lipoic Acid

    What it does

    A naturally occurring compound with potent antioxidant properties, reducing fine lines and improving skin texture.

  • Tranexamic Acid

    What it does

    Blocks melanin production, ideal for treating hyperpigmentation

  • Niacinamide

    What it does

    Enhances the skin's moisture barrier, reducing irritation, and controls sebum production.

  • Clindamycin

    What it does

    A topical antibiotic that targets acne-causing bacteria and calms inflamed breakouts.

  • Glycopyrrolate

    What it does

    Blocks the nerve signals that activate sweat glands, reducing excessive sweating.

  • Metronidazole

    What it does

    Reduces the redness, bumps and inflammation associated with rosacea.

  • Ivermectin

    What it does

    Targets skin mites and inflammation linked to rosacea, clearing bumps and redness.

*Not all ingredients are included in every formulation. Your prescription is determined by your physician based on your assessment.

Hydroquinone in Dermatological Formulations

Introduction

Hydroquinone is a cornerstone in dermatological treatments, offering significant benefits for managing conditions such as melasma, hyperpigmentation, and photoaging. This agent, utilized for its skin-lightening properties, stands as a cornerstone in dermatology for its effectiveness in reducing unwanted pigmentation.

The Science of Hydroquinone

Hydroquinone functions by inhibiting the enzymatic conversion of tyrosine to melanin, thereby reducing the production of pigment in the skin. This action makes it highly effective in the treatment of disorders characterized by excessive melanin production.

Benefits Unfolded

Enhanced Efficacy in Pigmentation Correction: Hydroquinone's primary benefit lies in its targeted reduction of dark spots and uneven skin tone. Its ability to inhibit melanin production results in a noticeable lightening of hyperpigmented areas, offering patients a uniform skin complexion.

Complementary in Combination Therapies: Often used in conjunction with other treatments such as retinoids and chemical peels, Hydroquinone enhances overall skin rejuvenation by addressing pigmentation alongside texture and fine lines, providing a multifaceted approach to skin care.

Tailored Treatment Plans: Given its potency, Hydroquinone allows dermatologists to tailor treatments based on individual patient needs and skin types, ensuring both efficacy and safety in managing complex pigmentation disorders.

Application Insights

Consistent and controlled application is essential for maximizing hydroquinone's benefits while minimizing potential side effects. Dermatologists often recommend a regimen that includes sun protection to prevent further pigmentation.

Consultation is Crucial

Seeking professional guidance ensures a tailored treatment plan, optimizing outcomes while considering individual skin types and conditions.

Conclusion

Hydroquinone remains a gold standard in hyperpigmentation therapy, supported by its extensive use and effectiveness. Proper use under dermatological supervision can lead to significant improvements in skin clarity and tone.

Azelaic Acid in Dermatological Formulations

Introduction

Azelaic Acid is transforming the landscape of dermatological care, offering a beacon of hope for those battling acne, rosacea, and hyperpigmentation. This versatile compound, naturally found in grains like wheat, rye, and barley, harnesses potent anti-inflammatory, antimicrobial, and anti-keratinizing properties, making it a formidable foe against a spectrum of skin concerns.

The Science of Azelaic Acid

Azelaic Acid operates on multiple dermatological fronts. By decimating acne-causing bacteria, unclogging pores, and reducing skin inflammation, it attacks acne with precision. Its prowess extends to calming the redness and bumps associated with rosacea, thanks to its anti-inflammatory capabilities. Moreover, Azelaic Acid fades hyperpigmentation by inhibiting the tyrosinase enzyme, offering a more even skin tone without the harshness of traditional bleaching agents.

Benefits Unfolded

Multi-faceted Action: Tackles acne, rosacea, and pigmentation simultaneously.

Gentle Yet Effective: Suitable for all skin types, including sensitive skin, due to its mild nature.

Non-Photosensitizing: Unlike other acids, it doesn't increase sun sensitivity, making it safe for daytime use.

Application Insights

For optimal results, consistency is key. Applying a small amount of Azelaic Acid to clean, dry skin twice daily can unveil its full potential. While improvements in acne and rosacea can be noticed within a few weeks, diminishing hyperpigmentation may take longer, urging patience and perseverance.

Consultation is Crucial

Despite its over-the-counter availability, consulting with a dermatologist ensures tailored advice, maximizing benefits while minimizing potential irritants or interactions with existing skincare routines.

Conclusion

Azelaic Acid stands as a testament to the power of nature's bounty in addressing complex skin issues. Its multifunctional nature not only promises clearer, healthier skin but also empowers individuals with a safer, more effective alternative to harsh chemical treatments, making it a cherished staple in dermatological care.

