Rosacea is a skin condition that often causes redness and flushing, especially in a subtype known as erythematotelangiectatic rosacea. Here’s a breakdown of various treatment options aimed at reducing redness and managing symptoms.

Topical Treatments for Redness

To help with the redness, your doctor may recommend topical gels or creams that constrict blood vessels. Some common treatments include:

• Brimonidine (Mirvaso): While effective in reducing redness, it can sometimes lead to rebound redness, which may be worse than the initial symptoms.

Keep in mind that these topical treatments offer only temporary relief. You’ll need to apply them daily to maintain their effects.

Possible Side Effects: Some users may experience increased redness, burning, or itching. These side effects are usually mild and may diminish with time, but if they persist or worsen, consult your doctor for alternatives.

Topical Gels and Creams for Breakouts

If you’re dealing with acne-like bumps associated with papulopustular rosacea, the following treatments can be helpful:

• Azelaic acid (Finacea)
• Metronidazole (Metrogel, Noritate)
• Sulfacetamide sodium and sulfur (Plexion)
• Ivermectin cream (Soolantra)
• Benzoyl peroxide (Epsolay)

These medications not only reduce swelling and redness but also tend to cause fewer side effects over time.

Antibiotic Treatments

Antibiotics, whether topical or oral, can help calm the skin by providing anti-inflammatory and antibacterial effects. A common choice is:

• Doxycycline (Oracea): Prescribed at a low dose, it’s safer for long-term use.

If this doesn’t work, your doctor may consider other antibiotics.

Retinoids

For some patients, retinoids—vitamin A derivatives—may be recommended to help unclog pores and reduce inflammation. However, they can be irritating, especially for those with sensitive skin. Options include:

• Tretinoin
• Adapalene gel

In certain cases, your doctor may prescribe an oral retinoid called isotretinoin (Accutane) for a few months at a lower dose. If you’re pregnant or planning to become pregnant, consult your doctor, as isotretinoin can cause birth defects.

Eye Drops for Ocular Rosacea

Rosacea can also affect your eyes, leading to symptoms similar to allergies. Treatments for ocular rosacea include:

• Cyclosporine eye drops (Restasis)
• Antibiotic eye drops
• Artificial tears

Some patients may also benefit from a low dose of oral antibiotics. Recent studies suggest that omega-3 fatty acid supplements may help alleviate dry eye symptoms associated with ocular rosacea.

Always talk to your doctor to find the best treatment plan for your needs, and don’t hesitate to reach out if you have questions or concerns about side effects.