Rosacea Remedy: What Works Finest?

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  • May 19, 2022
Two portraits of a young caucasian woman closed eyes with rosacea on her cheeks and without it

Medically reviewed by: Ted Schiff, MD

Rosacea might be embarrassing, even demoralizing. In a survey from the Nationwide Rosacea Society, 90% of sufferers stated rosacea had lowered their vanity and self-confidence, and many individuals reported feeling annoyed, anxious, and depressed. Getting your rosacea signs underneath management permits you to face the world with clearer, smoother pores and skin and a extra even complexion — however how have you learnt which rosacea remedy will work greatest? 

All of it begins with figuring out the kind of rosacea you’ve. Even then, whether or not you’ve gentle rosacea or extreme rosacea, discovering the very best rosacea remedy for you would possibly take some trial and error. However since totally different rosacea sorts reply to totally different therapies, you and your dermatologist can have a greater sense of the place to start. 

The 4 forms of rosacea

Right here’s a fast take a look at the 4 essential forms of rosacea. Remember, you might have a couple of kind.

  • Erythematotelangiectatic rosacea makes components of your face crimson and causes tiny spider veins to kind. Your face could swell, sting or burn, and your pores and skin might be tough and dry.
  • Papulopustular rosacea is typically mistaken for pimples as a result of it causes pus-filled blemishes (pustules) and swollen, crimson bumps. Different signs embody crimson, oily, delicate pores and skin; spider veins, raised patches of pores and skin (referred to as plaques) and stinging or burning. You might have signs in your scalp, neck or chest in addition to your face.
  • Phymatous rosacea, generally referred to as nostril rosacea, is uncommon. It causes thick, oily, bumpy pores and skin, damaged blood vessels and enlarged pores. Phymatous rosacea can have an effect on the ears, chin and brow, but it surely most frequently impacts the nostril and may result in a disfiguring situation referred to as rhinophyma, during which the pores and skin on the nostril thickens, making the nostril giant and bulbous.
  • Ocular rosacea impacts the eyes and makes them look watery and bloodshot. It may be painful, inflicting irritation, burning, dryness and sensitivity.

Remedy for rosacea

Your dermatologist will doubtless select from these remedy choices. If you might have a couple of kind of rosacea, your dermatologist could combine and match.

Erythematotelangiectatic rosacea remedy

To deal with redness and irritation, docs prescribe the topical medication brimonidine and oxymetazoline. They work by narrowing seen blood vessels. In the event that they don’t assist sufficient, laser remedy for rosacea can ease signs by lowering or destroying the vessels.

Papulopustular rosacea remedy

Papulopustular rosacea might be handled with brimonidine and oxymetazoline, topical medicines that work by narrowing seen blood vessels. They’re additionally used to deal with erythematotelangiectatic rosacea. 

To deal with pustules, your dermatologist would possibly prescribe different topical medication, together with metronidazole (an antibiotic with anti-inflammatory results), azelaic acid (a naturally occurring acid) and ivermectin. Ivermectin has anti-inflammatory results and likewise kills the Demodex mite, which lives on the pores and skin and will result in rosacea signs in some folks.

In case your rosacea is extreme, your dermatologist could add a low dose of an oral antibiotic (often doxycycline) to restrict redness and scale back blemishes. 

As soon as papulopustular rosacea is underneath management, the physician could prescribe oral isotretinoin to stop relapses. It’s a retinoid that decreases sebum manufacturing; it’s additionally used to deal with nodular pimples.

Phymatous rosacea remedy

Rosacea on the nostril is usually handled with oral isotretinoin (a retinoid that decreases sebum manufacturing) or laser remedy.

If the rosacea results in rhinophyma, treating it early with oral isotretinoin can forestall it from getting worse. If rhinophyma has progressed, your physician could suggest reshaping your nostril to make it much less bulbous. Methods to do that embody laser surgical procedure, electrosurgery and dermabrasion. Your physician will resolve which technique is greatest for you primarily based on the stage of the illness and the quantity of irritation.

Ocular rosacea remedy

When ocular rosacea causes irritation of the eyelid, topical medication could relieve it. They embody metronidazole (an antibiotic with anti-inflammatory results) and ivermectin (an anti-parasitic that additionally fights irritation). You may additionally be prescribed Cyclosporine eye drops to extend tear manufacturing in case your eyes are dry. 

Individuals with ocular rosacea could profit from taking omega-3 fatty acid dietary supplements — the identical fish oil dietary supplements some folks take for coronary heart well being —  to calm irritation and ease dry eye signs.

Article Written By: Jessica Brown, a well being and science author/editor primarily based in Nanuet, New York. She has written for Prevention journal,,, and plenty of different shops.