Alpha-Lipoic Acid in Dermatological Formulations

Introduction

Lipoic Acid (LA), often referred to as Alpha-Lipoic Acid (ALA), has garnered attention in the skincare industry for its potent antioxidant properties and versatile benefits for skin health. This naturally occurring compound plays a pivotal role in cellular energy production and offers a comprehensive approach to combating the signs of skin aging.

The Science Behind Lipoic Acid's Benefits

LA is unique among antioxidants for its solubility in both water and fat, allowing it to work throughout the body and skin. It helps to regenerate other antioxidants, such as vitamin C and vitamin E, enhancing their effectiveness in fighting free radicals. LA's dual solubility also enables it to penetrate skin layers efficiently, offering protection against environmental stressors and UV radiation.

Key Benefits of Lipoic Acid for the Skin

Antioxidant Protection: LA neutralizes harmful free radicals that accelerate the aging process, reducing the appearance of fine lines, wrinkles, and uneven skin texture.

Anti-Inflammatory Effects: It helps to soothe inflammation and redness, making it beneficial for conditions like acne and rosacea.

Enhanced Cellular Energy: LA supports mitochondrial function, which is vital for healthy skin cell turnover and regeneration.

Improved Skin Texture and Tone: Regular use of LA can lead to smoother, more radiant skin, with a reduction in the appearance of pores and age spots.

Clinical Evidence Supporting Lipoic Acid

A range of studies has underscored the efficacy of LA in skin care. For instance, research has shown that topical application of LA can significantly improve the clinical signs of aging, including reducing facial lines and improving skin texture. Furthermore, its antioxidant action helps in mitigating UV-induced damage, thereby preventing premature skin aging.

Patient Experiences and Dermatological Recommendations

Many users report noticeable improvements in their skin's appearance and texture with LA, including enhanced brightness and reduced signs of aging. Dermatologists often recommend LA as part of a comprehensive skincare regimen, especially for aging or damaged skin.

Integrating Lipoic Acid into Your Skincare Routine

For optimal results, LA can be found in various skincare formulations, including serums, creams, and lotions. It's recommended to use products containing LA in conjunction with a broad-spectrum sunscreen to protect against UV damage.

Conclusion

Lipoic Acid stands out as a powerful ally in the pursuit of healthy, youthful-looking skin. Its multifaceted benefits not only address existing skin concerns but also offer preventative action against future damage. Incorporating LA into your skincare regimen can significantly enhance your skin's overall health and appearance.

Tranexamic Acid in Dermatological Formulations

Introduction

Tranexamic Acid (TXA) emerges as a groundbreaking solution for melasma, challenging the traditional treatments with its dual action on melanin synthesis and vascular factors. This versatile compound, while initially used for its antifibrinolytic properties, has shown promising results in the realm of dermatology, particularly in addressing the complex pathophysiology of melasma.

The Science of Tranexamic Acid

TXA's mechanism extends beyond mere pigment reduction. It inhibits plasminogen activators, reducing melanocyte tyrosinase activity and melanin production. Furthermore, TXA lessens UV-induced pigmentation and disrupts the interaction between keratinocytes and melanocytes, offering a multifaceted approach to melasma treatment.

Benefits Unfolded

Versatile Application: Effective in various formulations, TXA can be administered orally, topically, or intradermally, catering to different patient needs and treatment plans.

Safety Profile: With a low incidence of side effects, particularly in topical and oral forms, TXA presents a safer alternative for long-term use compared to traditional treatments like hydroquinone.

Efficacy: Studies have demonstrated TXA's ability to significantly reduce melasma's visibility, improving skin complexion with a notable decrease in Melasma Area and Severity Index (MASI) scores.

Preventive Action: TXA not only treats existing melasma but also offers preventive benefits against future hyperpigmentation episodes, especially when used in conjunction with sun protection measures.

Application Insights

For maximum efficacy, a consistent application as prescribed by a dermatologist is crucial. TXA's impact is gradual, highlighting the importance of patience and adherence to the treatment regimen for lasting results.

Consultation is Crucial

Despite its over-the-counter availability in some forms, consulting with a dermatologist is essential to determine the most effective concentration and formulation for individual cases, ensuring an optimized treatment plan tailored to specific skin types and melasma conditions.

Conclusion

Tranexamic Acid stands at the forefront of innovative melasma treatments, offering hope and enhanced quality of life for individuals battling this persistent condition. With ongoing research and clinical trials, TXA's role in dermatology continues to evolve, promising further insights and refined applications in the fight against melasma.

