Rosacea medications: online consultation
- Do you notice sudden redness in the central areas of your face?
- Do you see dilated blood vessels on your skin?
- During flushing episodes, do you experience itching, burning, or stinging of the skin?
- Do bumps, pimples, or swelling appear where redness previously occurred?
Online consultation with a doctor
Have you noticed that your face often suddenly turns red, especially in the central areas? Has your skin become sensitive, burning, itchy, or stinging during flushing episodes? Perhaps you’ve also seen visible blood vessels, bumps, pimples, or swelling where redness previously appeared? Don’t wait – consult a doctor online to learn what steps to take to relieve rosacea symptoms and care for your skin’s health. Not sure which products to choose? Get expert advice from a dermatologist.
Doctor Consultation in as little as 15 minutes!
Choose an e-prescription if you already know which medication you need to manage rosacea.
If you need advice from a doctor on choosing the right medication, select a dermatology consultation.
How does it work?
Select a consultation option
Decide whether you want to extend your prescription or talk to your doctor (e.g. to start therapy with a new drug). In the case of psychotropic drugs or strong painkillers, it is necessary to provide data from your IKP or a certificate from your doctor.
Complete the medical questionnaire
Answer a few questions that will help the doctor assess your health. If you are continuing treatment, attach your previous prescription.
Wait for the doctor to contact you
If you have chosen a teleconsultation/videoconsultation, the doctor will call you on the selected date to conduct a consultation. If you have chosen to extend your prescription and are a new patient, the doctor will call to confirm the data from the questionnaire.
Receive your documentation
After the doctor's decision, you will receive a prescription and/or recommendations via text message and e-mail - without leaving your home.
Rosacea – What You Need to Know
Rosacea Affects Up to 10% of the Population
Rosacea is estimated to affect between 1% and 10% of the population. That means up to 1 in 10 people may be living with a condition that lowers self-esteem (in 70% of cases), causes reluctance to engage in public interactions (41%), and negatively impacts relationships (70%).
That’s why it’s essential to understand what rosacea looks like and what medications are used to prevent its recurrence. Knowing how to treat rosacea effectively can significantly improve the quality of life for those affected. You’ll find all of this information in the article below.
What Is Rosacea?
Rosacea (TR, Rosacea) is a chronic, relapsing, and currently incurable inflammatory skin (or occasionally eye) condition. It most commonly affects adults aged 30 to 60, particularly women around menopause. Although its exact cause remains unknown, genetic, vascular, and immune-related factors are believed to be involved.
Symptoms most often appear in the central part of the face. Initially, there is persistent redness; as the disease progresses, papules and pustules may develop. The specific symptoms depend on the subtype of rosacea, of which there are four:
Erythematotelangiectatic – transient flushing, central facial redness, visible blood vessels (telangiectasia)
Papulopustular – persistent redness with swelling, papules, pustules, burning or stinging sensations
Phymatous – thickened skin, bumpy texture, often affecting the nose (rhinophyma), forehead, ears, or cheeks
Ocular – redness, itching, watery eyes, blepharitis or conjunctivitis, blurred vision, light sensitivity, foreign body sensation
Diagnosis and treatment are based on the subtype, severity, and coexisting factors such as Helicobacter pylori, Staphylococcus epidermidis, or the presence of Demodex folliculorum mites and associated Bacillus oleronius bacteria.
How Is Rosacea Treated?
Treatment typically begins with topical therapy (gels, creams, ointments). If symptoms are moderate to severe, or topical medications are ineffective, doctors may prescribe oral antibiotics or, in more resistant cases, low-dose retinoids. Antibiotics at lower doses may also be used for maintenance therapy.
Common treatments by subtype:
Papulopustular rosacea: topical treatments like azelaic acid, metronidazole, benzoyl peroxide, clindamycin, or erythromycin
Erythematotelangiectatic rosacea: less responsive to medication, often treated with vascular lasers or light therapy
Ocular rosacea: responds to eyelid hygiene and topical/oral antibiotics (often tetracyclines)
Most medications used for rosacea are prescription-only (traditional or e-prescriptions), and treatment is usually directed by a dermatologist.
Symptoms of Rosacea
Rosacea mainly affects the face but may also involve other areas. Hallmark signs include:
Persistent redness
Papules and pustules
Visible blood vessels (telangiectasia)
In severe cases, tissue overgrowth, especially on the nose (rhinophyma)
These symptoms can significantly affect a patient’s quality of life, making early diagnosis and personalized treatment essential.
What Causes Rosacea?
The causes of rosacea are complex and not fully understood. Key contributing factors include:
Genetics
Vascular and immune dysfunction
Hormonal imbalances
Diet and environmental factors (e.g. sun exposure, stress, extreme temperatures)
Understanding these triggers is crucial to effective treatment and flare-up prevention.
Available Treatment Options
Topical Treatments
Common agents include:
Metronidazole – available in gel or cream; the “gold standard”
Azelaic acid – anti-inflammatory, antioxidant, OTC available
Ivermectin – anti-inflammatory and effective against Demodex mites
Retinoids (e.g., tretinoin) – used in resistant cases
Tacrolimus (calcineurin inhibitor) – used in steroid-induced rosacea
Oral Treatments
Tetracyclines (limecycline, doxycycline, tetracycline)
Metronidazole, clindamycin, erythromycin
Low-dose retinoids (in severe or unresponsive cases)
Over-the-Counter Options
Azelaic acid (15% gel, 20% cream)
Benzoyl peroxide gel – used cautiously and off-label
Medication Safety and Risks
Rosacea medications can cause side effects, such as:
Redness, itching, irritation
Skin dryness or peeling
Worsening of symptoms if misused
Drug interactions (especially with chronic conditions)
Close collaboration with a doctor is essential to ensure safe and effective treatment.
Complementary Skincare for Rosacea
In addition to medications, skincare is crucial:
Gentle cleansing once daily with lukewarm water and fingertips
Use syndets (soap-free cleansers) with neutral or slightly acidic pH
Avoid scrubs and exfoliants
Use thermal water to soothe the skin
Product Recommendations:
Dermocosmetics for sensitive or rosacea-prone skin
Green-tinted creams to neutralize redness
Avoid heavy foundations and harsh removers
Daily Rosacea Care Tips
Use broad-spectrum sunscreen (SPF 30 or higher)
Identify and avoid individual triggers, such as:
Physical – wind, heat, cold
Chemical – menthol, eucalyptus oil, alcohols, AHAs
Food – spicy foods, chocolate, dairy, caffeine, alcohol
Medications – vasodilators, niacin, corticosteroids
Other – stress, menopause, physical exertion, sauna
Online Dermatology Consultation at Dimedic
At Dimedic, you can schedule a video consultation or teleconsultation with a dermatologist.
If you're a returning patient renewing a prescription, the doctor may issue it without direct contact. For new treatments, the doctor will call you for an assessment.
Our experienced specialists will choose the right prescription rosacea medication and advise you on how to manage the condition effectively.