There are medications available that control the redness and reduce the number of papules and pustules associated with rosacea. Current medications might include oral antibiotics and topical metronidazole (Metrogel). One study showed that the use of topical metronidazole alone can help some sufferers to reduce rosacea flare-ups once the rosacea is brought under control.

For those sufferers that do not benefit from the metronidazole based treatments, there are many other options. Dr. Sudy will discuss alternative options with you during your consultation.

Experts agree that a gentle cleansing regime is very important. Avoiding chemicals that aggravate the rosacea, but will clean and moisturise the skin is a step in the right direction. 

As the sun is a strong trigger for many rosacea sufferers, a good non-irritating sunscreen used daily is very important. For those who react badly to chemical sunscreens, a physical sunscreen may be more suitable. Physical sunscreens rely on the reflective properties of the main ingredients (rather than the ability of some chemicals to absorb the sun’s energy). The most common physical sunscreens are based on zinc oxide or titatinium dioxide.

The vitamin A derivative isotretinoin (known as Accutane or Roaccutane), has been shown to be effective against severe papopustular rosacea. It works by inhibiting sebaceous gland function and physically shrinking the glands. It also has potent anti-inflammatory properties, making it ideal to treat resistant rosacea. At low doses, accutane has also been shown to reduce other symptoms such as facial burning and redness. Low does accutane may be more suitable than the regular dose, as there are less side effects and lesser chance of aggravating redness. 

From a subjective view of the rosacea-support list members it would appear that one person’s treatment does not necessarily suit another, so your mileage may vary with any recommended treatment. Experiment a little and find what helps you. Depending on the stage of your rosacea, some treatments may be aggravating, while for others the same treatment may not cause problems. Every rosacea patient is unique and needs individual treatment.



Last updated on February 6, 2010 by Sarah Yousuff, MD