When do you recommend a patient with rosacea use mirvaso?

Question

I have used Mirvaso before and had horrible rebound flushing. However, I am having more and more severe facial flushing that is almost constant. I have heard that if you get rebound, you should just reapply the mirvaso. However, I have also heard that mirvaso loses efficacy over time, and eventually it has to be applied every couple hours to get the same effect. Sometimes it even stops working altogether. This seems like a vicious cycle to me, but I am desperate at this point. Please advise.

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  It is a great concept - shrinking the blood vessels to reduce the redness - but unfortunately some patients experience what you are going through with rebound redness and ineffective or inconsistent results.   If the cost of the Mirvaso outweighs the benefits, you might want to talk to your dermatologist about a vascular laser treatment or series of laser treatments that can permanently reduce your redness and flushing.  A board certified dermatologist is trained in the different types of lasers and which conditions they are appropriate for, so see an expert and ask about vascular laser treatments for rosacea.  Best of luck!

Melvin Elson, MD · Answer

I suggest you restart and remain consistent with the Mirvaso as it is the only product that really is effective for the vessels. there are medications you can take by mouth in addition to decrease the flushing and of course laser treatments may also help. Be sure to see a board certified dermatologist

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When do you recommend a patient with rosacea use mirvaso?

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