Inflammatory Rosacea Treatment
The primary treatment strategy revolves around resolving the acne lesions and controlling the extreme inflammation. Oral antibiotics, specifically doxycycline or minocycline are the first-line therapies in severe cases prednisone can calm down inflammation initially, while more potent medications such as isotretinoin are started.
Injections of corticosteroids into the worst lesions can shrink them. Secondarily a number of topical medications that can be used. These include metronidazole, clindamycin and azelaic acid. Cover-up or treatment of the redness can be addressed once the severe inflammatory acne component is stabilize.
For the redness of flushing whatnots use may almost be as important as what to use. Do use moisturizers for sensitive skin and sunscreens every day. Avoid toners, exfoliating agents and astringent. Also where possible avoid triggers of flushing. Green tinted moisturizers or makeup are first-line options for redness. Laser surgery often requiring multiple sessions probably yields to the best results. Unfortunately medications do not often help redness.