Brief Answer:
Rosacea management

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your concern and I have understood it.

Available medical treatment options for rosacea include:

-Antibiotic pills (e.g Doxycycline, Azithromycin OR Roxithromycin)
-Topical like Clindamycin phosphate 1% gel, Clarithromycin gel, Benzoyl peroxide 2.5% gel can be used if you also have bumps/acne along with redness,
-Topical Retinoids like Azaleic acid, Adapalene, Tretinoin.
-Oral Isotretinoin (low dose is preferred)
-Lasers ( 584 nm Pulse XXXXXXX Laser) works best for redness and telangiectases
-Pulsed light therapies (Intense pulsed light 585 nm for background erythema and telagiectases)
-Photodynamic therapy.


Topically you could use either Benzoyl peroxide gel or Clindamycin phosphate gel for the bumps/acne. Benzoyl peroxide can cause some irritation, since you also have rosacea. Therefore I would suggest topical clindamycin phosphate gel 1% if you have acne/bumps.

Orally you could take either Roxithroimycin 150 mg twice daily OR Azithromycin 500mg three days consecutively in a week. They can be continued for a few weeks.

Blue light phototherapy using a narrowband LED light source is a safe and effective additional therapy for mild to moderate acne. It can be safely combined with other topical and oral therapies.

Oral Retinoids e.g Isotretinoin in a low dose of 20 mg once daily for 6-8 months is also an option for Rosacea.

However, oral and topical treatment works only to an extent. For erythema/telangectases/Vascular Rosacea, oral and topical treatments works best with Light therapy e.g IPL(Intense pulsed light) and PDL (Pulse XXXXXXX Laser) sessions.

Finally avoidance of triggers like hot and cold temperatures, spicy foods, certain drugs, alcohol, emotional triggers, strong sun etc is also an important part in the management of rosacea.

Regular use of a broad spectrum sunscreen is advisable.

I would suggest that you seek an appointment with your dermatologist and discuss regarding the most appropriate approach in your case.

Regards

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Brief Answer:
Rosacea

Detailed Answer:
Hi.

You could use metronidazole 1% gel ,twice daily.

Regards

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