Effective treatments for rosacea

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Goodfellow Gems

"Effective treatments for rosacea"

There are a number of topical and oral treatments for rosacea. These include topical metronidazole (trade name Rosex) and azelaic acid (trade name Skinoren).1 First line oral medications are tetracyclines e.g. doxycycline 50 to 100 mg daily and second line isotretinoin. Dr Paul Jarrett finds oral 10 mg isotretinoin twice weekly will control rosacea but often patients do not stay on it. That is my experience for all treatments for rosacea. Also effective are topical brimonidine and topical ivermectin; neither is available in New Zealand.

van Zuuren EJ, Fedorowicz Z, Carter B, van der Linden MMD, Charland L. Interventions for rosacea. Cochrane Database of Systematic Reviews 2015, Issue 4. Art. No.: CD003262. DOI: 10.1002/14651858.CD003262.pub5.

  1. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008268.pub2/abstract

Gems are chosen by the Goodfellow director Dr. Bruce Arroll to be either practice changing or practice maintaining. The information is educational and not clinical advice.

As published in NZ Doctor 08/07/2015