Treatment regimes for rosacea range from laser therapy to antibiotics and immune-suppressing drugs. There is a link between all these skin conditions and the immune response. In many instances, flare-ups are seasonal and associated with situations where the immune system is challenged. When you are at the peak of your health, your skin will be rehydrated and well balanced. In many cases steroid based ointments are used. However as with all medicines, all these products have side effects associated with them.
The type of medication prescribed, very much depends on your symptoms and the severity of your condition:
1- Medications that reduce redness
Recent studies have shown the drug brimonidine (Mirvaso) to be effective in reducing redness. It is applied to the skin as a gel. It works by constricting blood vessels. You may see results within 12 hours after application. The effect on the blood vessels is temporary, so the medication needs to be applied regularly, to maintain any improvements seen. This product has some side effects and the users need to be aware of these and use the drug if they do not experience severe adverse effects. Other topical products that have been shown to reduce redness and the pimples of mild rosacea are azelaic acid and metronidazole. With these drugs, improvements generally don’t appear for three to six weeks.
2 – Oral antibiotics
Antibiotics help reduce some types of bacteria, but likely mainly fight inflammation when used for this disease. Doxycycline is an antibiotic taken as a pill, for moderate to severe rosacea with bumps and pustules. Other similar oral antibiotics are also sometimes used, (tetracycline, minocycline, others), but their effectiveness isn’t as well-supported by studies.
3 – Isotretinoin
If you have severe rosacea, that doesn’t respond to other therapies, your doctor may suggest isotretinoin (Amnesteem, Claravis, others). It’s a powerful oral acne drug, that also helps clear up acne-like lesions of rosacea. Don’t use this drug during pregnancy as it can cause serious birth defects.
4 – ENDOR Rosacea Cream (in development)
ENDOR™ is a safe alternative, natural anti-inflammatory topical cream, that reduces the redness.