Niacinamide in Dermatological Formulations

Introduction

Niacinamide, a form of vitamin B3, has a long history in dermatology, primarily recognized for its moisturizing effects. Its established presence in skincare products stems from its multifunctional benefits, addressing various skin concerns effectively.

The Science Behind Niacinamide

This potent ingredient works by enhancing the skin’s barrier function, thus improving hydration levels. It reduces sebum production, making it beneficial for acne-prone skin, and its anti-inflammatory properties help with conditions like rosacea and eczema. Niacinamide also plays a role in reducing the appearance of fine lines and hyperpigmentation by accelerating cell turnover.

Core Benefits

Moisturization and Barrier Strengthening: Enhances skin's moisture content and resilience.

Sebum Regulation and Acne Reduction: Balances oil production, reducing acne flare-ups.

Brightening and Pigmentation Control: Visibly reduces dark spots and evens skin tone.

Anti-Aging: Minimizes fine lines and improves skin elasticity.

Application Insights

Incorporating Niacinamide into your skincare routine is straightforward. It’s compatible with most other skincare ingredients and can be applied morning and night for best results. Starting with a lower concentration and gradually increasing can help your skin adapt without irritation.

Consultation Is Key

Consulting with a dermatologist can help you understand how Niacinamide fits into your skincare regimen, ensuring you reap the maximum benefits without compromising your skin health.

Conclusion

Niacinamide’s longstanding reputation in skincare is well-deserved. Its broad spectrum of benefits, from enhancing hydration to reducing signs of aging, makes it an indispensable component of daily skin health maintenance.

Clindamycin Phosphate in Dermatological Formulations

Introduction

Clindamycin phosphate is a cornerstone in the treatment of acne vulgaris. This topical antibiotic is valued for its anti-inflammatory and antibacterial properties, making it a vital component in acne management strategies. This blog post reviews the role of clindamycin phosphate in acne treatment, supported by findings from recent studies.

Mechanism of Action

Clindamycin phosphate works by targeting the bacteria responsible for acne, Cutibacterium acnes, and reducing inflammation. By inhibiting bacterial protein synthesis, it helps decrease the bacterial population, thereby minimizing acne lesions and inflammation.

Advancements in Combination Therapies

The efficacy of clindamycin phosphate is enhanced when used in combination with other acne treatments, such as benzoyl peroxide and retinoids. These combinations offer a multifaceted approach to treatment, targeting various aspects of acne pathogenesis more effectively than monotherapy.

Clinical Trial Evidence

Multiple clinical trials have highlighted the effectiveness of clindamycin phosphate, especially in combination therapies. For instance, a study demonstrated the superior antibacterial action of a clindamycin phosphate and benzoyl peroxide gel over clindamycin with tretinoin. Additionally, pooled data from three phase III studies confirmed the safety and enhanced efficacy of a clindamycin phosphate 1.2%/tretinoin 0.025% formulation for acne treatment.

Safety and Tolerability

The safety profile of clindamycin phosphate, particularly in combination therapies, is generally favorable. Most adverse events are mild to moderate in severity. The use of combination treatments also addresses concerns about antibiotic resistance, which is a significant advantage of incorporating clindamycin phosphate into acne treatment regimens.

Conclusion

Clindamycin phosphate remains a critical agent in the management of acne vulgaris. Its role in combination therapies underscores the importance of a comprehensive approach to acne treatment, enhancing outcomes for patients. As acne treatment continues to evolve, clindamycin phosphate will likely maintain its status as a key component of effective acne management strategies.

Glycopyrrolate in Treating Hyperhidrosis

Introduction

Glycopyrrolate has carved its niche in the arsenal against hyperhidrosis, offering a beacon of hope for those afflicted by excessive sweating. This anticholinergic agent, by targeting the root cause of sweat production, stands as a pivotal solution for managing this condition that extends beyond normal physiological need for thermoregulation.

The Science of Glycopyrrolate

Functioning by obstructing the acetylcholine receptors in the sweat glands, glycopyrrolate curtails the secretion of sweat. Its mechanism of action is precisely tailored to mitigate excessive sweating, particularly efficacious in areas commonly affected by hyperhidrosis such as the underarms, hands, and feet, without impacting facial regions.

Benefits Unfolded

Targeted Sweat Reduction: Primarily, glycopyrrolate diminishes sweat output in key areas troubled by hyperhidrosis, significantly alleviating the physical discomfort and social stigma associated with this condition.

