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Is There a Cure for Rosacea?

Rosacea Types and Treatment

Rosacea has never been a contagious or infectious decease. The redness in rosacea, looking like small red lines, blood vessels (so-called telangiectasias), often aggravated by flushing, may cause small blood vessels in the face to enlarge (dilate) permanently and become more visible through the skin.

Rosacea usually takes affect on the facial skin. Rosacea may also result in red acne and lines on the nose and cheeks. Sunburn, rosy cheeks or even acne vulgaris is often wrongly taken for Rosacea. Clinical studies proved the negative effects of alcohol, hot or spicy foods, emotional stress, and heat as Rosacea triggers.

Treatment Options for Acne Rosacea

Rosacea is a common chronic dermatosis. It's basic symptoms are often identified by central facial erythema, symmetric flushing, stinging sensation, inflammatory lesions (papules and pustules), telangiectasias, and phymatous changes (tissue hyperplasia and nodules). Rosacea in adults carries no risk for human life, but frequently impacts the self-esteem and quality of life. In many people, treatment at early stages of Rosacea can prevent or slow down severe stages. Any of the mentioned above signs or symptoms require immediate treatment by a dermatologist. Modern dermatology uses a combination therapy of rosacea, depending on the form and stage of disease. In 87% cases it is possible to control acne - according to the National Rosacea Society, USA (surveyed over 1.000 patients).

Topical metronidazole, sulfacetamide/sulfur, and azelaic acid are generally effective for patients with mild rosacea. For moderate papulopustular rosacea, combination treatment with oral tetracyclines and topical agents is the first-line choice. Treatment with a topical agent, such as metronidazole, may help maintain remission. Patients with ocular involvement may benefit from long-term oral antibiotics and metronidazole gel. Referral to a subspecialist is necessary for patients who have ocular rosacea with ophthalmic complications, severe or recalcitrant rosacea, or phymatous changes.

Clinical therapy

Drug therapy should be based on rosacea classification, severity, and response to previous treatment regimens. The following may be recommended to reduce rosacea flares:

Oral Antibiotics >> They usually work well by reducing inflammation in the skin and kill bacteria. Although Metronidazole (topical antibiotic) is the ideal option in case of small spots, oral antibiotics, such as tetracycline or erythromycin commonly prescribed if you have many spots or even cysts.

  Price checker | Oral Antibiotics
Tetracycline 500mg
90 pills
per pill
$ 0.65
Erythromycin 500 mg
60 pills
per pill
$ 0.90

You may see some improvement in 2-3 weeks of treatment. However, it often takes 6-12 week course of antibiotics to clear spots and cysts. Sometimes antibiotic treatment fails just because people give up on therapy after a few weeks before the course is finished. The course may need to be repeated from time to time. As soon as the spots have cleared, people may take a regular dose of antibiotics or apply topical antibiotics (regularly or intermittently) long-term to prevent acne and cysts from coming back.

Topical azelaic acid >> Azelaic acid is an alternative to topical antibiotics to treat mild-to-moderate spots. However, some people find that it can cause side-effects such as burning, stinging, itching, scaling and dry skin. Ivermectin cream is used occasionally for people with rosacea. It works by killing the mite Demodex folliculorum and also works to reduce some of the inflammation in your skin.

If you do not respond to any of these treatments, other therapies are sometimes given in specialist clinics.

Treatment for rhinophyma

Rhinophyma is an uncommon symptom of rosacea which is usually treated by surgery or laser treatment to trim back the thickened skin.