Acne Rosacea and Accutane?

Accutane is a very good choice if you have the more papular-pustular rosacea. This form of rosacea, which is more common in males, sometimes leads to the disfiguring condition, rhinophyma (potato-nose..W.C. Fields, J. P. Morgan, Rep. Claude Pepper). Much of the problem with this form of rosacea has to do with hypertrophied oil (sebaceous) glands. The Demodex mite and other factors probably aggrevates this form of rosacea. ( A somewhat unorhtodox treatment which sometimes works here... more

Thanks for your question. You have mentioned most of the best treatments for stage 1 and stage 2 rosacea, but when those treatments are tried and have failed, it is a good idea to try accutane. The low dose treatment regimen ranging from a low daily dose to a low dose several times per week will help with both the rosacea and the acne rosacea. I would still consider doing further IPL or Vbeam treatments, and would also consider possibly adding Elidel or Protopic as a possible adjunct to... more

A few things you may want to consider trying: there is a low-dose doxycycline treatment (Oracea) that functions as an anti-inflammatory you may wish to try. also, as far as the redness is concerned, you may benefit from the Nd:YAG 1064 laser. I have successfully treated some rosacea patients with Accutane. While Accutane can help with redness, in certain case it actually worsens the redness. You should be prepared for this possibility. I would consider starting you on a regimen of 10 mg... more