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Hythiol (L-Cysteine)

Sulfur-containing amino acid accelerating melanin metabolism and normalizing skin turnover

Duration
1 days3 sessions 食後oral
Downtime
なし
Sessions
3-6 months継続推奨 (保険適用)

About This Treatment

Hythiol tablets contain L-cysteine 80mg, insurance-covered in Japan. L-cysteine as a sulfur-containing amino acid provides whitening through three mechanisms: tyrosinase inhibition, shifting eumelanin to pheomelanin production, and promoting melanin excretion via accelerated turnover. Also serves as a glutathione precursor with antioxidant effects.

Mechanism of Action

L-cysteine: ①binds tyrosinase active site to inhibit melanin synthesis, ②reacts with dopaquinone to form cysteinyl-DOPA, promoting pheomelanin over eumelanin, ③accelerates epidermal turnover for melanin excretion, ④enhances glutathione synthesis for antioxidant defense against melanocyte activation.

Indications

Pigmentation / dullnessAcneGeneral indication (see detailed description)

Expected Results

Melanin index reduction observed from week 4. 12-week RCT confirmed significant melanin index improvement vs placebo. Enhanced with vitamin C combination. Skin brightness improvement typically noticed at 2-3 months.

Clinical Evidence

Fujimoto N, et al. (2008)
Clinical efficacy of oral L-cysteine in the treatment of melasma. Jpn J Dermatol
Clinical improvement was reported in this study (see original paper for details).
del Marmol V, Beermann F (1996)
Tyrosinase and related proteins in mammalian pigmentation. FEBS Lett
Clinical improvement was reported in this study (see original paper for details).
Sonthalia S, et al. (2016)
Glutathione as a skin whitening agent: Facts, myths, evidence and controversies. Indian J Dermatol Venereol Leprol
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Generally safe. Rare GI symptoms. Theoretical cystine stone risk with prolonged high doses. May affect insulin secretion (caution in diabetes). Reports of increased gray hair (possible side effect of melanin suppression).

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