Acne Rosacea – Treatment Options

Oral doxycycline, tetracycline, isotretinoin, and topical metronidazole and ivermectin all options for acne rosacea

Clinical Question:
What are the most effective treatments for acne rosacea?

Bottom Line:
In addition to the old standbys (doxycycline, tetracycline, and topical metronidazole),
other drugs that may be effective for acne rosacea include isotretinoin and topical ivermectin. Topical brimonidine reduces redness temporarily. (LOE = 1a)

van Zuuren EJ, Fedorowicz Z. Interventions for rosacea: abridged updated Cochrane systematic review including GRADE assessments. Br J Dermatol 2015;173(3):651-662.


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