What treatments are available for rosacea?
Topical (externally applied) treatments for rosacea frequently work well. If that doesn't help enough or if the symptoms are severe, swallowable medications are another option. Visible blood vessels can be treated with lasers and light therapy, and severe rhinophyma (a very swollen nose) can be treated surgically.
Bumps (papules) and pus-filled spots (pustules) (type 2) Thickened and bumpy skin, particularly on the nose (rhinophyma) (type 3) Inflamed eyes and eyelids (type 4) It is quite common to have a combination of the various types. Red areas of skin on the face and occasionally small visible blood vessels (type 1). The treatment is tailored to each patient's specific symptoms.
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Brimonidine (trade name:) can be used to treat reddened facial skin and small visible blood vessels. Mirvaso). The medication makes the blood vessels narrow, which reduces the amount of blood that gets to the face and makes it less red. However, it does not alleviate other rosacea symptoms like pustules or bumps.
The face is treated with brimonidine gel once per day, usually in the morning. It should not be used on the mouth, nose, eyes, or lips. Each time you use the gel, you should only need about 1 gram. This amounts to about five peas: one for the chin, one for the nose, one for each cheek, and one for the forehead. People are advised to start with smaller doses during the first week of treatment and gradually increase them up to one gram as needed. You can also apply other creams and cosmetics after the gel has been absorbed and the skin has dried out once more.
Brimonidine has been shown in studies to lessen facial redness: 50 out of 100 people who did not take brimonidine and 76 out of 100 people who did took brimonidine reported improvement in this symptom..
Irritation of the skin and allergic reactions to the medication that could exacerbate the redness of the skin are potential side effects. It is critical not to get any of the gel in your eyes because it has the potential to temporarily reduce the pressure of fluid in your eyes.
Laser therapy and intense pulsed light therapy are especially effective for rosacea with red blood vessels that are a source of discomfort. The small blood vessels are damaged by heat in both treatments, also known as cauterizing. However, very little research has been done on these methods of treatment. The statutory health insurers in Germany do not cover the costs of these treatments.
Both during and after laser treatment, mild pain may occur. The pain may be alleviated by cooling the skin. It may also result in superficial burns to the skin. This may cause temporary redness, blisters, scabs, and swelling in addition to pain. In addition, there is a possibility of minor skin bleeding. However, the skin typically recovers in a few days. Small scars may remain in rare cases.
Beta blockers Beta blockers are sometimes used to treat facial redness. Because this medication makes the blood vessels smaller, less blood can pass through the skin on the face.
Most of the time, high blood pressure and other types of cardiovascular disease are treated with beta blockers. Beta blockers can only be prescribed "off-label" in Germany because they are not yet approved for the treatment of rosacea.
Beta blockers can have more side effects than creams or gels that are applied directly to the skin because they are swallowed and travel throughout the body in the bloodstream. Tiredness, dizziness, and lightheadedness are among these side effects.
If rosacea symptoms are severe and no other treatment has helped, beta blockers may be considered for treatment. However, little research has been done on how well they treat rosacea-related redness of the skin. Additionally, not everyone can take beta blockers. Because they may enlarge the bronchi in the lungs, for instance, they are not suitable for asthmatics.
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Red and yellow spots can be treated with medications that are applied directly to the skin. These spots, also known as papules or pustules, are raised spots on the skin. Typically, creams, gels, and lotions containing metronidazole, ivermectin, or azelaic acid are used.
Multiple studies have demonstrated that these medications temporarily lessen or even eliminate skin issues. After about three to four weeks, there is a noticeable improvement.
The medication is well tolerated by most people. Minor skin irritation, burning sensation, itching, and dry skin are potential side effects.
