Acne Rosacea Treatment

Dr. Thomas P. Habif, MD discusses Acne Rosacea Treatment. See more at http://www.dermnet.com PLEASE RATE AND COMMENT!!!
Treatment of rosacea



Rosacea may be treated with both topical and oral medications.



Topical therapy

Rosacea may respond to treatment with topical antibiotics. Topical

antibiotic

are not as effective as oral antibiotics but may be used for

initial treatment for mild to moderate cases and for maintenance after

stopping oral antibiotics.



Metronidazole

Metronidazole Tris commonly prescribed. MetroGel, MetroCream and

MetroLotion are available in a 0.75% concentration and are applied

twice each day. Noritate cream is 1%

metronidazole and it is effective

when applied once each day. Bedtime application is usually the most

convenient. Clindamycin in a lotion or gel base is used to treat acne.

It

is sometimes effective for rosacea.



Sulfacetamide/sulfur

Sulfacetamide/sulfur lotions are effective as monotherapy. Sulfacet-R

is flesh colored and hides redness. It is also

available in a tint free

base. Plexion is available as a lotion and wash. AVAR Green has a green

base and attenuates erythema. Rosac is a cream based form of

sulfacetamide and

sulfur that contains sunscreens. Sunlight makes

rosacea worse. Cream based medications are best for patients with dry

skin. There are many other formulations.



Azelaic acid

Azelaic acid 15% gel or Finacea is effective and well tolerated in the

treatment of papulo-pustular rosacea. Both pustules and erythema

respond.



Oral antibiotics

Oral

antibiotics are effective and reliable treatment for rosacea. Both

the skin and eye manifestations respond. They are more effective than

topical preparations and used as first

line therapy for moderate to

severe rosacea. Low doses of medication may be effective. The starting

dose for doxycycline is 20, 50, 75 or 100 mg once or twice each day.

Tetracycline or erythromycin are started at 500 mg twice each day.

Resistant cases can be treated with minocycline 50, 75 or 100 mg twice

daily.



Medication is stopped when the

pustules have cleared. The response

after treatment is unpredictable. Some patients clear in 2 to 4 weeks

and stay in remission for weeks or months. Others flare and require

long-term suppression with oral antibiotics. Treatment should be

tapered to the minimum dosage that provides adequate control. Patients

who remain clear should periodically be

given a trial without

medication.



Nicomide

Patients who are reluctant to take oral antibiotics may improve with a

preparation of nicotinamide and vitamins called Nicomide. This

product

has antiinflammatory properties.



Isotretinoin

Isotretinoin, 0.5 mg/kg/day for 20 weeks is effective in treating

severe, refractory rosacea. Much lower doses may be

effective.

Patients resistant to conventional treatment were treated with oral

isotretinoin, 10 mg/d, for 16 weeks. Papular and pustular lesions,

telangiectasia and erythema

were significantly reduced at the end of 16

weeks.



Rhinophyma

Patients with rhinophyma may benefit from specialized procedures

performed by plastic or dermatologic surgeons.

These include

electrosurgery, carbon dioxide laser, and surgery. Unsightly

telangiectatic vessels can be eliminated with careful electrocautery.

Category:

Education

Tags:

• Acne
• Rosacea
• Treatment
• Cure

[Kathline2B]

Don't believe people when they tell you there is no cure for rosacea because there is. Well at least for me there was. I bought a cream from the UK called proskin rosacea by a company called mama nature. It is natural and they say on their website that because it contains a high level of tea tree oil it kills the demodex mites that cause rosacea. Admittedly my rosacea worsened when I used it but after that it gradually got better to the point now where it has gone (some scars are left).

[Swecan76]

I have Rosecea.

At first I was put on Metrogel and it worked, but later on Metrogel doesn't really work and at times I think makes it worse.

I was put on 50mg Minocycline and it worked wonders and I cleared up completely.

But about a month an a week or two after the 30day treatment it is back.

Annoying as hell with this chronic acne disease.

Wonder if going back on Minocycline would be good, I will go and get a referral to a dermatologist for setting up a regimen for my Rosecea.

[RosaceaCreamRevitol]

Rosacea is treatable. : Great video.

[bonniecody1]

i use metrogel twice a day --it worksssssssssssss after 2 days though i only had a mild case

[acneerasingsecrets]

Thanks for sharing your advice and information on getting rid of acne and getting clear skin!

If you have any questions about acne or breakouts let me know... I'm sure I can help!

Thanks!

David "The Skin" King