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Review of Rosacea treatment options – Cost vs. Effectiveness

Written by Dr. James Macdonald MD, HBSc

Exploring the Balance: A Comprehensive Analysis of Treatment Efficacy and Financial Considerations

Rosacea affects more than 415 million people worldwide. Despite advancements in modern medicine there is currently no cure for rosacea, only treatments. The goal of this page is to provide you with an accurate, evidence based overview of the current rosacea therapies available for use today.

It is important to remember that rosacea is a progressive disease and your first step is to eliminate environmental and lifestyle factors that trigger your symptoms.

A well documented survey conducted by the National Rosacea Society showed that the identification of triggers and appropriate skin care resulted in a significant improvement in 90% of people.
Leading Rosacea specialist and Founder of Riversol Skincare, Dermatologist Dr. Jason Rivers, spent 30 years in clinical practice before devoting 8 years to the development a routine of skincare products for his most deserving patients, those with sensitive, rosacea-prone skin.
He created a skincare trio to help reduce the effects and signs of Rosacea. The rosacea skincare routine includes a gentle cleanser, anti-redness serum and comforting moisturizer – all formulated to work together to keep your skin calm, healthy and even-toned. And it’s all yours to try for 15 days for free. If interested the kit is below.
However please keep reading on to find out more about the current state of Rosacea treatments in 2024.

Review of Rosacea treatment options – Cost vs. Effectiveness

Written by Dr. James Macdonald MD, HBSc

Exploring the Balance: A Comprehensive Analysis of Treatment Efficacy and Financial Considerations

Rosacea affects more than 415 million people worldwide. Despite advancements in modern medicine there is currently no cure for rosacea, only treatments. The goal of this page is to provide you with an accurate, evidence based overview of the current rosacea therapies available for use today.

It is important to remember that rosacea is a progressive disease and your first step is to eliminate environmental and lifestyle factors that trigger your symptoms.

A well documented survey conducted by the National Rosacea Society showed that the identification of triggers and appropriate skin care resulted in a significant improvement in 90% of people.

Leading Rosacea specialist and Founder of Riversol Skincare, Dermatologist Dr. Jason Rivers, spent 30 years in clinical practice before devoting 8 years to the development a routine of skincare products for his most deserving patients, those with sensitive, rosacea-prone skin.

He created a skincare trio to help reduce the effects and signs of Rosacea. The rosacea skincare routine includes a gentle cleanser, anti-redness serum and comforting moisturizer – all formulated to work together to keep your skin calm, healthy and even-toned. And it’s all yours to try for 15 days for free. If interested the kit is below.

However please keep reading on to find out more about the current state of Rosacea treatments in 2024.

Review of Rosacea treatment options – Cost vs. Effectiveness

Written by Dr. James Macdonald MD, HBSc

Exploring the Balance: A Comprehensive Analysis of Treatment Efficacy and Financial Considerations

Rosacea affects more than 415 million people worldwide. Despite advancements in modern medicine there is currently no cure for rosacea, only treatments. The goal of this page is to provide you with an accurate, evidence based overview of the current rosacea therapies available for use today.

It is important to remember that rosacea is a progressive disease and your first step is to eliminate environmental and lifestyle factors that trigger your symptoms.

A well documented survey conducted by the National Rosacea Society showed that the identification of triggers and appropriate skin care resulted in a significant improvement in 90% of people.

Leading Rosacea specialist and Founder of Riversol Skincare, Dermatologist Dr. Jason Rivers, spent 30 years in clinical practice before devoting 8 years to the development a routine of skincare products for his most deserving patients, those with sensitive, rosacea-prone skin.

He created a skincare trio to help reduce the effects and signs of Rosacea. The rosacea skincare routine includes a gentle cleanser, anti-redness serum and comforting moisturizer – all formulated to work together to keep your skin calm, healthy and even-toned. And it’s all yours to try for 15 days for free. If interested the kit is below.

