The Skincare Bible by Anjali Mahto

Author:Anjali Mahto
Language: eng
Format: epub
ISBN: 9780241309117
Publisher: Penguin Books Ltd
Published: 2018-02-05T16:00:00+00:00

a) Creams and gels

There are several cream therapies for rosacea. These can reduce inflammatory bumps or spots, reduce redness, improve skin sensitivity and reduce the number and intensity of flare-ups. These include agents such as:

azelaic acid

ivermectin

brimonidine

metronidazole

b) Oral medications

Inflammatory rosacea that consists of many red bumps (papules and pustules) responds well to oral antibiotics. These are used for three to four months or until remission is achieved. Standard antibiotics include tetracyclines and erythromycin. These particular drugs have been used for decades and have a good safety profile. Antibiotics in the context of rosacea are used more for their anti-inflammatory, rather than their antibacterial, effects.

For severe cases of rosacea, the medication isotretinoin (Roaccutane) can be used to reduce bumps and inflammation. It is usually used in lower doses than for acne treatment and can produce good results. Careful monitoring under the guidance of an experienced dermatologist is required.

Flushing or blushing can cause extreme frustration for many and there are oral tablets that can help with this symptom. Medications such as clonidine and propranolol are usually given to control this challenging aspect of rosacea.

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