Rosacea

Question 1

Rosacea:

Answer 1

fb

Question 2

Rosacea:

Answer 2

ef

Question 3

Rosacea:

Management?

Answer 3

General measures:

To avoid flares:

• avoid sun exposure
• avoid soaps
• avoid steroids of any kind contacting skin
• use green tinted makeup to cover telangiectasia
• use emollients

To prevent flushing:

• avoid rapid changes in temperature
• avoid hot or spicy foods and beverages
• avoid alcohol
• avoid calcium channel blockers

Pharmacological:

1) Topical
- metronidazole 0.75% gel daily for 6 - 12 weeks
- azaleic acid 15% daily for 6 - 12 weeks

ADD
2) Oral
a) doxycycline 50 - 100mg daily for up to 8 weeks
OR
b) erythromycin 250 - 500mg BD for up to 8 weeks

IF not response in 4 weeks
c) minocycline 50 - 100mg daily for up to 8 weeks

IF symptoms relapse after 1 month off treatment consider:
Doxycyline/minocycline 50mg daily or alternate daily for 6 - 12 months

Telangiectasia:
(Mivraso) brimonidine tartrate 5 mg/g gel topically, once daily in the morning.
-lasts 12 hours
-more pronounced response with continued use
-$75 private script