What has worked for your rosacea?

[zjgahsf]

I have erythematotelangiectatic rosacea (facial redness, flushing, and visible blood vessels but no acne).

I’ve tried:

• Finacea + Soolantra
• Soolantra alone
• Soolantra + Elidel
• Elidel alone

I see no little improvement in redness, and I feel the products are aging my skin. They also make my skin sticky and shiny, which I really dislike.

What has worked for you? 🙏🙏🙏

How long before you saw results? Did it initially look worse?

I’m following my dermatologist’s recommendations, but I’m curious whether I tried long enough.

Or are all these potions mostly pointless and just a tick‑box exercise before trying laser? ✅

I have had rosacea for 30 years and it was the Dermatica treatment that fixed it for me. I was type 2 with redness and pustules.

Wegovey.

Rosex cream on prescription from my GP.

Skin & Me, (similar to Dermatica) they're known for tret but a 30 day subscription on an intro offer for 5.99 cleared up my rosacea that I'd had for years, they get a dermatologist to review photos and then prescribe a cream.

Laser treatment and occasional low doses of doxycycline have done the trick for me

Mine was not that bad - I say 'was' because no recent flare ups - and flare ups over decades rather than ongoing, so it seemed everything worked for a while. Weleda Skin Food was the last thing I tried in lockdown - all good since. Friend had similar to me, and it made hers worse. If I feel that tightness, soreness and dryness start, the Skin Food has ended it.

HRT. Developed rosacea in my mid 40's, tried lots of different creams but within days of starting HRT it vanished and hasn't returned. Just annoyed that I didn't start it sooner, gp was so anti any type of hormone treatment despite being happy to prescribe opiates continuously that I had to bypass her to get the HRT which was life changing for me.

Wow, quite a few success stories! 😁

@Isabelle70 @MyJustCat Do you remember what the key active ingredients were in the Dermatica and Skin + Me products?

@DancingInTheMoonlights @lovelylimesoda Are you in the UK? I told my dermatologist that my skin was looking much better after taking antibiotics for a UTI. She wasn’t keen on prescribing antibiotics for rosacea. I only asked about tablet form though, not cream

@BillieJ Weleda Skin Food has great reviews, but essential oils are triggering for me!

@Mudflaps I’ve been on HRT for 4 months now. No luck with my skin so far. I was using patches and have now switched to gel + tablet. What are you on? 🙏

@EvangelicalAboutButteredToast Another unexpected side effect. I’m not eligible for WLI unfortunately!

@zjgahsf this is the mix in my prescription
Ivermectin 1%/ Metronidazole 0.75%/ Azelaic acid 15% Lotion
I have used it for a few years now, I try to take a break every so often but it returns. They do swap the Ivermectin out every so often because of resistance but if I need it back in some more photos and a request and they will add it back.
I had been treated for acne for all these years even had a couple of courses of roaccutane but nothing helped my skin until the Dermatica.
I have also had polynucleotides under my eyes and that has reduced any redness in that area, a bonus good side effect! I might look into having more polynucleotides but it is pricey.
I have a code if you would like to try Dermatica at a lower cost. I started to see a difference after about 3/4 weeks.
https://www.dermatica.co.uk/referrer/3LW935

Aklief - prescribed by Boots online doctor. It's the new generation tret.

Morning, yes, I am in the southwest. It’s been very good for me, my nose is still slightly redder than the rest of my face but nothing that green concealer doesn’t solve.

I put it on twice a day - morning and night - plus if something causes a flare up, I use it then.

I keep one in my handbag for emergency flare ups and one in the bathroom. I used to have the pustules, redness and dryness and this has helped massively.

The pharmacist once gave me the Rosex gel which dried my skin out, made it feel tight and shiny and also peeled - I hated it and asked for the cream replacement.

Good luck!

These are the details of my prescription:

Rozex 0.75% cream (Galderma (UK) Ltd), Apply Twice A Day ‐ 30 gram

it contains Metronizadol and is an anti bacterial agent.

Laser treatment

Soolantra and cutting out dairy.

not in the UK but I think it is possible there. Ask for a very low (maintenance?) dose that doesn’t have an antibiotic effect. I’ve done it twice and has made a big difference

I had all kinds of treatments over the years and eventually stopped when they tried to put me on roacutane - seriously heavy and with awful side effects. The most effective was doxycycline antibiotics but for obvious reasons that wasn’t a good long term plan.

What made the biggest difference for me was:

• stopping drinking alcohol completely
• using argan oil on my face instead of any fancy cleansers/soap/water
• using a full factor sun protection foundation

This hasn’t got rid of it but it’s made a serious difference to how calm my skin is, and I no longer have the bumpy areas that were part of my type of rosacea.

I specifically use a foundation with a zinc oxide content in it (anti inflammatory, used in all sorts of products including nappy rash cream) and use a zinc oxide based sunscreen if I have to, and when I don’t wear it my skin is very reactive. Alcohol has the biggest effect, and I notice it the next day after drinking even a small amount.

Elf Holy Hydration balm or Clinique balm

Estée Lauder ANR or the Revolution dupe

Cerave lotion or Clinique DDML

This combination has made the biggest difference.

Azealic acid, no alcohol and Factor 50. Also stripping back to basics my make up, hair and skin products as something was definitely aggravating it. I think silicone. Then adding stuff back in.

How long did you use Finacea as I was going to suggest azelaic acid. It probably took me 6 months to see results - starting at 5%.
Another one to try is metroruboril from the French brand isispharm. They have two variations so maybe try both.
Look into tropical transexemic acid and also check your other products for niacinamide. It either helps or hinders.

• @zjgahsf it was
• Metronidazole 1%
• Niacinamide 4%
• Azelaic Acid 8%

@Isabelle70 My initial treatment also included ivermectin (Soolantra) and azelaic acid (Finacea). No metronidazole though, which is an antibiotic. It sounds like antibiotics have played a role in quite a few posters’ successful treatment! Thanks for the code. I’m currently going through my private insurance, but it might come in handy if they stop support 😁

@HealthyRosy
Another vote for antibiotics! I’m wondering what it says about the underlying rosacea mechanism that so many people were helped by them, either topically or in tablet form. I definitely need to be more disciplined about sunscreen use! Which one works best for you? 🙏

@DancingInTheMoonlights Good that you persevered! Crazy that the gel made things worse but the cream helped 😊