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Treatments for Rosacea?

August 25, 2019

Treatments for Rosacea?

Rosacea which can be seen on the face, neck and or chest can be seen with redness , thickening of the skin, papules and pustules and broken vessels. If you have this, you should be educated as to the different treatment options available.
There are various ways the skin can be managed.

Sulphur Sulfur is a naturally occurring element that is antibacterial and anti-inflammatory. It is also help with sebum regulation. Sometimes may have a bad odor depending on the product you use.

Niacinamide Niacinamide is a vitamin that has great results on skin. It’s anti-inflammatory properties. This can be taken by mouth or applied topically to the skin.

Azelaic acid

Azelaic acid, a by product of yeast, is a naturally occurring ingredient that can be commonly found on the skin. Azelaic Acid is by far my top-rated ingredient due to it’s many documented benefits for the skin. It is antibacterial, helping to get rid of some of those bumps from acne as well as Rosacea. It has been known to have retinoid like properties, this translates into helping to reduce blackheads and helps to reduce uneven pigmentation too! Overall this may improve the pimples and the redness. It is very common to have a slight itching sensation when first applying products that contain this ingredient, it usually subsides after a few minutes ( this happens more if there is too much applied or the skin is very dry to begin with).

Prescriptions such as:

Metronidazole

Metronidazole is a topical antibiotic that helps reduce inflammation. It is usually applied once to twice a day to help reduce inflammation. It is usually noted that metronidazole may help with one pathway of inflammation where as the newer topicals such as azelaic acid have been noted to help with more pathways.

Ivermectin Topical Ivermectin can help with Demodex driven rosacea. Demodex, which is a mite that is naturally found on the skin. However, there was a study done that showed people who have Rosacea have an increased amount of the Demodex mite. Sometimes this can lead to an increased amount of pimples and pustules.

Brimonidine and Oxymetazoline

Brimonidine and Oxymetazoline are newer topicals meds that can cause vasoconstriction which means that that those enlarged vessels can be reduced in size which helps to improve the visible redness shortly after application. However this effect is temporary and will need to be applied the following day.

Oral antibiotics

Oral antibiotics such as doxycycline and minocycline can also be given once to twice a day at variable dosages. Depending on the severity a higher dose or lower dose may be given. The big concern with long term antibiotics is resistance. Resistance means that overtime the antibiotic stops responding due to a complex cascade that will allow bacteria that have built a defense to the antibiotic to flourish. Other side effects that may be seen with long term use are a grayish pigmentation that may develop on the skin and mucous membranes.




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