Rosacea Treatment Online

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Guide for
Rosacea Treatment Online

By Medical Editor: 
Dr. Francesco-Maria Serino, MD, PhD

October, 2024

Summary

Rosacea is a chronic skin condition that primarily affects the face, causing redness, visible blood vessels, and sometimes acne-like bumps. Although a permanent rosacea cure is not currently available, a variety of treatments can provide rosacea relief. Common symptoms include persistent redness, visible blood vessels, and occasional bumps. Known triggers include dietary factors like alcohol, red wine, spicy food, and environmental factors such as sun exposure. Lifestyle adjustments to avoid these triggers can help manage symptoms. Topical treatments, including some of the best rosacea creams (metronidazole, azelaic acid, ivermectin), and oral medications are available. Laser therapies and lifestyle changes, like a customized rosacea diet, can further support symptom relief.

What is Rosacea?

Rosacea is a chronic inflammatory skin condition that typically affects the face, resulting in redness, visible blood vessels, and sometimes small, red, pus-filled bumps. Although the exact cause of rosacea is unknown, it is believed to involve a combination of genetic and environmental factors. People with rosacea often seek treatments for relief since a permanent rosacea cure is currently unavailable.

Rosacea Symptoms

Symptoms of rosacea vary but commonly include persistent redness on the central face, especially the nose and cheeks. Many individuals experience flushing and blushing episodes that become more frequent over time. Additional symptoms may include:

  • Visible blood vessels (telangiectasias) on the face
  • Red, swollen bumps that may resemble acne
  • Skin sensitivity and burning sensations
  • Dry, rough, or scaly skin
  • Eye irritation (ocular rosacea) in some cases

Recognizing these symptoms early and managing triggers can help in achieving effective rosacea relief and reducing flare-ups.


Did you know that...

People with rosacea are often more sensitive to temperature changes. Even small increases in skin temperature from hot drinks, warm environments, or emotional stress can trigger flushing and exacerbate symptoms.

Common rosacea medications

Icon of a prescription cream

Ivermectin

topical cream

Icon of a pill bottle

Doxycycline

oral antibiotics

Rosacea Treatment

While a rosacea cure does not currently exist, a variety of treatment options and lifestyle modifications can help manage symptoms and provide rosacea relief.

Medications for Rosacea

Common rosacea medications include topical and oral treatments to reduce inflammation and redness. Topical creams, such as metronidazole, azelaic acid, and ivermectin, are often considered the best rosacea creams for reducing redness and controlling mild symptoms. Oral antibiotics like doxycycline are sometimes prescribed for moderate to severe cases. In certain instances, laser therapy or light-based treatments are used to target visible blood vessels.

Rosacea and Diet

Dietary triggers can play a role in rosacea flare-ups. Many patients find that avoiding certain foods helps manage their symptoms. Known dietary triggers include alcohol, especially red wine, spicy foods, and hot beverages. Adjusting one’s diet to limit these items can be a proactive approach in managing rosacea.

Environmental Triggers

Rosacea flare-ups can also be triggered by external factors such as sun exposure. Protecting the skin from sun exposure with a broad-spectrum SPF 30 or higher is essential. Patients are also advised to avoid prolonged sun exposure and wear sun-protective clothing.

Lifestyle Modifications for Rosacea Relief

Beyond rosacea medication, adopting gentle skincare routines and avoiding known irritants are critical. Reducing alcohol intake, especially red wine, limiting spicy foods, and applying sun protection can help minimize flare-ups. Keeping a diary to track these triggers can help identify specific causes and enhance rosacea relief efforts.

References

Bae, Y. I., Yun, S. J., Lee, J. B., et al. (2009). Clinical evaluation of 168 Korean patients with rosacea: the sun exposure correlates with the erythematotelangiectatic subtype. Ann Dermatol, 21, 243.

Li, S., Cho, E., Drucker, A. M., et al. (2017). Obesity and risk for incident rosacea in US women. Journal of the American Academy of Dermatology, 77, 1083.

Gallo, R. L., Granstein, R. D., Kang, S., et al. (2018). Rosacea comorbidities and future research: The 2017 update by the National Rosacea Society Expert Committee. Journal of the American Academy of Dermatology, 78, 167.

