Is mirvaso as bad as people say online?

The studies of Mirvaso (Onreltea gel in Canada) suggest a very effective treatment for persistent redness, and not so much for blood vessels (need laser or IPL) nor for pimples and pustules. It is applied in the morning, kicks in at about 30min, and lasts for about 12hrs. Most people tolerate it well, and it is an ongoing treatment (not a cure). A few people may get rebound or get used to it, but in the studies that was uncommon, and has yet to be my experience. Best to chat with your dermatologist about your type of rosacea and best treatment options, which often involve a few things.

Rosacea is characterized by increased blood vessels too close to the top of the skin, usually due to chronic sun exposure in people who have more of a tendency for inflammation.  When the vessels are too superficial, there is too much activity in the surface of the skin, leading to flushing, blushing and sweating.  Mirvaso is a vaso-constrictor, making the superficial blood vessels close.  Some people report a rebound effect when they stop using it, but I've found that most people do not experience this effect.  The best treatment is to close down the blood vessels with the PhotoFacial procedure.  Another possibility for patients who have a significant amount of blushing and flushing is to use low dose clonidine, a blood pressure medication.  It acts in the brain to decrease the flushing and blushing.  I would suggest trying Mirvaso and see if it works for you.  In the long run however, it may be more cost effective to simply close the vessels down with the PhotoFacial procedure.