Hydrocortisone for Rosacea Bumps?

Question

My dermatologist recommended hydrocortisone 2.5% cream for rosacea bumps (+ a course of tetracycline). I've read that hydrocortisone should not be used for rosacea. What do you think?

Bryan K. Chen, MD · Answer

Although some practitioners do prescribe hydrocortisone cream for acute flares of rosacea, I prefer not to use it.  In some instances, I have seen topical steroid-induced rosacea with long-term use of cortisone creams.  I agree that antibiotics from the tetracycline family is useful for Rosacea.  There are other topical options including metronidazole, sulfur-based washes and creams, and azelaic acid, to mention just a few.  Light-based therapies such as IPL can be very effective for the subtype of rosacea which has prominent blood vessels and redness.
Good luck.

Ken Landow, MD · Answer

rosacea is perfectly fine...yes you can run into problems if you overdue it but for several weeks that's a perfectly appropriate treatment...especially when the skin is irritated...I think your dermatologist is on the right track...

Davin Lim, MBBS, FACD - Account Suspended · Answer

We realise that long term use is not indicated, but short term use is OK. Your dermatologist has first hand examination of your rosacea, and has covered you with Tetracyclines, so go with the medical treatment. All the best, Dr Davin Lim. Brisbane. Australia.

Hydrocortisone for Rosacea Bumps?

Answers (3)

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