The panel's consensus was that in addition to the use of prescription medications, skincare recommendations are a crucial part of successful rosacea therapy. Participants noted that the use of quality OTC products could improve rosacea symptomatology and severity in and of themselves. As adjuncts, these products are recommended before and during prescription therapy and as part of a maintenance regimen.
The importance of providing the patients with specific branded recommendations was discussed both in terms of the presence of reparative actives and the omission of irritating substances. In addition to occlusives and humectants, barrier restoring ingredients such as ceramides, hyaluronic acid, and niacinamide were considered beneficial. Equally important was the absence of potentially irritating substances. In particular, cleansers with harsh surfactants, antibiotics, and elevated pH can strip lipids, proteins, and NMF, thereby stimulating inflammation.
Patients benefit from specific recommendations when faced with the bewildering array of options in the pharmacy skincare aisle. The wrong choice can derail an otherwise ideal therapeutic approach.
There are many types of OTC skincare products available; however, robust comparative studies on their use for rosacea are scarce. Information from studies that combine biophysical measurements with clinical assessment may help to make an informed choice.
All authors contributed to the development and review of this work and agreed with the content.
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