January 31, 2008
Treatment for Rosacea
Individuals suspecting that they have rosacea will need to be evaluated by a physician in order to have the diagnosis needed to decide on a treatment plan.
Treatment starts with identifying the triggers so that they can be avoided. Common triggers for those with rosacea are extreme weather changes, wind, hot drinks of tea or coffee, caffeinated drinks, strenuous exercise, spicy food, consuming alcohol, becoming emotional. Some topical products can irritate rosacea.
Individuals with rosacea are usually told to avoid using astringents, toners, products that contain menthols or camphor. It is advised to avoid waterproof cosmetics that require solvents in order to remove them from your face. It is important to look at labeling and to avoid any product that contains sodium lauryl sulfate.
One treatment that has been effective for rosacea has been nonablative laser. Laser treatments can remodel connective tissue and improve epidermal barrier. The cost can be a disadvantage and in most cases is not covered by insurance. Laser treatments usually require 1 to 3 treatments that are spaced 4 to 8 weeks apart. This regimen usually gives the best result.
The usual course of treatment is to treat symptoms with various methods until one works to reduce or relieve the symptoms. Treatment may include the following: artificial tears, lid hygiene, topical and oral anti-inflammatory medications and surgical intervention if other methods do not work.
Lid hygiene involves hot compresses that are applied to the affected eyelid to help liquefy thick gland secretions. diluted baby shampoo can be used to cleanse the eyelid or commercially prepared eyelid cleanses. The individual can also apply light pressure to the eyelids to express fluid.
Females should speak with their doctor is hot flashes associated with menopause may be a trigger so that options can be explored to assist with those.
Certain moisturizers, soaps, sunscreens and other topical products may also be recommended by your doctor to use on your face.
Anti-inflammatory topical antibiotics may be prescribed such as Metrocream, Metrogel, or Noritate.
To reduce redness and the swelling associated with rosacea, Azelex or Finacea may be prescribed.
Faster relief may be realized when oral antibiotics are used in conjunction with the topical treatment to hasten the recovery. After the initial treatment period the doctor may prescribe topical antibiotic medication to be used long-term such as doxycycline, erythromycin, minocycline or tetracycline.
If you have Ocular rosacea (eyelid) you will most likely be treated with oral antibiotics.
The length of treatment will depend on the type and severity of the symptoms you present with. The typical duration of treatment is approximately 1 to 2 months. To prevent reassurance of symptoms long-term medication treatment is generally recommended.
An important part of the treatment is what you do for yourself at home; it is called "self-care". Self-care are all of the measure you do to control rosacea including minimizing the triggers that cause your rosacea to appear.
Self-care measures:
Sunscreen worn faithfully of an SPF of 15 or higher
Wear a scarf or ski mask during the winter to protect your face from extreme cold
Avoid touching your facial skin which could cause irritation
Avoid any facial product that contains alcohol or other irritants
Apply facial moisturizer only after your topical medication has dried
Avoid overheating
Green or Yellow-tinted prefoundation creams and powders are designed to counter skin redness so apply before putting on makeup
Avoid consuming alcoholic beverages