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worse than before, when they are stopped your rosacea and avoid them. A written record of your flare-ups may help here. • Cosmetics can often cover up rosacea Antibiotics for rosacea:
The most commonly used antibiotics, such as • If your eyes are giving problems, do not oxytetracycline, belong to the tetracycline Dermatology Department
ignore these - consult your doctor. group. Courses usually last for around 10 weeks. After that, the dose can be dropped, or Where can I get more information about
the treatment can be stopped if the rosacea rosacea?
has cleared. If a tetracycline has not helped after a reasonable trial lasting several months, The Acne Support Group offers information
then another antibiotic, such as erythromycin, and support to anyone with rosacea (PO Box 9, Other treatments:
A full Cochrane review on treatments for
Patient Information Leaflet
• An eye specialist should manage the more • An antidepressant may help depression • A bulbous nose affected by rhinophyma Other Internet sites include:
• Ugly dilated small blood vessels can be A beta-blocker tablet may help if flushing is • Isotretinoin tablets are occasionally given for very severe rosacea, but the great risk of taking it during pregnancy must always (While every effort has been made to ensure that
the information given in this leaflet is accurate,
not every treatment will be suitable or effective
What can I do?
for every person. Your own doctor will be able
to advise in greater detail)
Protect your skin from the sun by using a sun block on your face every day. • Do not rub or scrub your face as this can • Consider the lifestyle factors that can stir up Clatterbridge Hospital Bebington Wirral CH63 4JY rosacea (listed above). Learn which worsen What are the aims of this leaflet?
How will rosacea be diagnosed?
This leaflet has been written to help you What are the symptoms of rosacea?
Your doctor will recognise rosacea just by understand more about rosacea. It tells you The skin of the face feels sensitive, and can looking at your skin. There are no diagnostic what rosacea is, what causes it, what can be burn or sting. Flushing (the face becomes laboratory tests. Rosacea differs from acne in done about it, and where you can find out more bright red) adds to the embarrassment caused that the skin is not extra-greasy; blackheads by the rash. Be sure to consult your doctor if and scarring are not features; flushing is you have problems with your eyes (see below). common; and there is a background of red What is rosacea?
What does rosacea look like?
central part of the face, usually of a middle- Rosacea starts with a tendency to blush and Can rosacea be cured?
aged person. A tendency to flush easily is flush easily. After a while, the central areas of No treatment can be guaranteed to switch followed by persistent redness on the cheeks, the face become a deeper shade of red and chin, forehead and nose, and by crops of small end up staying this colour all the time. The area can clear the spots. Treatment works best if (papules) and pus spots, which come and go in started when rosacea is at an early stage. What causes rosacea?
The cause of rosacea is not fully understood, (telangiectasia) appear, looking like thin red How can rosacea be treated?
but many think that the defect lies in the blood Rosacea may last for years if not treated. vessels in the skin of the face, which dilate too Preparations applied to the skin can sometimes control mild rosacea, or keep rosacea in than in men, and in those with a fair skin who remission after a course of oral antibiotics. Most people with rosacea, however, need to take antibiotics by mouth from time to time. Many things seem to make rosacea worse, but probably do not cause it in the first place. They Local applications for rosacea:
include alcohol, too much exercise, both high • Useful preparations include a gel containing and low temperatures, hot spicy foods, stress, • The nose may grow big, red and bulbous metronidazole, and antibiotic preparations and sunlight. Things that stir up one person’s (rhinophyma) due to the overgrowth of the containing clindamycin or erythromycin. rosacea may well have no effect at all on the sebaceous glands. This is more common in Don’t give them up too soon: they take time – at least 8 weeks - to have their effect. rosacea is due to germs in the skin, or in the • It may be best to avoid treatments designed bowel, has not been proved. Rosacea is not for acne – some can irritate rosacea. eyelids; a gritty feeling; sensitivity to light). • Note that preparations containing strong corticosteroids will make rosacea worse in Is rosacea hereditary?
the long run and should be avoided. In the Rosacea does seem to run in some families keratitis, that can interfere with vision. long term they turn the face redder; make but it is still not clear whether heredity plays a the streaky blood vessels (telangiectasia) more obvious; and everything flares up

Source: http://www.whnt.nhs.uk/document_uploads/Patientinfo_Spec_surg_Dermatology/rosaceaJUN08.pdf