Active substances: Doxycycline
Such patients are less likely to have the flushing, burning, and stinging characteristic of other subtypes.
Stage I is described as prerosacea. In this stage, rosacea-induced blushing is the main symptom and can develop as early as childhood. Stage II is mainly vascular; the disease progresses into transitory erythema of the midfacial area, and mild telangiectasia begins to develop.
During stage III, facial redness worsens, becoming deeper and permanent. Also during this stage, telangiectasia increases, ocular changes begin to develop, and papule and pustule formation occurs.
In stage IV, there is continued and increased skin and ocular inflammation. The ocular inflammation can ultimately result in visual loss.
It is also in this stage that fibroplasia and sebaceous hyperplasia of the skin lead to rhinophyma. This increased blood flow to the superfacial vasculature results in edema. It remains controversial whether there is benefit from the eradication of H pylori on the symptoms associated with rosacea.
Therefore, the goal in managing rosacea is to control the symptoms as opposed to eradicating the disease.
Rosacea should be treated within the early stages to prevent progression to edema and irreversible fibrosis. Treatment typically depends on the subtype and stage of rosacea.
When treating rosacea, therapy should be initiated with a combination of both oral and topical products, as this regimen has been shown to reduce the initial prominent symptoms, prevent relapse when oral therapy is discontinued, and maintain long-term control.
Antibiotics have traditionally been considered first-line therapy, primarily due to their anti-inflammatory effects as opposed to their antimicrobial action alone.Search Menu Abstract Background efficacy of azithromycin for Chlamydia trachomatis.
Topical Treatments To date, there are only three FDA-approved topical medications for the treatment of rosacea, particularly for the management of papules, pustules, and erythema.
The three approved topical medications include 0. Other medications that are not FDA approved for the treatment of rosacea but have shown some beneficial effects include benzoyl peroxide, clindamycin, retinoids, and topical steroids.