Improvement in Daily Life: The reduction in sweating fosters confidence, reducing the stress and embarrassment that often accompany hyperhidrosis.

Adaptable Treatment Options: Glycopyrrolate's versatility in administration forms—oral and topical—allows for customized treatment approaches tailored to individual patient needs and severity of their condition.

Safety and Tolerability: With careful use, glycopyrrolate demonstrates a commendable safety profile, making it a sustainable option for long-term management of hyperhidrosis.

Application Insights

Choosing the appropriate form of glycopyrrolate depends on the specific needs and areas affected by hyperhidrosis. Oral glycopyrrolate serves as a systemic solution for widespread hyperhidrosis, while topical forms are suited for localized treatment, providing relief without significant systemic absorption.

Consultation is Crucial

A thorough consultation with a healthcare provider specializing in hyperhidrosis is vital to crafting a personalized treatment plan. This ensures that glycopyrrolate's application is optimized for efficacy, safety, and patient satisfaction.

Conclusion

Glycopyrrolate has established itself as a cornerstone in the therapeutic landscape of hyperhidrosis, dramatically enhancing the quality of life for those it serves. By effectively managing excessive sweating, it enables individuals to navigate daily life with newfound confidence and comfort.

Metronidazole in Dermatological Formulations

Introduction

Metronidazole, a mainstay in the therapeutic arsenal against rosacea, offers patients a beacon of hope. This blog post delves into the effectiveness of metronidazole, exploring its mechanisms and the groundbreaking impact it has on those battling this chronic skin condition.

Understanding Rosacea and Metronidazole's Impact

Rosacea is a chronic dermatological condition characterized by facial redness, swelling, and sometimes pimple-like bumps. Affecting millions worldwide, it challenges both dermatologists and patients in its management. Metronidazole, through its topical and oral formulations, has emerged as a cornerstone in mitigating the inflammatory aspects of rosacea, providing significant relief and improvement in skin condition.

The Science Behind Metronidazole's Effectiveness

Anti-inflammatory Properties: Metronidazole's ability to quell inflammation is a critical factor in reducing the erythema and swelling associated with rosacea.

Antimicrobial Action: While the exact cause of rosacea is unknown, the antimicrobial effects of metronidazole help control any exacerbating bacterial factors.

Antioxidant Effects: By mitigating oxidative stress within the skin, metronidazole supports overall skin health, further benefiting rosacea patients.

Clinical Evidence Supporting Metronidazole Use in Rosacea

A study published in Journal of the American Academy of Dermatology highlighted metronidazole gel's efficacy in improving the clinical signs of rosacea, making it a recommended first-line treatment.

Research in Dermatologic Therapy underscores metronidazole's role in reducing rosacea flare-ups, attributing this to its anti-inflammatory and antimicrobial properties.

A randomized, vehicle-controlled study involving Japanese patients with rosacea, as detailed in the Journal of Dermatological Science, confirmed the superior efficacy of metronidazole gel in reducing rosacea symptoms compared to placebo.

Patient Experiences and Dermatological Recommendations

Dermatologists advocate for metronidazole as part of a comprehensive rosacea management plan, citing its proven track record in clinical studies and real-world patient outcomes. Patients report noticeable improvements in redness and discomfort, often within the first few weeks of treatment.

Integrating Metronidazole into Rosacea Care

Personalized Treatment Plans: Dermatologists tailor metronidazole use to each patient's specific symptoms and skin type, ensuring optimal outcomes.

Combination Therapy: Metronidazole is often used alongside other treatments, such as oral antibiotics or laser therapy, to address the multifaceted nature of rosacea.

Conclusion

Metronidazole's role in dermatology, particularly in rosacea treatment, is undeniably impactful. Its comprehensive benefits not only alleviate the physical symptoms of rosacea but also improve patients' quality of life. As research advances, metronidazole continues to be a testament to the progress in dermatological therapy, offering hope and relief to those affected by this persistent skin condition.

Ivermectin in Dermatological Formulations

Introduction

Ivermectin, initially celebrated for its antiparasitic capabilities, has found a prominent place in dermatological practice, especially in the treatment of rosacea. This blog post sheds light on ivermectin's application in dermatology, elucidating its mode of action and the profound benefits it offers to individuals with rosacea.

Understanding Rosacea and Ivermectin's Role

Rosacea, a chronic skin condition characterized by facial redness, swelling, and acne-like eruptions, presents a therapeutic challenge. Ivermectin's emergence as a treatment option is attributed to its anti-inflammatory and antiparasitic properties, addressing key aspects of rosacea's pathophysiology.

