Rosacea Flare Management: Emergency Action Plan

A Guide for Patients with Moderate to Severe Rosacea

Dermatology

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Last updated: Mar 24, 2025

Signs of a Severe Flare

  • Intense facial redness and burning
  • Significant swelling
  • Multiple inflammatory papules or pustules
  • Severe eye irritation (if ocular rosacea present)
  • Emotional distress due to symptoms

Immediate Actions

Step 1: Cool Down

  • Apply cool compresses for 10-15 minutes
  • Avoid hot water and steam
  • Move to a cooler environment

Step 2: Medication

  1. Apply prescribed topical medications:

    • Anti-inflammatory creams
    • Prescribed metronidazole gel
    • Emergency-use corticosteroids (if authorized by your dermatologist)
  2. Take oral medications if prescribed:

    • Anti-inflammatory antibiotics
    • Emergency rescue medications

Step 3: Document

  • Photograph the affected areas
  • Note potential triggers
  • Record time and severity of symptoms

When to Contact Your Healthcare Provider

Call Immediately If:

  • Severe swelling affects breathing
  • Eye pain or vision changes occur
  • Symptoms worsen despite emergency plan
  • Fever develops

Prevention Strategies

Daily Management

  • Follow prescribed skincare routine
  • Avoid known triggers
  • Use broad-spectrum SPF 30+ sunscreen
  • Keep emergency medications accessible

Long-term Control

  • Maintain regular dermatology appointments
  • Update trigger diary
  • Review and adjust treatment plan as needed

Emergency Contact Information

Dermatologist: [Insert Number] Emergency Room: [Local Number] Pharmacy: [Insert Number]

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