Treatment Of Rosacea

Early Treatment Recommended

The best advice for anyone who thinks that he or she may have rosacea is to see a dermatologist as soon as possible. Early diagnosis and treatment can control the signs and symptoms of rosacea so that rosacea is usually not visible or uncomfortable. Early treatment also may stop rosacea from progressing.

Azelaic acid

Another topical treatment that has proved effective in treating the pimples caused by rosacea is azelaic acid, which is available as a cream, or gel. The cream helps to unblock pores and reduce inflammation.

Azelaic acid should be applied twice a day; once in the morning and then again in the evening. You should wash your skin before applying the cream, or gel. It will take several weeks of regular use before you notice the effects.

Drug Treatment

Generally, a rosacea flare-up is treated with a combination of prescription drugs. A topical product (an antibiotic and/or another type of drug) may be applied to the affected areas and oral antibiotics may be taken, as well. Both topical and oral medications are used to reduce inflammation and/or control micro-organisms that may be involved with the flare-up. Once the flare-up is under control, oral antibiotics usually are discontinued. Topical products are often used continuously, however, to help maintain remission and prevent recurrence.

Papulopustular. Symptoms include small pimples (pustules). You can also have facial flushing and tiny, red lines on your cheeks. Your doctor may prescribe ointments for your face or antibiotic medication. You may even use both at the same time. Skin tends to be less sensitive with this form of rosacea.

Medications Used in Rosacea Treatment
Some doctors will prescribe a topical antibiotic, such as metronidazole, which is applied directly to the affected skin, for rosacea treatment.

For people with more severe cases, doctors often prescribe an antibiotic that is taken by mouth, such as tetracycline, minocycline, erythromycin, or doxycycline. The papules (pink bumps) and pustules (bumps filled with pus) symptomatic of rosacea may respond quickly to this treatment. However, the redness and flushing are less likely to improve.

Oral Antibiotics

If your rosacea is more severe -- or doesn't respond to ointments -- your doctor might suggest antibiotic pills, though you might keep using skin treatments as well.

Some oral antibiotics your doctor might try are minocycline (Dynacin), erythromycin (ERYC), metronidazole (Flagyl), and doxycycline (Vibramycin.)

Other Drugs

If these rosacea treatments don't work, your doctor may try other medicines, such as isotretinoin (Accutane.) However, because of its serious side effects -- like a risk of birth defects -- its use is not routine.

Topical creams

Certain topical formulas include sulfur or azelaic acid, which can be used alone or in conjunction with oral antibiotic therapy. There is a higher risk of negative reactions when using oral antibiotics over a long period of time. Therefore, some doctors prefer to prescribe topical treatments. Long-term use of topical therapy has been shown in studies to increase the rate of remission for rosacea symptoms. In one six-month study, 42 percent of rosacea patients who did not use any medication suffered a relapse while only 23 percent of medication users experienced the same.

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