Understanding and Managing Rosacea: Treatment Options and Care

A Comprehensive Guide to Modern Rosacea Management

Dermatology

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Last updated: Mar 24, 2025

What is Rosacea?

Rosacea is a chronic inflammatory skin condition that primarily affects the face, causing redness, visible blood vessels, and sometimes bumps or pimples.

Treatment Categories

1. Topical Medications

  • Metronidazole: Reduces inflammation and redness
  • Azelaic acid: Helps clear bumps and reduces inflammation
  • Ivermectin: Treats inflammatory lesions
  • Brimonidine: Temporarily reduces facial redness

2. Oral Medications

  • Antibiotics: Doxycycline, minocycline (for moderate to severe cases)
  • Isotretinoin: Reserved for severe cases resistant to other treatments

3. Light and Laser Therapies

  • Intense Pulsed Light (IPL)
  • Pulsed Dye Laser
  • KTP Laser

Lifestyle Management

Triggers to Avoid:

  • Sun exposure
  • Hot beverages
  • Spicy foods
  • Alcohol
  • Extreme temperatures
  • Stress

Daily Care Routine

  1. Gentle cleansing
  2. Sun protection (SPF 30+)
  3. Moisturizing
  4. Avoiding harsh skincare products

Expected Outcomes

  • Treatment typically requires 2-3 months for visible improvement
  • Ongoing maintenance therapy often necessary
  • Combined approaches usually yield best results

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