However please keep reading on to find out more about the current state of Rosacea treatments in 2024.

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5 Current Treatments for Rosacea in 2024

01

Topical Vasoconstrictors

Brimonidine (Mirvaso) and Oxymetazoline (Rhofade), function by constricting blood vessels to temporarily mitigate facial redness. These treatments have shown effectiveness in reducing facial redness in approximately 26 out of 100 subjects. However, there are potential downsides to their use. Overuse of these products can exacerbate flushing, skin irritation, and allergic reactions. In terms of cost, Mirvaso is priced at $618 for a 30g tube, while Rhofade is slightly higher at $661 for the same amount. This makes them a costly option for managing facial redness, and their side effects underscore the importance of cautious application.

02

Surgical Laser Therapy

Intense Pulsed Light (IPL) therapy, employs targeted heat application to obliterate superficial red blood vessels. It is regarded as the principal treatment for visible blood vessels and thickened skin conditions such as rhinophyma. Despite its effectiveness, there are several potential drawbacks. Patients might experience temporary pain, redness, blisters, scabs, and swelling following the procedure. Additionally, there's a risk of small scars remaining. A significant consideration for many patients is the cost, ranging from $400 to $1200 per session, coupled with the challenge of finding properly trained physicians to perform the treatment. This underscores the importance of weighing the benefits against the potential side effects and financial implications before proceeding with IPL therapy.

03

Beta-Blockers

Often prescribed off-label, are another option for managing facial redness, working by diminishing blood flow to the face. While they show promising results in effectiveness, their use is not widespread primarily due to side effects. One of the significant limitations is that Beta-Blockers are not approved for treating rosacea in many jurisdictions. Additionally, they are not suitable for individuals with asthma. Common side effects include tiredness and dizziness, which can deter patients from choosing this treatment. On the affordability front, Beta-Blockers are relatively inexpensive, with a cost of approximately $14 for 50 tablets at a 10 mg dosage. This makes them a cost-effective option for those who can tolerate the side effects and do not have contraindicating conditions like asthma.

04

For Red and Yellow Spots - (Papules and Pustules): Azelaic Acid (Topical)

Azelaic Acid, available under trade names such as Skinoren and Finacea, serves as a topical agent that primarily targets inflammation reduction. It demonstrates relief in symptoms for approximately 18 out of 100 users, showcasing its potential effectiveness in certain cases. Despite these benefits, Azelaic Acid is not without its drawbacks. Users may experience side effects including burning, itching, dry skin, and rash. In some instances, it may even exacerbate the symptoms it aims to alleviate. When it comes to cost, Azelaic Acid is priced at $369 for a 50g tube, making it a significant investment for those seeking relief from their symptoms. This highlights the importance of considering both the potential benefits and the downsides, including the possibility of adverse reactions and the financial cost, before opting for this treatment.

05

Antibiotics (Oral & Topical)

Topical antibiotics, such as MetroCream, MetroGel, MetroLotion, Noritate, and Rosadan, offer anti-inflammatory benefits with effectiveness that can be comparable to azelaic acid, though results may vary. Common side effects include skin irritation, contact dermatitis, allergic reactions, and increased sun sensitivity. The cost for these treatments is around $405 for 60g, with a generic option available at $145 for 55g. Oral antibiotics, represented by Oracea, function systemically to reduce inflammation but also come with potential downsides like skin irritation and sun sensitivity, at a higher cost of $972 for 30 capsules, with a generic version costing $645 for the same quantity.

01

Topical Vasoconstrictors

Brimonidine (Mirvaso) and Oxymetazoline (Rhofade), function by constricting blood vessels to temporarily mitigate facial redness. These treatments have shown effectiveness in reducing facial redness in approximately 26 out of 100 subjects. However, there are potential downsides to their use. Overuse of these products can exacerbate flushing, skin irritation, and allergic reactions. In terms of cost, Mirvaso is priced at $618 for a 30g tube, while Rhofade is slightly higher at $661 for the same amount. This makes them a costly option for managing facial redness, and their side effects underscore the importance of cautious application.

