Any Hope for Getting Rid of Rosacea?

My husband has been taking Oracea to combat the redness of his rosacea. He doesn't think it helps very much; he still has the redness on his nose and forehead. He doesn't eat very much spicy food, and doesn't drink often or in large amounts. Is rosacea really treatable or just sort of managed? Can we ever expect it to get better?

Doctor Answers 5

Many things you can do for Rosacea

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First of all, you should determine your personal triggers such as wine, heat, spicy foods, balsamic vinegar etc. and AVOID THESE permanently. Ask at restaurants about the content of foods once you know your triggers. Just cutting down or exposing yourself in moderation isn't enough if you truly want to minimize your rosacea. Also, carry with you Motrin (anti-inflammatory) and Claritin (antihistamine) so you can take these to block an outbreak if you inadvertently are exposed to a trigger. IPL pulsed light treatments are excellent to treat the vascularity that causes the flushing. There are good support groups for rosacea patients on the web. Rosacea is incurable and will be a lifelong issue but can be managed if you are diligent and devoted.

Rosacea treatment

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Rosacea is a chronic problem characterized by redness, flushing, pimple-like bumps, and visible broken blood vessels. The treatments for rosacea include topical creams and lotions, and also oral antibiotics. However, these treatments do not cure rosacea nor do they remove broken blood vessels that are already present. The treatments slow down the progression of rosacea and limit the flushing and pimples. Once you already have broken blood vessels the only way to get rid of those is with laser. The pulsed dye laser is the best method to remove visible blood vessels. Over time, you will need more treatments because your body will continue to make these little visible blood vessels.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon

Don't give up

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Rosacea is a chronic condition, but a board certified dermatologist can help improve it.

Oracea is just one option. Topical and oral niacinamide, Finacea, oral beta blockers, inorganic sunscreens are just some of the medical treatments and Intense Pulsed Light or Pulsed Dye Laser can give months of improvement in the redness and dilated capillaries. Salicylic acid peels are often effective as well.

Avoidance of triggers is important, but many people have stress that can increase the flushing.

Please get a second opinion from someone who treats rosacea everyday.

Good Luck!

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Treating rosacea

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Rosacea is a genetic skin condition that produces broken capillaries and a red face. Treatment is multifaceted from specialized topical creams to laser technology to remove the broken capillaries and improve the red face. Multiple sessions of laser are usually needed but significant improvement always made.

David A. F. Ellis, MD
Toronto Facial Plastic Surgeon


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Rosacea is sometimes tough to treat. Intensed pulse light systems can be sued to improve rosacea in many cases. Some foods may need to be avoided and certain medications may help limit its appearance.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.