When does the rebound effects from Mirvaso end?

Question

My dermatologist gave me a sample of Mirvaso for mild rocasea on my face and also recommended it for keratosis pilaris rubra on my arms. I used it on my arms two days ago and it worked instantly, leaving my arms white and patch free. About 24 hours lasted both arms were bright red and burning. It finally subsided but flared up again 24 hours after that. I am petrified that this is permanent. The flare ups are 100x worse then before. How long before my arms go back to normal? Never used on face.

Jason Emer, MD · Answer

Mirvaso can cause irritation, which won't be permanent. I recommend following up with your Doctor. Keratosis pilaris rubra can be improved with a combination of lasers (PDL, IPL, Excel V). See an expert. Best, Dr. Emer

Davin Lim, MBBS, FACD - Account Suspended · Answer

Seriously, we can not give you a exact answer. Medicine is probability and possibility. Now, in most cases Mirvaso is NOT a good long term solution, lasers coupled with anti- inflammatories can markedly reduce flare ups from Mirvaso, consult a laser dermatologist. 
Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)

To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. A good website that educates you about rosacea is rosacea dot org

To help treat your rosacea a detailed history, together an examination is needed. Once this is established a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -

1. Lasers (to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL- BBL  can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness.

2. Creams - anti inflammatory- Rozex, Azalelic acid, Solantra. Creams are effective in 30% of cases.

3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. Vitamin A cream can be used in very low concentration and gradually titrated. See a medical dermatologist for this.

4. For females- Mineral make up is recommend- paraben and preservative – talc free.

For the best results, be holistic in your approach, start off with the foundations of rosacea management, - avoiding flare factors, use of anti- inflammatory agents, and then progress to

consult a dermatologist for both medical and laser treatment options,

Kind regards.

Dr Davin S. Lim.

Laser Dermatologist.

Brisbane, Australia. Real Self Advisory Board.

When does the rebound effects from Mirvaso end?

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When does the rebound effects from Mirvaso end?

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