The Science Behind Ivermectin's Dermatological Efficacy

Anti-inflammatory Properties: Ivermectin significantly reduces inflammation, a core component of rosacea, thereby diminishing redness and discomfort.

Antiparasitic Effects: Targeting Demodex mites, which are implicated in the exacerbation of rosacea symptoms, ivermectin minimizes their inflammatory impact on the skin.

Clinical Insights: Research underscores ivermectin's effectiveness in alleviating rosacea symptoms, with patients experiencing marked improvements in their skin's appearance and health.

Dermatological Recommendations and Patient Experiences

Incorporating ivermectin into rosacea treatment regimens has received strong endorsements from dermatologists. Its ability to improve skin condition with minimal side effects encourages its use as a mainstay therapy for rosacea.

Conclusion

Ivermectin stands as a testament to the progress in dermatological treatments, offering a beacon of hope for those battling rosacea. By addressing the condition from multiple angles, ivermectin not only alleviates the physical manifestations of rosacea but also enhances patients' quality of life.

What To Expect

Results take time.
Here’s what the journey looks like.

Pigmentation fades gradually. Most patients see visible change between weeks 8 and 12 of consistent use.

  1. Weeks 1 to 2

    Adjustment phase.

    Your skin adapts to prescription-strength active ingredients. Mild dryness, tingling or light flaking is common in the first two weeks and settles on its own.

  2. Weeks 3 to 6

    Early change.

    Skin tone begins to even out. Darker patches soften at the edges before they lighten overall, so look at the borders rather than the centre.

  3. Weeks 8 to 12

    Visible fading.

    Pigment lifts noticeably. This is where most patients notice the biggest change in tone, clarity and how their skin photographs.

  4. 3 months and beyond

    Maintenance phase.

    Your clinician steps you down to a maintenance formula that holds the result. Daily sunscreen does the rest, because sun exposure undoes progress faster than anything else.

"There are so few options for hyperpigmentation. I am so glad I found Jupiter."

  • Licensed in Canada
  • Prescription-grade only
  • Free discreet delivery
  • 50k+ patients served

What most people
want to know.

Common questions about melasma and pigmentation treatment.

Explore resources

Coverage varies by plan and by the ingredients in your formulation. Where your plan covers your treatment we bill your insurer directly. Upload your benefits information during your assessment and we will confirm your coverage before you pay anything.

Melasma is hormone-driven and appears as larger, symmetrical patches that darken with sun exposure. Sun and age spots are smaller, more defined marks caused by cumulative UV damage. They respond to different combinations of active ingredients, which is why the assessment asks for photos.

Yes. We formulate both with and without hydroquinone. HQ-free options use ingredients such as tranexamic acid, azelaic acid and niacinamide, and suit patients who prefer to avoid hydroquinone or who need a long-term maintenance option.

Mild dryness, redness, tingling and flaking are common in the first few weeks as your skin adjusts. These usually settle. Tell your clinician about any persistent irritation so your formulation can be adjusted.

Most patients notice visible change between weeks 8 and 12 of consistent nightly use. Pigment fades from the edges inward, so early progress often shows as patches shrinking rather than lightening.

Yes, and it is not optional. Sun exposure is the single fastest way to undo progress, particularly with melasma. Daily broad-spectrum SPF is part of the treatment rather than an addition to it.

Several active ingredients used in pigmentation treatment are not suitable during pregnancy or breastfeeding. Tell your clinician during your assessment and they will advise what is appropriate or recommend waiting.

Your assessment captures your skin type, the type and severity of your pigmentation, your medical history and photographs of the affected areas. A licensed Canadian clinician reviews all of it and prescribes the combination suited to your skin.

Yes. These formulations use prescription-strength active ingredients, so they are prescription-only. We handle the prescription online, with no separate appointment.

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'The formulation was adjusted to my history.
It felt like actual medical care.'

David R.

'My dermatologist had a
4-month waitlist. Jupiter had me on treatment within days.'

Priya T.
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'ED isn't something you want to talk about. Jupiter made it easy to not have to.'

Mark D.
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'Formulated to my needs, real check-ins, 18 Ibs down in three months.'

Shyle B.
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Transparent Pricing

Jupiter Others
Consultation $0 up to $99
Treatment Starting at $49/mo Starting at $75/mo
Delivery Free Sometimes free
Follow-up Included Additional cost

*Treatment pricing varies based on your prescription. Determined following your free assessment.

Ready to feel better?

No waiting room. No referral.
Just a treatment plan built around you.