13.7.2 Preparations for Rosacea
Mild or moderate papulopustular rosacea can be treated with topical application of metronidazole gel or cream or azelaic acid gel. Moderate to severe papulopustular rosacea can be treated with oral antibiotics.
Excipients include: methylparahydroxybenzoate, propylene glycol
Lifestyle recommendations should be optimised prior to starting treatment with brimonidine gel and should be continued throughout treatment.
Brimonidine 3% gel is indicated for the treatment of moderate to severe flushing and erythema (without papules and pustules) after lifestyle advice including application of sunscreen and avoidance of trigger factors such as extremes of temperature have failed to produce a response.
Excipients include: cetyl alcohol, stearyl alcohol, methyl parahydroxybenzoate, propyl parahydroxybenzoate, propylene glycol
Ivermectin 1% cream can be used to treat moderate to severe papulopustular acne rosacea where a topical preparation is preferred to an oral treatment.
- First Line Drugs
- Second Line Drugs
- Specialist Initiated or Recommended Drugs
- Specialist Initiated Drugs with Shared Care Guidelines
- Specialist Only Drugs
- Mixed Status