Rosacea Creams

  • Best ResultsVariable
  • Treatment RecoveryNA
  • Procedure TimeNA
  • Skin SpecialistPharmacist, GP, Dermatologist
  • Duration of ResultsVariable
  • AnaestheticNA
  • Back to WorkNA
  • Cost$

Rosacea Creams

Creams are often first line management for rosacea. They include topical anti-inflammatory agents, as well as topicals aimed at treating the vessels that contribute to redness. Simple formulations can be purchased without a prescription. Most can be prescribed by your family doctor or GP.

FactsFacts on Creams for Rosacea

  • Avoid retinoids & ascorbic acid if you have sensitive skin
  • Consider niacinamide, hyaluronic acid, ceramides & azelaic acid
  • Look for a sensitive skin line in the product range
  • Always test patch new topicals
  • Prescription topicals include Rozex, Soolantra, Finacea & Mirvaso
  • Keeping skincare simple & precise reduces rosacea flare ups
  • Read the section on rosacea tips for more information

What is the purpose of creams?

Creams are designed to –

  1. Reduce inflammation, pimples & redness from rosacea. These creams are especially targeted for rosacea patients. They include niacinamide, azelaic acid, metronidazole & ivermectin topically.
  2. Provide clinical benefits for other concerns including pore size reduction, anti-wrinkle & ageing. These topicals include low strength salicylic acid, retinyl palmitate, tocopherol, & vitamin B3.

What over the counter creams are recommended for rosacea patients?

My go to topicals include azelaic acid & niacinamide in concentrations of 15% & 5% respectively. These ingredients are anti-inflammatory & are useful to calm down inflammatory rosacea. Other useful ingredients include hyaluronic acid, ceramides, squalene & tocopherol. 

What is Soolatra?

This topical is also known as ivermectin. It is essentially a novel treatment to address one of the causes of rosacea, namely demodex mites. In my experience it can work in 10-20+% of patients. Usually the ‘follicular variant’ of rosacea does best with this cream.

Before seeing me for laser, ask your dermatologist or general practitioner to prescribe Soolantra (1% ivermectin) for you. Take several high-resolution photos before you start, then document your weekly progress over ten weeks.

What is azelaic acid or Finacea?

If you are into natural stuff for your face, try azelaic acid. This compound can be found in grains. It is a benign anti-inflammatory. Look for formulations ranging from 10 to 20%. This can be purchased without a prescription. Best used for acne, & acne-rosacea. Apply nightly, increasing to twice daily as tolerated.

Davin’s viewpoint on rosacea creams

Topical creams are a good starting point for rosacea patients, bearing in mind the one percent rule of rosacea, namely diet, skin care, topical & lifestyle modifications can all add up. The first tier of over-the-counter non-prescription rosacea management consists of-

Cleansers: La Roche Posay Rosaliac or Effaclar range.

Sunscreens: Whatever you like, Invisible Zinc is good.

Topical anti-inflammatory creams: Niacinamide 5%, add 10-15% azelaic acid at night.

Avoid: Retinol, retinoids, ascorbic acid, glycolic & lactic acid.

About 60% of rosacea patients respond to the above. For resistant cases, see your dermatologist as they will consider topicals such as Rozex, Soolantra, Finacea, & compounded sulphur topicals. They may prescribe additional anti-inflammatory medications.

My management is with lasers & light therapy. For ongoing medical management of your condition, I may refer you back to your dermatologist. Once we figure out your pattern & flare factors, precise directed treatments are easier. You have got to be analytical to get places faster. 

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