02

Surgical Laser Therapy

Intense Pulsed Light (IPL) therapy, employs targeted heat application to obliterate superficial red blood vessels. It is regarded as the principal treatment for visible blood vessels and thickened skin conditions such as rhinophyma. Despite its effectiveness, there are several potential drawbacks. Patients might experience temporary pain, redness, blisters, scabs, and swelling following the procedure. Additionally, there's a risk of small scars remaining. A significant consideration for many patients is the cost, ranging from $400 to $1200 per session, coupled with the challenge of finding properly trained physicians to perform the treatment. This underscores the importance of weighing the benefits against the potential side effects and financial implications before proceeding with IPL therapy.

03

Beta-Blockers

Often prescribed off-label, are another option for managing facial redness, working by diminishing blood flow to the face. While they show promising results in effectiveness, their use is not widespread primarily due to side effects. One of the significant limitations is that Beta-Blockers are not approved for treating rosacea in many jurisdictions. Additionally, they are not suitable for individuals with asthma. Common side effects include tiredness and dizziness, which can deter patients from choosing this treatment. On the affordability front, Beta-Blockers are relatively inexpensive, with a cost of approximately $14 for 50 tablets at a 10 mg dosage. This makes them a cost-effective option for those who can tolerate the side effects and do not have contraindicating conditions like asthma.

04

For Red and Yellow Spots - (Papules and Pustules): Azelaic Acid (Topical)

Azelaic Acid, available under trade names such as Skinoren and Finacea, serves as a topical agent that primarily targets inflammation reduction. It demonstrates relief in symptoms for approximately 18 out of 100 users, showcasing its potential effectiveness in certain cases. Despite these benefits, Azelaic Acid is not without its drawbacks. Users may experience side effects including burning, itching, dry skin, and rash. In some instances, it may even exacerbate the symptoms it aims to alleviate. When it comes to cost, Azelaic Acid is priced at $369 for a 50g tube, making it a significant investment for those seeking relief from their symptoms. This highlights the importance of considering both the potential benefits and the downsides, including the possibility of adverse reactions and the financial cost, before opting for this treatment.

05

Antibiotics (Oral & Topical)

Topical antibiotics, such as MetroCream, MetroGel, MetroLotion, Noritate, and Rosadan, offer anti-inflammatory benefits with effectiveness that can be comparable to azelaic acid, though results may vary. Common side effects include skin irritation, contact dermatitis, allergic reactions, and increased sun sensitivity. The cost for these treatments is around $405 for 60g, with a generic option available at $145 for 55g. Oral antibiotics, represented by Oracea, function systemically to reduce inflammation but also come with potential downsides like skin irritation and sun sensitivity, at a higher cost of $972 for 30 capsules, with a generic version costing $645 for the same quantity.

01

Topical Vasoconstrictors

Brimonidine (Mirvaso) and Oxymetazoline (Rhofade), function by constricting blood vessels to temporarily mitigate facial redness. These treatments have shown effectiveness in reducing facial redness in approximately 26 out of 100 subjects. However, there are potential downsides to their use. Overuse of these products can exacerbate flushing, skin irritation, and allergic reactions. In terms of cost, Mirvaso is priced at $618 for a 30g tube, while Rhofade is slightly higher at $661 for the same amount. This makes them a costly option for managing facial redness, and their side effects underscore the importance of cautious application.

