Written by Dr. James Macdonald MD, HBSc
March 3, 2024 - Rosacea is a common, chronic problem, affecting more than 415 million people worldwide. Despite advancements in modern medicine there is currently no cure for rosacea, only treatments.
References for the information we have provided are available at the bottom of this article and will be updated as new studies are published.
Current treatments on the market are broken down in to two categories based on the individual symptoms:
For Red Skin and Visible Blood Vessels:
1) Topical Vasoconstrictors
Trade Names |
Mechanism |
Effectiveness: |
Potential Downsides |
Cost |
Brimonidine (Mirvaso)
|
Temporarily reduces facial redness by constricting blood vessels |
Reduces facial redness in 26/100 subjects. |
Overuse can worsen flushing, skin irritation, and allergic reactions |
Mirvaso: $618/30g |
2) Clinical Laser treatments
Trade Names |
Mechanism |
Effectiveness: |
Potential Downsides |
Cost |
Intense Pulsed Light (IPL) therapy |
Destroys superficial red blood vessels through targeting application of heat. |
Considered the primary treatment for telangiectasia (visible blood vessels) and rhinophyma (enlarged nose) |
Temporary pain, redness, blisters, scabs, swelling. Small scars may remain. Cost and accessibility of properly trained physicians. |
$400 to $1200 per session |
Treatment Type | Trade Names | Mechanism | Effectiveness: | Potential Downsides | Cost |
---|---|---|---|---|---|
Topical Vasoconstrictors | Brimonidine (Mirvaso) Oxymetazoline (Rhofade) |
Temporarily reduces facial redness by constricting blood vessels | Reduces facial redness in 26/100 subjects. | Overuse can worsen flushing, skin irritation, and allergic reactions | Mirvaso: $618/30g Rhofade: $661/30g |
Laser therapy Intense Pulsed Light (IPL) therapy |
- | Destroys superficial red blood vessels through targeting application of heat. | Considered the primary treatment for telangiectasia and rhinophyma | Temporary pain, redness, blisters, scabs, swelling. Small scars may remain. | $700 to $1200 per session |
Beta-Blockers | Off-label prescription | Reduces blood flow to the face | - | Not approved for rosacea in many places, not suitable for asthma patients | $14 / 50 tablets @ 10 mg |
For Red and Yellow Spots - Papules and Pustules:
Treatment Type | Trade Names | Benefits | Effectiveness | Potential Downsides | Cost |
---|---|---|---|---|---|
Azelaic Acid (Topical) | Skinoren, Finacea | Reduces inflammation | Relieves symptoms in 18 out of 100 users. | Can cause burning, itching, dry skin, rash, may worsen symptoms | $369 / 50g |
Antibiotics (Topical) | MetroCream, MetroGel, MetroLotion, Noritate, Rosadan | Topical Antibiotic activity, reduces inflammation | Comparable to azelaic acid, with some contradictory results. | Skin irritation, contact dermatitis, allergic reactions, increased sun sensitivity | $405 / 60g (generic: $145 / 55g) |
Antibiotics (Oral) | Oracea | Systemic Antibiotic activity, reduces inflammation | Second-line therapy after topical treatments. | Side effects include diarrhea, nausea, light sensitivity | $972 / 30 capsules (generic: $645 / 30 capsules) |
Note: Costs are approximate and can vary based on insurance coverage and pharmacy location. Always consult with a healthcare provider for personalized advice and to understand the potential risks and benefits of each treatment option.
Leading Rosacea specialist, Dermatologist Dr. Jason Rivers, spent 30 years in clinical practice before devoting 8 years to develop a routine of skincare products for his most deserving patients, those with sensitive, rosacea-prone skin. His approach was to:
- Eliminate all irritants fragrance, colorants and unnecessary harmful chemicals like parabens, and formaldehyde-releasing agents
- Ensure all products exist at a pH of 5.5 – eliminating further damage to skin barrier
- Create moisturizing complexes at every stage of the routine to allow for skin barrier repair, reduce moisture loss, enhance proper moisture movement in the skin and finally allow the skin to restart stimulating the production of its natural moisturizers.
- Incorporate active ingredients to target the root cause of the symptoms. He has incorporated a proprietary combination of actives with anti-inflammatory, antioxidant, and natural anti-biotic properties. Riversol was the first company to stabilize Beta-thuljaplicin into a skincare formula that met all the other requirements needed for rosacea-prone skin.
- Let everyone try the product for free, for enough time to make sure it works for you. A 15-day free sample of Dr. Rivers’ skincare line for rosacea is available here.
Sources
- Logger JG, Olydam JI, Driessen RJ. Use of beta-blockers for rosacea-associated facial erythema and flushing: a systematic review and update on proposed mode of action. J Am Acad Dermatol 2020; 29 [Epub ahead of print]. [PubMed: 32360760]
- Reinholz M, Tietze JK, Kilian K, Schaller M, Schöfer H, Lehmann P et al. Rosacea - S1 guideline. J Dtsch Dermatol Ges 2013; 11(8): 768-780. [PubMed: 23647643]
- Van Zuuren EJ. Rosacea. N Engl J Med 2017; 377(18): 1754-1764. [PubMed: 29091565]
- Van Zuuren EJ, Fedorowicz Z, Tan J, van der Linden MM, Arents BW, Carter B et al. Interventions for rosacea based on the phenotype approach: an updated systematic review including GRADE assessments. Br J Dermatol 2019; 181(1): 65-79. [PMC free article: PMC6850438] [PubMed: 30585305]
- Drug Prices sourced March 3, 2024 from Drugs.com. *Costs are variable and depend on where you live and your personal drug plan
- org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. What are the treatment options for rosacea? [Updated 2020 Sep 10].Available from: https://www.ncbi.nlm.nih.gov/books/NBK279475/
- Laughlin SA, Dudley DK: Laser therapy in the management of rosacea. Journal of Cutaneous Medicine and Surgery. 1998;2(suppl 4):S4/24-S4/29.