Zhao, Y. E., Wu, L. P., Peng, Y., & Cheng, H. (2010). Retrospective analysis of the association between Demodex infestation and rosacea. Archives of Dermatology, 146, 896.

Parodi, A., Paolino, S., Greco, A., et al. (2008). Small intestinal bacterial overgrowth in rosacea: clinical effectiveness of its eradication. Clinical Gastroenterology and Hepatology, 6, 759.

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How does it work?

99% of our users solve their issue within 1 hour. No waiting, no language barriers, no insurance needed.

Answer a few questions

Just answer a few questions about your rosacea symptoms and choose a convenient time for your online session. It’s simple and hassle-free, with no need to sign up.

Select and connect

Doctors respond in minutes. Select your preferred one and start your virtual consultation right from your web browser.

7-day free follow-up chat

Reach out to your doctor with any questions you might have, at no extra cost for 7 days following your consultation.

A tourist in Europe taking a picture of a picturesque street, mobile phone shows Doctorsa intake questionnaire, a medication pill bottle

How does it work?

99% of our users solve their issue within 1 hour. No waiting, no language barriers, no insurance needed.

Answer a few questions

Just answer a few questions about your rosacea symptoms and choose a convenient time for your online session. It’s simple and hassle-free, with no need to sign up.

Select and connect

Doctors respond in minutes. Select your preferred one and start your virtual consultation right from your web browser.

7-day free follow-up chat

Reach out to your doctor with any questions you might have, at no extra cost for 7 days following your consultation.

Your questions answered

While there is no permanent rosacea cure, treatment options exist that can effectively manage and reduce symptoms. Various medications, lifestyle changes, and skincare routines can help provide significant rosacea relief and minimize flare-ups.

Some of the best rosacea creams for managing redness include topical treatments like metronidazole, azelaic acid, and ivermectin. These creams work by reducing inflammation and controlling redness associated with rosacea. A dermatologist can help determine which cream is best for individual cases.

Diet can play a role in triggering rosacea symptoms. Foods and drinks like spicy foods, alcohol, and red wine are known to contribute to flare-ups for many patients. Modifying one’s rosacea diet to avoid these items can help reduce symptom severity.

Sun exposure is a common trigger for rosacea flare-ups. To protect the skin, apply a broad-spectrum sunscreen with SPF 30 or higher, wear sun-protective clothing, and avoid prolonged sun exposure. These measures can help reduce the likelihood of rosacea-related irritation.

Open the intake form and choose one of the following options:

  • Urgent Care: For immediate treatment of your rosacea via virtual care.
  • Set Up an Appointment: To schedule a same-day or future appointment.
  • Prescription Refill: Use this option if you have lost or forgotten your medication.

Next, select how you would like to receive appointment offers from doctors.
We recommend using WhatsApp as it is faster and more reliable. You will quickly receive various visit options. Choose the one that suits you best and proceed to online payment.

Video visits are browser-based, so no apps are needed. Simply click the link you receive to start your video visit in your browser.

After the consultation, expect to receive an invoice and an e-prescription via email. You can show or print the e-prescription to purchase medication at the pharmacy of your choice.

Following the consultation, the doctor will either email the e-prescription to you or send it via WhatsApp. You can then either print it out or show it directly to the pharmacist when purchasing the medication.

It’s important to understand that doctors must responsibly evaluate each case individually. They can’t simply prescribe medication solely based on a patient’s request or a recommendation from another doctor without confirming that it’s suitable for the patient’s specific condition.

The total cost may differ based on the providers. Each one competes for your request, offering a fair price tailored to your needs. On average, an online doctor visit costs 25 Euros. Prices for in-person appointments, specialists, and lab work vary by city. You can send a request to learn more—there’s no commitment to book, and you can select your provider.

Please note that the visit fee doesn’t cover medication expenses, but common antibiotics are quite affordable in Europe. The cost of antibiotic treatment typically ranges from 5 to 15 euros approximately.

Yes, whenever you submit your request it is instantly received by the doctors active at that time. Whether it’s late at night, on a Sunday morning, or on New Year’s Eve, there’s always someone on the other side who’s ready to see you. When you receive an option for an appointment, there’s a person behind it (a doctor) who’s read your request and is willing to assist you.

You can message your physician with follow-up questions at no additional cost for up to 7 days after the video visit.

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