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Can the use of over-the-counter (OTC) reduce rosacea signs and symptoms? Nine dermatologists review their rosacea treatment recommendations with OTC products before and during prescription therapy.

Studies have shown oral sarecycline to be effective and safe for acne, with a low risk of side effects that are historically associated with other tetracycline-class drugs such as doxycycline and minocycline, in addition to offering a reduced risk of emergence of resistant bacteria due to its narrow-spectrum of antibiotic activity.

The primary diagnostic phenotypes for rosacea, as defined by the National Rosacea Society, include fixed centrofacial erythema with periodic intensification, and phymatous changes. Major phenotypes, which may occur concomitantly or independently with the diagnostic features, are papules and pustules, flushing, telangiectasia, and ocular manifestations.

Rosacea primarily affects the central face, and includes papules, pustules, erythema, telangiectasias, perilesional redness, phymatous changes, and even ocular involvement.

There is a need to address the spectrum of inflammatory processes involved in rosacea and for more efficacious agents with the goal of providing complete clearance for patients.

This is an exciting time in the advancement of our understanding and treatment of rosacea, with further elucidation of the pathophysiology coupled with the development of new therapies to treat the disease. Inflammation is the key underlying mechanism, giving rise to the varying symptoms. Explore new scientific data on anti-inflammatory therapy.

Review a complicated case report of a German female patient with papulopustular rosacea (PPR) with a high count of facial inflammatory lesions and severe erythema who had not responded well to treatment with traditional therapies for a decade.

We report a unique case of facial erythema of rosacea that responded to brimonidine gel with effective blanching for two years until the patient developed a paradoxical erythema reaction. This is an adverse reaction physicians should be aware of with continued prescription of brimonidine gel for their rosacea patients.

Physicians are often presented with patients complaining of facial redness and difficult to control rosacea. The water soluble sodium copper chlorophyllin complex has been shown to have anti-oxidant, anti-inflammatory, and anti-bacterial activities in vitro and anti-redness, pore reduction, and anti-acne activities in pilot clinical studies.