02

Surgical Laser Therapy

Intense Pulsed Light (IPL) therapy, employs targeted heat application to obliterate superficial red blood vessels. It is regarded as the principal treatment for visible blood vessels and thickened skin conditions such as rhinophyma. Despite its effectiveness, there are several potential drawbacks. Patients might experience temporary pain, redness, blisters, scabs, and swelling following the procedure. Additionally, there's a risk of small scars remaining. A significant consideration for many patients is the cost, ranging from $400 to $1200 per session, coupled with the challenge of finding properly trained physicians to perform the treatment. This underscores the importance of weighing the benefits against the potential side effects and financial implications before proceeding with IPL therapy.

03

Beta-Blockers

Often prescribed off-label, are another option for managing facial redness, working by diminishing blood flow to the face. While they show promising results in effectiveness, their use is not widespread primarily due to side effects. One of the significant limitations is that Beta-Blockers are not approved for treating rosacea in many jurisdictions. Additionally, they are not suitable for individuals with asthma. Common side effects include tiredness and dizziness, which can deter patients from choosing this treatment. On the affordability front, Beta-Blockers are relatively inexpensive, with a cost of approximately $14 for 50 tablets at a 10 mg dosage. This makes them a cost-effective option for those who can tolerate the side effects and do not have contraindicating conditions like asthma.

04

For Red and Yellow Spots - (Papules and Pustules): Azelaic Acid (Topical)

Azelaic Acid, available under trade names such as Skinoren and Finacea, serves as a topical agent that primarily targets inflammation reduction. It demonstrates relief in symptoms for approximately 18 out of 100 users, showcasing its potential effectiveness in certain cases. Despite these benefits, Azelaic Acid is not without its drawbacks. Users may experience side effects including burning, itching, dry skin, and rash. In some instances, it may even exacerbate the symptoms it aims to alleviate. When it comes to cost, Azelaic Acid is priced at $369 for a 50g tube, making it a significant investment for those seeking relief from their symptoms. This highlights the importance of considering both the potential benefits and the downsides, including the possibility of adverse reactions and the financial cost, before opting for this treatment.

05

Antibiotics (Oral & Topical)

Topical antibiotics, such as MetroCream, MetroGel, MetroLotion, Noritate, and Rosadan, offer anti-inflammatory benefits with effectiveness that can be comparable to azelaic acid, though results may vary. Common side effects include skin irritation, contact dermatitis, allergic reactions, and increased sun sensitivity. The cost for these treatments is around $405 for 60g, with a generic option available at $145 for 55g. Oral antibiotics, represented by Oracea, function systemically to reduce inflammation but also come with potential downsides like skin irritation and sun sensitivity, at a higher cost of $972 for 30 capsules, with a generic version costing $645 for the same quantity.

Meet

Dr Rivers

MD, FRCPC, DABD, FAAD

Dr. Rivers is a three-time recipient of the “Best Doctors in Canada” award.

He’s the author of over 170 peer reviewed articles on skin health and dermatology.

He made Riversol skincare for his patients.

Meet

Dr Rivers

MD, FRCPC, DABD, FAAD

Dr. Rivers is a three-time recipient of the “Best Doctors in Canada” award.

He’s the author of over 170 peer reviewed articles on skin health and dermatology.

He made Riversol skincare for his patients.

Meet

Dr Rivers

MD, FRCPC, DABD, FAAD

Dr. Rivers is a three-time recipient of the “Best Doctors in Canada” award.

He’s the author of over 170 peer reviewed articles on skin health and dermatology.

He made Riversol skincare for his patients.

One method of discovering your personal rosacea triggers is ...

to keep a daily rosacea journal. Keep track of environmental and lifestyle factors while observing your rosacea symptoms on a daily basis. Track and record weather conditions, foods and beverages you consume, exercise, your stress levels, products you use on your face, medications you take, and anything that causes flushing (such as hot showers or baths). You can even try tracking apps available for smartphones. Interested in more information about rosacea? Click here to see our complete guide to rosacea treatment.

To put this in perspective the most successful prescription medications, cost upwards of $500 / month and have only been documented to help improve symptoms in 26% of users.

If you’re frustrated by the cycle of redness, irr